The issue is not that MC-1 is cheap. Manufacturing prices have little relation to sales price for patent protected drug. More intresting that P-5-P is freely available as nutritional supplement. Medicure claims that hospitals will not play with unreliable nutritional supplements, they will buy the drug from. (I buy the argument.) Niacin and fish oil can also be bought both as drug and nutritional supplement obviously the drug is much more expensive. KOSP with its niacin was sold for $3+ billion. The fish oil drug is successful in Europe. Assuming success this will unquesionably limit the price they cna charge but it would be still an excellent business.