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Canadian mail-order prescriptions face an Oct. 22 customs change; Florida patients weigh what comes next

A federal rule taking effect Oct. 22 ends a mail exemption that let personal prescriptions from Canada cross without a broker or bond; advocates say it could cut off cheaper drugs as Florida's own import plan sits idle.

Tobias Oakley

October 11, 20262 min read

Cross-Border Medicine - illustration, Jake Team LLC

Floridians who save money by having prescriptions mailed from Canadian pharmacies have 11 days before a federal customs change that patient advocates say could stop those packages at the border.

Starting Oct. 22, U.S. Customs and Border Protection will end an exemption that has allowed low-value mail packages, prescription drugs among them, into the country without a customs broker, a bond or a formal entry filing, News 6 in Orlando reported Thursday. CBP has said the change is meant to protect tariff revenue and keep fentanyl and counterfeit goods out.

Canadian pharmacies and advocates for imported medicine read it differently. The Wall Street Journal reported, as cited by Medscape, that mailed medications will have to go through customs with a licensed broker and a financial guarantee, something few individual orders have ever faced.

Tim Smith of the Canadian International Pharmacy Association, which certifies 51 online pharmacies, told Medscape his group has "been given no indication that there is going to be anything but enforcement." Medscape said the FDA, CBP and the federal health and homeland security departments did not answer its questions.

The price gap

Ken Hunter of the Campaign for Personal Prescription Importation told News 6 that more than 4 million Americans order medicine from abroad each year.

He priced a three-month supply of the blood thinner Eliquis at about $565 from online Canadian pharmacies, compared with roughly $1,017 on Amazon and $1,029 through GoodRx, and warned that patients who stop taking blood thinners raise their risk of stroke and heart attack.

An Orlando glaucoma patient told the station her eye drops cost about $500 a bottle in the U.S., her insurance does not cover them, and buying from Canada cuts the cost by about 80%. Some Canadian pharmacies have told customers that orders placed after Oct. 9 may not arrive before the rule kicks in, the station reported.

Florida's own plan is still waiting

Florida passed a law in 2019 to import Canadian drugs at the state level, sued the FDA and the U.S. Department of Health and Human Services in 2022 over delays, and won federal approval in January 2024. No shipments have arrived, according to News 6.

About 70 members of the U.S. House, seven of them from Florida, have signed letters asking the administration to pause the change and study it, the station reported.

One Oct. 1 letter signed by House Democrats asked agencies to hold off unless they can promise that genuine personal-use prescriptions will still get through, while saying the signers back CBP's aim of spotting high-risk shipments, Medscape reported.

Patients worried about a gap are being told to ask their doctor about generics or other equivalent drugs, check on any orders already placed, and see whether the drugmaker runs a patient assistance program.

Sources

clickorlando.com

medscape.com

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Tobias Oakley

Tobias Oakley writes about community life, schools, public safety, and local events in Winter Springs.

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