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Surpri, I don't know where you got the Tussionex for $20. I just checked at Walgreens.com and they want $52.99 for 120ml. The reason that it so expensive is that it is still under patent. There is NO generic equivalent for it so the manufacturer of this med can charge whatever they want. Think whatever you like, but the cost of this med is NOT based on abuse potential. Me1969