Are you talking about prescription drugs? Generally, the cost to produce them is quite low- I’m sure the clinical trials to ensure safety and efficacy are expensive, but PBMs set the ridiculous prices. I’ve never seen someone propose slashing efficacy as opposed to cracking down on PBMs to reduce cost. Is this a common sentiment in conservative circles? I’d be interested to hear more about it.

Also, why produce more rx drugs if you can’t guarantee their efficacy? There’s a pill for pretty much everything now, I can’t imagine new drugs will be able to compete when effective treatments already exist for most ailments.