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 |
|---|---|---|---|---|
|
Januvia 100 mg
|
$1,431.04 | $48.50 | 96% | $5,530.16 |
|
Nexium 40 mg
|
$761.28 | $23.54 | 96% | $2,950.97 |
|
Crestor 10 mg
|
$818.41 | $35.35 | 95% | $3,132.25 |
|
Xarelto 20 mg
|
$1,518.49 | $75.89 | 95% | $5,770.40 |
|
Advair Diskus 250/50 mcg
|
$644.08 | $39.99 | 93% | $2,416.36 |
|
Spiriva Handihaler 18 mcg
|
$586.21 | $38.59 | 93% | $2,190.48 |
|
Premarin 0.625 mg
|
$533.34 | $38.62 | 92% | $1,978.88 |
|
Zetia 10 mg
|
$950.95 | $82.95 | 91% | $3,472.00 |
|
Synthroid 50 mcg
|
$132.25 | $30.60 | 76% | $406.60 |
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.
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 |
|---|---|---|---|---|
|
Januvia 100 mg
|
$1,431.04 | $48.50 | 96% | $5,530.16 |
|
Nexium 40 mg
|
$761.28 | $23.54 | 96% | $2,950.97 |
|
Crestor 10 mg
|
$818.41 | $35.35 | 95% | $3,132.25 |
|
Xarelto 20 mg
|
$1,518.49 | $75.89 | 95% | $5,770.40 |
|
Advair Diskus 250/50 mcg
|
$644.08 | $39.99 | 93% | $2,416.36 |
|
Spiriva Handihaler 18 mcg
|
$586.21 | $38.59 | 93% | $2,190.48 |
|
Premarin 0.625 mg
|
$533.34 | $38.62 | 92% | $1,978.88 |
|
Zetia 10 mg
|
$950.95 | $82.95 | 91% | $3,472.00 |
|
Synthroid 50 mcg
|
$132.25 | $30.60 | 76% | $406.60 |
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.
Millions of patients purchase medicine from Canada and other countries each year. You can do so more safely by sticking to PharmacyChecker-accredited pharmacies.

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.
Our team of experts is here to answer your questions related to obtaining lower-cost prescription medication from Canada and other countries.
October 04, 2022
CIPA and PharmacyChecker both endeavor to provide information about safe international online pharmacies that are accessible to and affordable for patients, most of whom are seeking lower prices on prescription drugs. Read More
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.