A quote from the article "The problem is a 10 mL bottle of insulin in the U.S. has a list price of about $450." and then "Jane buys her insulin illegally from Canada, where a comparable bottle of insulin costs about $21." This might be a guess, but I can't see Canada subsidising millions of Americans, so is $21 nearer the actual cost.
So is that the manufacturers milking the insurers?
Another interesting quote "
According to a 2015 Centers for Disease Control and Prevention report, nearly 5 million Americans bought their prescription medications from other countries in 2013 to save money, despite federal restrictions.
A more recent poll published in November 2016 by Kaiser Family Foundation found 19 million adults in the U.S. imported medication from Canada or other countries."
The more you look into this, the more interesting it gets. Another interesting article about what the NHS pays for insulin.
As already mentioned, thank god for the NHS, especially the staff doing my MRI scan at ten past 6 this evening. I promise to be good. Would you like flowers chocolates?
I am sure the USA suppliers charge more because the insurance companies will pay, or at least charge up to the amount the insurers will pay. This of course forces up the cost of insurance premiums and is very detrimental to those without insurance.
I supplement my thyroid meds with T3 which I have to buy abroad for approx £40 incl postage for 3 months supply. The NHS will very very rarely prescribe because, the last I heard, it costs well over £800.