A couple comments: we know AMRN sells Vascepa at an average price of approx $144/script (if what you're saying is true. Regardless, they're not charging the same price across the board, I'm sure. No business does).
Also, CVS, Walmart, Costco, Safeway, and Rite Aid all go for $75 a script for me. So maybe for every person that is getting it at $75, there's someone paying $300? Granted, this is after insurance. W/o insurance, the costs are as follows: