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    — Desiree Bercilla's life was jolted in May when her boyfriend was diagnosed with Bell's palsy. She received another surprise when she phoned her local pharmacy and found the drug he needed, the antiviral Valtrex, would cost nearly $600. That was the price for the brand-name version but even the generic was more than $200. Bercilla continued to make calls until Costco, the warehouse chain, quoted her a price of less than $39 for the generic. Bercilla, a 37-year-old with a 3-year-old daughter, got similar results when NBC News asked her to check the cash price — the amount paid by someone not using insurance — of Valtrex in her area again last month. Prices ranged from a high of $596 at Walmart to $473 at Costco for the brand-name prescription. For the generic, Walgreens had the highest price at almost $242 while the cheapest was at Costco, selling for just under $39. As outrageous as the cost of health care can be in the United States, it's nothing compared to the markup on some prescription medicines. While companies certainly have to recoup their research and development costs and earn a profit for investors — and the exclusive window before a generic version of a drug goes on sale is the optimal time to do so — those prices can sometimes get out of hand. In 2015, you might recall, the price of Daraprim, which is used by AIDS and transplant patients, famously soared from $13.50 per pill to $750, which sparked an outrage. (As of last August, the price was down to $375 per pill, which hasn't done much to dissuade critics.) Last August the cost of a two-pack of Epi Pens jumped to $600 (versus $90 a decade prior). President Donald Trump has vowed to unveil a system that would dramatically reduce the price Americans pay for prescription drugs. Citi analyst Andrew Baum, though, wrote the administration's failure to get enough votes to pass the GOP's first pass at a health proposal "increases the legislative risk to pharma pricing."Should some method to combat high drug prices materialize, regardless of origin, it would still likely not go into effect for some time, given expected resistance from pharmaceutical companies and the general slow pace of government. For now, patients are stuck fighting their insurance companies to cover bills that can be jaw-droppingly expensive. Good Rx, which monitors the price of prescription drugs, has compiled a list of the most expensive ones on the market. Prices listed are for a 30-day supply and do not factor in insurance or discount coupons.

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