Not Made in the USA:
The Global Pharmaceutical Supply Chain and Prospects for Safe Drug Importation
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The PharmacyChecker Verification Program helps consumers verify international online pharmacies to find out if they meet high standards of pharmacy practice.

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How much can you save with an online pharmacy?

Savings on Popular Medications Using Canadian and International Online Pharmacies Prices for a 3-month or 90-day supply of brand-name medications

Drug Local U.S. Pharmacy Price International Online Pharmacy Price International Online Savings Annual Savings
Ventolin HFA
90 mcg
 		$156.54 $0.13 99% $625.63
Nexium
40 mg
 		$756.78 $29.40 96% $2,909.52
Januvia
100 mg
 		$1,426.54 $62.99 95% $5,454.20
Crestor
10 mg
 		$813.91 $39.60 95% $3,097.24
Spiriva Handihaler
18 mcg
 		$589.93 $27.99 95% $2,247.76
Advair Diskus
250/50 mcg
 		$639.58 $42.60 93% $2,387.92
Xarelto
20 mg
 		$1,537.84 $122.47 92% $5,661.46
Zetia
10 mg
 		$1,007.64 $85.95 91% $3,686.76
Premarin
0.625 mg
 		$536.15 $60.52 88% $1,902.52
Synthroid
50 mcg
 		$130.00 $31.99 75% $392.04

Sources: Price information updated daily; U.S. prices from PharmacyChecker Discounted Card prices in White Plains, NY; Outside U.S. prices are lowest prices listed on PharmacyChecker.com from licensed pharmacies that sell to Americans and meet the qualifications of the PharmacyChecker Verification Program; Generic versions available at lower prices at accredited international online pharmacies than listed in this chart.

PharmacyChecker Values

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Drug price comparisons so consumers can fill prescriptions affordably by shopping for medications online
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Safety
Rigorous online pharmacy verification so patients can avoid bogus websites
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Patient Empowerment
Provide people with the information they need to buy medication they can afford

Savings on Popular Medications Using Canadian and International Online Pharmacies Prices for a 3-month or 90-day supply of brand-name medications

Drug Local U.S. Pharmacy Price International Online Pharmacy Price International Online Savings Annual Savings
Ventolin HFA
90 mcg
 		$156.54 $0.13 99% $625.63
Nexium
40 mg
 		$756.78 $29.40 96% $2,909.52
Januvia
100 mg
 		$1,426.54 $62.99 95% $5,454.20
Crestor
10 mg
 		$813.91 $39.60 95% $3,097.24
Spiriva Handihaler
18 mcg
 		$589.93 $27.99 95% $2,247.76
Advair Diskus
250/50 mcg
 		$639.58 $42.60 93% $2,387.92
Xarelto
20 mg
 		$1,537.84 $122.47 92% $5,661.46
Zetia
10 mg
 		$1,007.64 $85.95 91% $3,686.76
Premarin
0.625 mg
 		$536.15 $60.52 88% $1,902.52
Synthroid
50 mcg
 		$130.00 $31.99 75% $392.04

Sources: Price information updated daily; U.S. prices from PharmacyChecker Discounted Card prices in White Plains, NY; Outside U.S. prices are lowest prices listed on PharmacyChecker.com from licensed pharmacies that sell to Americans and meet the qualifications of the PharmacyChecker Verification Program; Generic versions available at lower prices at accredited international online pharmacies than listed in this chart.

Buying Medication Internationally

Millions of patients purchase medicine from Canada and other countries each year. You can do so more safely by sticking to PharmacyChecker-accredited pharmacies.

Buying Medication Locally in the U.S.

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PharmacyChecker Research

Not Made in the USA

The Global Pharmaceutical Supply Chain and Prospects for Safe Drug Importation

Many consumer products clearly state where those products are made. Not so for prescription medications. Where our drugs are made and where their main ingredients are sourced affects drug safety, affordability, availability, and even national security — concerns that have come to the fore as a result of the global pandemic. Yet there is too little transparency and too much misinformation surrounding the supply chain of the drugs we take. “Not Made in the USA” investigates and details the country of manufacture and the source country for active pharmaceutical ingredients among widely used, brand name prescription drugs.

VIEW OUR LATEST RESEARCH

Ask PharmacyChecker

Our team of experts is here to answer your questions related to obtaining lower-cost prescription medication from Canada and other countries.

FEATURED

Imported Drugs Accounted for 57% of Overall Spending in Medicare

January 25, 2022

Which prescription drugs are most important to Americans in relation to the issues of drug importation, prices, safety – and even national security? This was a question we asked ourselves when thinking about the impact of our report, Note Made in the USA. Read More

Ask PharmacyChecker
Tod Cooperman, MD

Tod Cooperman, MD

Dr. Cooperman, Chief Executive Officer and Founder, is a noted researcher, writer, and speaker on consumer healthcare issues. He is a graduate of the Boston University School of Medicine.

Jeffrey Poirier, MBA, RPh

Jeffrey Poirier, MBA, RPh

Mr. Poirier, Vice President of Pharmacy Verification and Information, a licensed pharmacist in New Hampshire, provides expert knowledge regarding safe pharmacy practice, quality assurance, drug safety, and patient access to affordable medication.

Gabriel, Levit, MA

Gabriel Levitt, MA

Mr. Levitt, President and Co-founder, oversees all business operations, development and research. He is a public advocate for prescription drug affordability.

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Verification Program

We accredit Canadian, American, and international online pharmacies that meet high standards of pharmacy practice by evaluating them in the PharmacyChecker Verification Program. Accredited pharmacies must adhere to laws in the countries where they operate in addition to PharmacyChecker standards.

  • Prescription orders dispensed by licensed pharmacies
  • Requires a Prescription
  • International sales of controlled drugs to the U.S. prohibited
  • Meets website security requirements
  • Publishes customer privacy policy on website
  • Publishes contact information on website for customer service
  • Pharmacist consultation offered to customers
  • Quantities marketed on website restricted to a maximum of 3 months' supply at a time
  • Disclosure of pharmacy location to consumer prior to purchase
  • Marketing claims are truthful and not misleading
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Advocacy

PharmacyChecker.com supports the missions of several non-profit organizations to help Americans and global consumers afford prescription medication, and we encourage you to participate in the advocacy campaigns of Prescription Justice and other organizations advocating for access to lower drug prices.

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