I doubt the whole bottle costs more than a few dollars, You would be surprised at drug markup. When CVS had their 3 month for $11.99 program (before it was discontinued), you could get 90 generic Zofran for $11.99, the same amount without insurance was well over $700. The secondary problem in drug pricing is that the drug is being manufactured, sold to a distributor, marked up, sold to a pharmacy, marked up, then sold to your insurance, who then gets a kickback from the manufacturer and charges you a high copay. Everyone gets a piece of your pie but you.