EpiPen's 400 percent price hike tells us a lot about what'€™s wrong with American health care

Anyone know what's really going on?

Yes. There's a massive difference between a patent on a drug and a patent on a delivery mechanism. Epinephrine is actually once of the cheapest drugs in the US healthcare system (among emergency drugs). It's something like a dollar or two per injection if you buy in the vial.

Epipen (and subsequently Mylan) does not have a patent on epinephrine. They have a patent on the mechanism they invented which delivers the drug (the capsules needle you jam into someones arm/leg). There are also others out there that have various different patents for delivering epinephrine which are cheap still.

Delivery mechanism patents last 99 years if I recal which is the reason why you can buy generic acetominophen (brand name Tylenol) and why you'll still see "Tylenol" brand acetominophen side by side. Tylenol will always be more expensive and it will always be some form of "extended release" or gel or capsule etc.

Same goes for adderall. Generic amphetamine salts are available but so is adderall Rx (extended release).

/r/Economics Thread Parent Link - vox.com