It was just for cost comparison: The "equal active substance" (50x400mg vs 100x200mg) package is already cheaper in the US, and they have those larger boxes tha

It was just for cost comparison: The "equal active substance" (50x400mg vs 100x200mg) package is already cheaper in the US, and they have those larger boxes that skew things even more. So yes, there are drugs that are cheaper in the US. There's also pretty solid reasoning behind why you won't find the larger packs in Germany: if you're in need of that, go to a doctor instead of ruining your kidneys through self-medication.