Short answer... it's complicated. And it's intentionally complicated to make it difficult for people to understand how they are getting ripped off on the price

Short answer... it's complicated. And it's intentionally complicated to make it difficult for people to understand how they are getting ripped off on the price of drugs and by who. Here's a brief video that breaks down some of it though: https://www.youtube.com/watch?v=15IQO_jTMUM https://www.youtube.com/watch?v=15IQO_jTMUM