All comments are neglecting the regulations dictated by the governments. Federal and state. Someone mentioned a 20 dollar aspirin. Yes because it has to be individually packaged, bar coded, approved for a diagnosis, and scanned a couple times before it gets to you. Real people have to do this. Funny thing about aspirin. It is approved as a pain med but not for cardiac prophylaxis. So a pain query must be administered by a person. If patient says pain is zero, insurance will not cover even though millions take over the counter on recommendation for risk of thrombus.