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PhRMA also argues that while Americans may pay more for drugs when they first come out, they pay less as drugs get older, since nearly 90% of all medicines prescribed to U.S. patients are now cheap generics.
In Britain, generics account for just over three-quarters of prescriptions and that level is lower in other parts of Europe.
Still, the United States is slower to see the arrival of generic competition to some top-selling drugs, which explains some of the differences in pricing for certain medicines on the top-20 list.
Overall, the analysis found that price differentials were slightly smaller for complex antibody-based drugs, which are used to treat conditions like cancer and rheumatoid arthritis.