Yes, they make money! Of course, some drugs cost them millions in research to develop, so some of it goes to repay that, and if there's no generic available, you know it must be a fairly new drug to the market, as it's still under patent production, but given the convoluted state of health care today, I am not surprised at that price tag. Sorry you had that "sticker shock!" Hope it works, and you never need a refill!