Big pharma will probably do everything possible to shut down compounding, research vendors, imports, etc. - it makes sense, since they're losing revenue to Ely Lilly.
About the price difference between getting it directly from overseas versus buying it through a pharmaceutical company, there's no way Ely Lilly could match the prices you pay, even for their baseline costs. They probably can't even produce it for what some domestic vendors sell it for. They have strict regulations, testing requirements, supply chain requirements, facility requirements, plus a huge organization. All of this overhead significantly increases the price. They also have to recoup the money they invest in R&D and manufacturing, which can easily exceed 10 billion. So, you can't really compare the prices you get from overseas.
Just saying, it's a business, and their goal is to make money, not to help people. But they *did* develop this for us, so there's no reason to hate them for it
And like you said, people are wary of getting medicine from outside official sources. So, Ely Lilly probably isn't being dumb, and their pricing probably reflects the optimal price point for maximizing profits.
Even domestic vendors have higher purchase costs than the prices you see coming out of China. They have overhead, too, and they might not always go for the cheapest options because reliability and safety are more important than saving a few bucks per vial if they want to keep their operations running smoothly.
It's up to each person to decide which option works best for them.
Personally, I think compound pharmacies and med spas will be the ones to disappear first (if anyone does). They're the biggest revenue leak for Ely Lilly because they operate within the law and prescriptions.