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The Cost of an EpiPen in Major Markets

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See this visualization first on the Voronoi app.

This graphic shows EpiPen costs worldwide, with the U.S. having the highest prices.

The Cost of an EpiPen in Major Markets

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

EpiPens are auto-injectors containing epinephrine, a drug that can treat or reverse severe allergic reactions, potentially preventing death.

The global epinephrine market was valued at $1.75 billion in 2022 and is projected to reach $4.08 billion by 2030. North America represents over 60% of the market.

EpiPens, however, can be prohibitively expensive in some regions.

In this graphic, we present estimated EpiPen prices in major global markets, compiled by World Population Review and converted to U.S. dollars as of August 2023.

Why are U.S. Prices so High?

The U.S. stands out as the most expensive market for EpiPens, despite over 1 million Americans having epinephrine prescriptions. After Mylan (now part of Pfizer) acquired the rights to produce EpiPens in the U.S. in 2007, the cost of a two-pack skyrocketed to $600, up from about $60.

CountryPrice (USD)
🇺🇸 U.S.300*
🇯🇵 Japan98
🇩🇪 Germany85
🇨🇦 Canada80
🇫🇷 France76
🇦🇺 Australia66
🇬🇧 UK61
🇮🇳 India30

*Per unit cost. Commonly sold as a two-pack, meaning total cost is equal to $600

Former Mylan CEO Heather Bresch defended the price hikes to Congress, citing minimal profit margins. Mylan eventually settled with the U.S. government for a nine-figure sum.

Notably, EpiPens are available at a fraction of the cost in other developed countries like Japan, Germany, and Canada.

Making EpiPens More Affordable

Efforts to improve EpiPen affordability are underway in several U.S. states. For instance, the Colorado House approved a $60 price cap on epinephrine, now under review by the state Senate.

Similar measures in Rhode Island, Delaware, Missouri, and Vermont aim to ensure insurance coverage for epinephrine, which is not currently mandatory, although most health plans cover it.

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Healthcare

Charted: Global Tobacco Use by Country and Sex

This visual shows tobacco use by country and sex, highlighting which countries still have a high prevalence of smoking.

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Chart of tobacco use by country and sex in 2022

Charting Global Tobacco Use by Country and Sex

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

Globally, rates of tobacco use have been falling for decades. Today, it is estimated that one-in-five people around the world use tobacco products, according to data from the World Health Organization (WHO).

That’s still enough people to have a sizable impact on both global healthcare and the environment. And the prevalence of tobacco use by country, and by sex, varies widely.

This chart shows current tobacco use in selected countries around the world using WHO estimates for 2022.

Which People Smoke the Most?

Below we examine the entire dataset of global countries by 2022 tobacco use. Estimates are of people aged 15 years and older and include both smoked and smokeless tobacco (including vaping). Countries that had no data for 2022 have been omitted.

In almost every country, males use tobacco more than females. Globally, 36% of men are tobacco users compared to just 8% of women.

CountryTotal Prevalence (%)Male (%)Female (%)
🇦🇫 Afghanistan22.138.35.9
🇦🇱 Albania22.438.76.6
🇩🇿 Algeria21.641.90.7
🇦🇩 Andorra33.633.333.8
🇦🇷 Argentina23.128.218.1
🇦🇲 Armenia22.549.31.7
🇦🇺 Australia12.514.810.3
🇦🇹 Austria22.023.720.5
🇦🇿 Azerbaijan19.339.60.1
🇧🇸 Bahamas10.720.62.1
🇧🇭 Bahrain18.125.74.9
🇧🇩 Bangladesh31.148.914.2
🇧🇧 Barbados6.511.71.7
🇧🇾 Belarus27.947.212.0
🇧🇪 Belgium24.727.422.1
🇧🇿 Belize8.715.51.9
🇧🇯 Benin5.59.51.7
🇧🇹 Bhutan19.627.211.0
🇧🇴 Bolivia12.220.44.1
🇧🇦 Bosnia and Herzegovina35.141.029.5
🇧🇼 Botswana18.130.26.5
🇧🇷 Brazil12.315.79.1
🇧🇳 Brunei Darussalam17.131.32.2
🇧🇬 Bulgaria34.038.130.2
🇧🇫 Burkina Faso13.521.75.5
🇧🇮 Burundi10.015.25.0
🇨🇻 Cabo Verde10.516.25.0
🇰🇭 Cambodia16.127.35.5
🇨🇲 Cameroon5.610.21.1
🇨🇦 Canada11.413.79.2
🇹🇩 Chad6.812.31.4
🇨🇱 Chile28.230.625.8
🇨🇳 China24.947.32.0
🇨🇴 Colombia8.212.14.5
🇰🇲 Comoros16.226.26.2
🇨🇬 Congo15.028.22.0
🇨🇰 Cook Islands25.530.321.4
🇨🇷 Costa Rica8.813.24.5
🇨🇮 Cöte d'Ivoire8.616.40.7
🇭🇷 Croatia32.634.231.1
🇨🇺 Cuba18.526.910.4
🇨🇾 Cyprus34.046.022.1
🇨🇿 Czechia27.531.723.3
🇨🇩 Democratic Republic of the Congo11.119.92.6
🇩🇰 Denmark16.216.416.0
🇩🇴 Dominican Republic10.214.06.5
🇪🇨 Ecuador10.117.62.6
🇪🇬 Egypt24.748.90.3
🇸🇻 El Salvador8.315.61.9
🇪🇪 Estonia25.632.919.1
🇸🇿 Eswatini8.616.21.4
🇪🇹 Ethiopia4.67.81.4
🇫🇯 Fiji27.341.713.1
🇫🇮 Finland19.623.915.4
🇫🇷 France29.231.327.3
🇬🇲 Gambia9.618.70.6
🇬🇪 Georgia29.054.77.1
🇩🇪 Germany18.821.316.4
🇬🇭 Ghana3.15.90.3
🇬🇷 Greece29.633.126.3
🇬🇹 Guatemala12.022.71.7
🇬🇼 Guinea-Bissau7.514.80.6
🇬🇾 Guyana10.519.32.2
🇭🇹 Haiti7.312.62.3
🇭🇳 Honduras12.222.71.7
🇭🇺 Hungary29.434.724.5
🇮🇸 Iceland9.49.49.4
🇮🇳 India23.936.810.4
🇮🇩 Indonesia38.573.63.4
🇮🇷 Iran (Islamic Republic of)13.924.83.1
🇮🇶 Iraq18.736.01.6
🇮🇪 Ireland18.220.516.1
🇮🇱 Israel19.826.413.3
🇮🇹 Italy20.424.116.8
🇯🇲 Jamaica9.515.83.5
🇯🇵 Japan16.826.57.7
🇯🇴 Jordan36.357.813.4
🇰🇿 Kazakhstan21.738.26.9
🇰🇪 Kenya9.216.62.1
🇰🇮 Kiribati38.251.625.7
🇰🇼 Kuwait22.735.62.1
🇰🇬 Kyrgyzstan26.451.33.3
🇱🇦 Lao People's Democratic Republic25.843.28.4
🇱🇻 Latvia30.345.617.2
🇱🇧 Lebanon34.043.125.7
🇱🇸 Lesotho22.942.04.8
🇱🇷 Liberia7.112.51.7
🇱🇹 Lithuania27.940.117.3
🇱🇺 Luxembourg21.823.320.3
🇲🇬 Madagascar25.741.79.9
🇲🇼 Malawi7.113.01.7
🇲🇾 Malaysia22.643.80.7
🇲🇻 Maldives29.343.610.1
🇲🇱 Mali7.614.40.7
🇲🇹 Malta23.225.520.6
🇲🇭 Marshall Islands30.451.88.6
🇲🇷 Mauritania9.417.22.0
🇲🇺 Mauritius20.038.12.8
🇲🇽 Mexico14.623.16.9
🇲🇳 Mongolia29.352.67.3
🇲🇪 Montenegro32.130.933.2
🇲🇦 Morocco13.125.31.0
🇲🇲 Myanmar43.969.419.2
🇳🇦 Namibia12.521.34.7
🇳🇷 Nauru49.550.348.7
🇳🇵 Nepal24.942.79.4
🇳🇱 Netherlands (Kingdom of the)20.122.517.7
🇳🇿 New Zealand11.412.710.2
🇳🇪 Niger7.714.01.3
🇳🇬 Nigeria2.95.40.4
🇳🇴 Norway14.014.813.2
🇴🇲 Oman11.017.40.4
🇵🇰 Pakistan16.927.76.2
🇵🇼 Palau17.026.37.3
🇵🇦 Panama5.18.41.9
🇵🇬 Papua New Guinea40.455.424.9
🇵🇾 Paraguay10.617.43.8
🇵🇪 Peru7.011.62.6
🇵🇭 Philippines20.436.24.3
🇵🇱 Poland23.227.619.1
🇵🇹 Portugal20.927.115.5
🇶🇦 Qatar18.824.62.3
🇰🇷 Republic of Korea18.932.75.4
🇲🇩 Republic of Moldova27.852.76.3
🇷🇴 Romania27.537.418.5
🇷🇺 Russian Federation27.242.014.8
🇷🇼 Rwanda12.017.76.7
🇱🇨 Saint Lucia13.624.83.0
🇼🇸 Samoa22.231.013.2
🇸🇹 Sao Tome and Principe7.112.61.8
🇸🇦 Saudi Arabia17.428.42.1
🇸🇳 Senegal6.011.70.6
🇷🇸 Serbia36.638.834.6
🇸🇨 Seychelles20.834.65.7
🇸🇱 Sierra Leone11.417.35.5
🇸🇬 Singapore16.427.94.0
🇸🇰 Slovakia30.235.425.4
🇸🇮 Slovenia18.120.215.9
🇸🇧 Solomon Islands37.655.319.6
🇿🇦 South Africa20.335.16.5
🇪🇸 Spain24.927.522.5
🇱🇰 Sri Lanka19.137.82.4
🇸🇪 Sweden22.128.315.9
🇨🇭 Switzerland23.326.320.4
🇹🇭 Thailand18.937.71.8
🇹🇱 Timor-Leste37.664.59.8
🇹🇬 Togo5.610.20.9
🇹🇴 Tonga30.746.815.5
🇹🇳 Tunisia20.139.71.6
🇹🇷 Türkiye30.741.919.6
🇹🇲 Turkmenistan5.410.60.5
🇹🇻 Tuvalu33.848.319.0
🇺🇬 Uganda5.39.01.8
🇺🇦 Ukraine22.038.38.5
🇦🇪 United Arab Emirates11.715.52.5
🇬🇧 United Kingdom13.115.011.4
🇹🇿 United Republic of Tanzania7.513.12.2
🇺🇸 United States of America23.028.617.5
🇺🇾 Uruguay19.323.016.0
🇺🇿 Uzbekistan16.231.81.0
🇻🇳 Viet Nam22.844.32.2
🇾🇪 Yemen20.833.77.9
🇿🇲 Zambia12.021.82.7
🇿🇼 Zimbabwe9.219.00.8

From a regional perspective, we can see many countries in Europe and Asia have higher rates of tobacco use. Indonesia and Myanmar specifically have some of the highest tobacco use rates in the world, with 73.6% of Indonesian men estimated to smoke or use tobacco.

In many Asian countries we also see a greater difference between male and female smokers compared to the rest of the world. In China for example, 47.3% of males are estimated to use tobacco compared to just 2.0% of females.

On the other hand, the Americas and especially Africa have a lower prevalence of tobacco use. Nigeria at 2.9% had the lowest rate of tobacco use in the world in 2022.

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