PharmacyChecker experts answer consumer questions related to affording lower-cost, prescription medications.
We help people afford the medication they need by verifying online pharmacies and comparing their prices. Drug prices are out of control. Americans face the highest medication prices in the world. That's why millions of Americans choose to buy medication from other countries.
Our Panel of Experts
Tod Cooperman, MD
Chief Executive Officer and Founder
Dr. Tod Cooperman is a noted researcher, writer, and speaker on consumer healthcare issues.
Gabriel Levitt, MA
President and Co-Founder
Mr. Levitt oversees all business operations, development and research. He is a public advocate for prescription drug affordability.
Shivam Patel, PharmD, BSPS, RPh
Director of Pharmacy Verification and Information
Dr. Patel provides expert knowledge regarding safe pharmacy practice, quality assurance, drug safety, and patient access to affordable medication.
The information provided on Ask PharmacyChecker is neither intended nor implied to be a substitute for professional medical advice, nor is it an endorsement of any product or service.
If you are considering purchasing medication from outside the U.S., be aware that, in most circumstances, it is technically not legal for individuals to import prescription drugs; however, U.S. government officials have stated that individuals who order non-controlled prescription drugs from Canada or other foreign sources (up to a three-month supply) for their own use are not being pursued or prosecuted.
How can I determine where a drug is manufactured?
Prescription drugs sold in the U.S. are manufactured in facilities located all over the world. Many medications you rely on are made in Australia, Canada, China, India, France, Germany, Japan, Malta, Singapore, Sweden, the United Kingdom, and the United States. Unfortunately, if you live in the U.S., and other countries as well, it can be quite the task to pinpoint exactly where your medication was made because companies are not required to list that information.
In fact, drug companies are only required to list the corporate headquarters on the label, but the actual manufacturing facility and its location are usually elsewhere. Complicating matters even more, many pharmaceutical companies, such as Eli Lilly, GlaxoSmithKline, Merck, and Pfizer, often use contract manufacturers. This means the company distributing the medication is not the one that manufactured it.
PharmacyChecker.com has researched where some of the most popular drugs in the U.S. (including Viagra, Crestor, Januvia) are made. In the U.S., many brand-name drugs' packaging includes where the drug is made. We have found that 70% of popular brand-name drugs sold in U.S. pharmacies are imported. See the chart below!
One way to do the research is to go to the website of the U.S. National Library of Medicine. You can type in a drug in the search box, and then click on the photo of the drug label. See example: Januvia 25 mg. If you look closely, you'll notice that the drug was made in the UK.
You can also call the drug company and just ask them. Sometimes they will simply tell you and other times they will not.
We've found that some countries are more transparent than others. In Canada, the label often does not specify where the drug is made, but it almost always does on packaging in Turkey.
In terms of your safety, wherever the manufacturing location, it is crucial to your health that you take lawfully and properly-manufactured drugs.
Oversight in the U.S.
Regardless of where they are made, drugs sold in the United States must comply with FDA's rules, which require that drugs are made in accordance with good manufacturing practices to assure quality, and that products are labeled properly to help you safely use them. Domestic and foreign manufacturing plants that manufacture medications for distribution in the U.S. are usually but not always inspected for compliance with FDA regulations (Source: U.S. Government Accountability Office).
Oversight in Canada and Other Highly-developed Countries
Although requirements vary across different countries, the most economically advanced countries usually have similar regulations to the U.S. when it comes to manufacturing. For example, Canadians count on their government to regulate medications approved for sale in Canada through Health Canada's Therapeutic Products Directorate, Canada's equivalent to the U.S. FDA.
It's important to note that the U.S. recognizes 25 countries (including Australia, Canada, New Zealand, United Kingdom) as having comparable regulatory oversight as well as pharmaceutical regulatory systems comparable in sophistication and stringency to that of the U.S. This is a premise widely supported by the FDA and American pharmaceutical industry. Many medications sold in those countries are actually made in the U.S.
See American Made Medications are Cheaper Abroad from our blog.
The bottom line is that it is not always easy to determine where a product is manufactured. Your pharmacist is an excellent source for information regarding the medication that he/she dispenses, but we also encourage people to take control of their health and do their own research.
Research by PharmacyChecker.com shows that 71% of top brand-name medications sold in U.S. pharmacies are imported, demonstrating that the FDA's public statements on manufacturing are incorrect. Since 2010, FDA leadership has stated that 40% of finished medications and 80% of the active pharmaceutical ingredients (APIs) used to make all finished pharmaceuticals sold in the U.S. are foreign made.
Where U.S. Brand Name Drugs Come From
|Brand Name Drug Sold in U.S.||Country of Manufacture|
|Carafate Oral suspension||Canada|
|Cialis||USA (Puerto Rico)|
|Invokana||Italy or USA (Puerto Rico)|
|Lo Loestrin Fe||Germany|
|Minastrin 24 Fe||USA (Puerto Rico)|
|Myrbetriq||Japan or Italy|
|Novolog Flxpen Mix 70/30||Denmark|
|Ortho-Tri-Cyclen Lo 28||USA (Puerto Rico)|
|Pradaxa||Germany or Italy|
|Premarin Vaginal Cream||Canada|
|Strattera||USA or UK|
|Suboxone||USA or UK|
|Synthroid||USA (Puerto Rico)|
|Xarelto||Germany or USA (Puerto Rico)|
|Drug selection is based on Q1 2015 IMS Health Data of the top 100 brand-name medications sold in the United States. Manufacturing locations found via https://dailymed.nlm.nih.gov/ and calling pharmaceutical companies.|
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