I will make a comment about generic drugs...
The Tadal that I buy is Cdn made - the other offering is from somwewhere else.
The Cdn is slightly more money but a more reliable maker - IMO
That's what I watch for in generics - the 'where'
Most RD offerings are from 'different' countries - I find
I understand why folks would feel more comfortable with a drug that comes from a known source.
I've gotten over physicians who never went to a US med school or residency program. And while I may not want a heart transplant from a Dominican crew I've found the level of expertise for *most* physical conditions by non-NA docs to be quite effective.
I took a leap to "foreign" generic drug sources, also, and found no issues: they seem as effective as name brands.
But one's health, especially in fragile conditions, is a very sensitive issue and having a positive outlook is crucial. In that regard being more comfortable with what one knows is good therapy...
Mom CB had a prescription where the deductible went from $200 a month to like $650 a month. So she sourced the same exact name brand drug made in India from the same name brand manufacturer for $240 for THREE months, and through a Canuckian online pharmacy. The drug was delivered via Turkey. Go figure. Global medicine.
The rest of the world needs quality meds, too. They just cannot afford NA prices, especially US prices.