Prescription Drug Miebo Costs $800 in U.S. vs. $20 Over-the-Counter in Europe
By
geox
Master baker tier. Every paragraph earns its place on the tray.
Summary
The article reveals stark differences in drug pricing and accessibility between the U.S. and Europe, using Miebo (EvoTears) as a case study. While the same dry eye medication costs $800+ per month with a prescription in the U.S., it's available over-the-counter in Europe for about $20. The author personally ordered it online from an overseas pharmacy for $32 and received it within a week. The piece highlights how pharmaceutical companies exploit regulatory differences and market dynamics, citing a 2021 RAND study showing U.S. prescription drug prices average 2.5 times higher than in 32 other developed nations.
Key quotes
· 4 pulledA month's supply of Miebo, Bausch & Lomb's prescription dry eye drug, costs $800 or more in the U.S. before insurance. But the same drug — sold as EvoTears — has been available over-the-counter (OTC) in Europe since 2015 for about $20.
This is, of course, both shocking and unsurprising.
A 2021 RAND study found U.S. prescription drug prices are, on average, more than 2.5 times higher than in 32 other developed nations.
Miebo exemplifies how some pharmaceutical companies exploit regulatory differences and market dynamics.
You might also wanna read
Drugmakers Plan Price Increases on 350+ Medications Despite Government Pressure
Drugmakers plan to raise U.S. prices on at least 350 branded medications in 2026, including COVID, RSV, and shingles vaccines, as well as ca

White House Launches TrumpRx Direct-to-Consumer Drug Pricing Website
The White House has launched TrumpRx, a direct-to-consumer drug pricing website that allows patients to purchase certain medications at disc
Study finds private equity firms acquired over 500 autism therapy centers in the past decade
A new study from Brown University researchers reveals that private equity firms acquired over 500 autism therapy centers across the U.S. in
Pfizer's Early 1990s Decision to Abandon Promising GLP-1 Therapy Development
The article reveals previously untold history about early GLP-1 drug development in the late 1980s and early 1990s. The author was part of w
FDA Drug Regulator Accused of Targeting Former Business Associate's Pharmaceutical Company
The article discusses a scandal at the FDA involving a top drug regulator who allegedly used his position to target a former business associ
arstechnica.com·6mo agoStudy Finds UnitedHealth Pays Its Own Physician Practices 17% More Than Competitors
A new study published in Health Affairs reveals that UnitedHealth Group's insurance arm pays its own Optum physician practices 17% more on a
