[onetimeusename]

What do you mean by "monopolistic middlemen"? Who are these people and how do they manage to make drug prices higher?

[alexosh1]

Short answer... it's complicated. And it's intentionally complicated to make it difficult for people to understand how they are getting ripped off on the price of drugs and by who.

Here's a brief video that breaks down some of it though: https://www.youtube.com/watch?v=15IQO_jTMUM