<-- worked for Schering-Plough for a few years back in the late 90s/early 2000s and four times a year I worked with the actual localized production cost vs wholesale cost vs government vs retail costs per country and.... ... yeah. This is possible for nearly any drug out there, except perhaps for drugs that have to be grown in chicken eggs and stuff. Once the R part of R&D is done, the D is creating it, perfecting it (longest part) then what' left is mass production . When you're at the mass production phase that's when things get cheap.