US drug prices vs international generics
We track US private-pay prescription drug prices and compare them to international generic equivalents. The data shows a consistent 30 to 50 percent price gap on many off-patent molecules, with some categories priced as low as 1 to 5 percent of the US private-pay rate.
Highest mispricing this month
PMI = ((US private pay - international price) / US private pay) * 100. A PMI of 90 means the molecule trades internationally at 10 percent of the US price.
| Molecule | Brand | US private pay | International | PMI |
|---|---|---|---|---|
| Tenofovir/Emtricitabine | Truvada (PrEP) | $2000.00/month | $10.00/month | 99.5 |
| Sildenafil 100mg | Viagra | $35.00/tablet | $0.50/tablet | 98.6 |
| Tadalafil 20mg | Cialis | $40.00/tablet | $0.60/tablet | 98.5 |
| Finasteride 1mg | Propecia | $2.50/tablet | $0.10/tablet | 96.0 |
| Modafinil 200mg | Provigil | $30.00/tablet | $1.20/tablet | 96.0 |