"There is no market for marginal improved, extremely overpriced medicine outside of pharma-marketing heavens."

There is, in Russia for example. But the most expensive I could find (Tresiba) costs 12 usd per cartridge (3ml x 100 units) [0].

[0] https://apteka.ru/product/tresiba-flekstach-609a3db8c93e31dd...