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Here’s what can go wrong when you shop in Mexico and Canada for cheap drugs

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In its effort to temper the sky-high prices Americans pay for many vital medications, the Trump administration last month unveiled a plan that would legalize the importation of selected prescription drugs from countries where they sell for far less. But the plan addresses imports only at the wholesale level; it is silent about the transactions by millions of Americans who already buy their medications outside the United States. Americans routinely skirt federal law by crossing into Canada and Mexico or tapping online pharmacies abroad to buy prescription medications at a fraction of the price they would pay at home. In some cases, they do it out of desperation. And they do it despite warnings from the Food and Drug Administration, echoed by the pharmaceutical industry, about the risk of contaminated or counterfeit products. For people with diabetes, the inability to pay U. While on an outing in Tijuana last year, she popped into a few pharmacies to see if they stocked her medications. If you are planning to cross the border for your medications, or get them through an online pharmacy abroad, here are two things you should know. First: It is technically illegal. Second: It is unlikely you will be prosecuted. Personal use generally means no more than a day supply. You should think twice before bringing in quantities larger than that because if authorities suspect you have commercial intentions, you could land in legal jeopardy — and lose the drugs. Even in the worst-case scenario, an unsympathetic agent might confiscate the drugs — but not arrest you. Ordering drugs online from foreign pharmacies also tends to go largely unchallenged. Legally, the FDA can refuse entry of the package at an international mail facility. It is more common for shipments that do get through to be detained for several days pending FDA inspection. So, if you need to take your medication every day, be sure to build in a sufficient margin for potential delays. Ken Croen, a primary care physician at the Scarsdale Medical Group in Westchester County in New York, who advises many of his patients on how to buy drugs safely in Canada. And there are plenty of rogue operators, especially in the world of online pharmacies. You will need to do a little vetting. Before doing business with an online pharmacy, confirm it is licensed in its country of origin and that the country has strong pharmacy regulations, says Dr. Aaron S. Read below for websites that can help with that. Also, check to make sure the pharmacy posts an address and phone number on its website. The Canadian International Pharmacy Assn. He and others suggest you take the time to comparison shop in the U. Santa Monica-based GoodRx tracks prescription drug prices at more than 70, pharmacies across the U. Levitt also recommends asking your doctor if there is a viable therapeutic alternative or a lower-cost generic drug. Bernard J. De Los. Times Everywhere. For Subscribers. All Sections. About Us. B2B Publishing. Hot Property. Times Events. Times Store. Special Supplements. By Bernard J. Wolfson Kaiser Health News. Share via Close extra sharing options. More to Read. California insurer experiments with drug giveaway, bypassing secret fees. Column: The Ozempic revolution in weight-loss drugs exposes the weakest links in our healthcare system — drug pricing and insurance. More From the Los Angeles Times. Most Read in Business. Business Back-to-office orders have become common. Enforcement not so much. Business An aging relative is spending her nest egg on round-the-clock care. What happens when the money runs out? Business Union drive at Wells Fargo heats up as employees allege intimidation tactics.

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