I have yet to figure out reasoning or why with prescription prices. For the past 3 years or so I've been taking OFEV (nintedanib) for my lungs (ILD). The over the counter price I've seen is around $12000 a month (60 tablets). Up until this year, once I met the $2,000 deductible it was costing about $680 out of pocket. This year there was no charge once my deductible was reached.
Not complaining, just a bit concerned about what the new administration, drug czar and Congress is going to hit me with.