I had a refill on one of mine just after the new years that was $660 for 30 days, no generic.

Doc hooked me up with the manufacturer who set me up with a “co-pay coupon” which reduced it to $10.

Get this:

https://en.m.wikipedia.org/wiki/Sacubitril/valsartan

“In 2022, it was the 165th most commonly prescribed medication in the United States, with more than 3 million prescriptions.”