I don't know if people are still following this thread, but I would like to respond to the comment by MaddieLouise on April 6th 2013.
I am taking Cymbalta for Fibromyalgia, and I too cannot afford the hefty pricetag of $400/mo. I looked into alternatives, and found there was no easy solutuion within the US market. When I asked the doctor, he suggested I consider one of the online pharmacies, I did and have been buying a generic from http://www.canadapharmacyonline.com, for two years now at a fraction of the price.
While I generally agree with Maddie that "you get what you pay for," this adage doesnt really apply to the pharmacuetical world. A drug company with a patent essentially has a monoply and is allowed to charge whatever they think the market will bear. Failure rates in drug discovery and development are high. When a drug company finally finds a successful drug, they fold in all the costs for both past and future drug research, as well as marketing costs (to promote the drug), and a hefty profit for the shareholders. Not that I necessarily disagree with this model, but in reality you are paying for a whole lot more than what it costs to actually maufacture the drug. Also note, not all countries have the same patent laws. Canada controls the cost of drugs. That's why a lot of Americans will "take a trip to Canada" to buy what they can't afford in the US.
Buying a generic doesn't necessarily mean you will be buying a product of lesser quality, just that you will not be paying for all the marketing and research (think designer jeans). In an article I read, it stated. "Cymbalta remains Lilly's best-selling drug, but not for long. It brought in just shy of $5 billion last year, $4 billion of that in the U.S."Eli Lilly just won an extension of their patent, which means you'll have to wait until 2014 before a generic version is available in the US.
Edited by wheatond, 13 October 2013 - 02:45 PM.