Edward, I agree that commercializing a new drug can cost billions of $ and that the inventing company may have only a few years of patent to claw that $ back. Plus not every effort is successful, meaning that these companies absolutely need to rake in the $$$ whenever they get a winner. So yes, they are going to charge as much as they possibly can. It is a truism that there would be no research into cures for cancer or heart disease or ??? unless the companies doing it are willing to keep investing $$$$$$$$ in the expectations of an equally vast profit when it comes to fruition.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1