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Take Januvia, a once-daily pill from Merck that helps lower blood sugar levels in adults with type 2 diabetes. A 2019 report from House Democrats found that Januvia was priced at 1.40 on average.
NovoLog, an insulin made by Novo Nordisk, is priced at 6.90 that it costs in other countries, according to the report. Stelara, an injection from Janssen used to treat Crohn’s disease and severe plaque psoriasis, costs 3,585 that it’s priced at elsewhere.
Another drug on the list, Xarelto from Johnson & Johnson, prevents blood clotting to reduce the risk of stroke. Xarelto’s domestic gross retail price was 2.30 it is sold for on average in Australia, Canada, and France.
Entresto, a drug from Novartis used to treat heart failure, retails in the United States for 2.82 it’s sold for in Australia, Canada, and France, per the report. AbbVie’s Imbruvica, used to treat blood cancers, retails for $158 per pill in the United States, more than double what it costs in those countries.

✏️ Examples of the price discrepancies between US- and internationally-sold drugs.
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