Brand named prescription drugs are collectively purchased in the USA but surrounded by many cases like drugs can be obtained from reliable Canadian sources at lower prices. Also, surrounded by some cases, Canadian sources have generics of the brand name drugs that are not available in the USA. This issue is becoming increasingly important as USA citizens are mortal faced next to issues of lack of modest insurance coverage and/or the matter of dealing near prescription plans containing the new found problem call the"Gap" or"Doughnut Hole".

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Answers:    the US Government allows for higher prices vs Canada

Also the US protects the Drug companies patent for the longest time

If you do not have insurance you may want to do what I own done (and a number of State and City government have done), Import generics from Canada or Europe and pay envelope much less.

Below is the site that I buy some of my generics from, they are base in England and own been tremendously good surrounded by both quality and transport (both guaranteed by them as well)

good luck

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The drug companies within the US do in my view operate an old boys club, stick together for more profit.
Another factor is the cost of getting medicine approved in the States, tremendously high.
As a postscipt, various buy from India

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