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Horrible. A family member of mine needs a medication called Tolvaptan according to their doctor to prevent kidney failure due to a genetic disease.
From drugs.com: “The cost for tolvaptan (15 mg oral tablet) is approximately $4,482 for a supply of 10 tablets, while the brand Jynarque can cost around $21,238 for a supply of 56 tablets, depending on the pharmacy. Prices may vary based on factors like location and insurance coverage.”
15mg is the lowest dose of this medication too. Often the dose is 30mg or 45mg, up to 60mg max.
If you really want to get pissed off, google the same medication but in the Netherlands.