Virtually no one can afford several thousand a month for one medication, so if they are not insured, they go without
(in the US).
If they do have insurance
, the cost
of the med is negotiated betw. the insurer
and the drug manufacturer. The consumer is not party to this info. It would be interesting to know, wouldn't it?
We often think of our copays as the price we pay for the script, forgetting to add in the cost of insurance premiums. At least I do.