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Sure..who is saying that they don't? Where in the world do you get that because there is an advertisement..that somehow.. the doctor and the pharmacist become magically out of the loop?
Which it does by informing the patient about their product. That's how it sells.
Actually it probably reduces the ultimate cost.. and that's because: it helps prevents one medication from getting a virtual monopoly by virtue of being the first.. or because the company producing it.. is better at marketing to the doctors.
Now instead.. if a new medication that competes with an existing one.. is developed. IT an be marketed directly to the public... "hey..ask your doctor if this is right for you".
That introduces competition.
Also.. if it increases the volume that's sold.. that means the cost to produce drops. A company can offer lower prices because they make it on volume.
no it does not.
Competition does not enter into the equation when it comes to proprietary medications. The company that developed it has a monopoly on it, and can charge whatever the traffic will bear. If the potential customer knows the cost up front, it will be more difficult to exact overly high costs.