Lemtrada has been identified by PharmacyChecker as a medication that possibly requires cold chain management during shipment to maintain efficacy and safety.
To ensure the cold chain integrity of insulin and other refrigerated pharmaceutical products both domestically and internationally, accredited dispensing pharmacies must ensure manufacturer-specific storage and shipping requirements. Lemtrada requires refrigeration.
The PharmacyChecker International Pharmacy Verification Program (IPVP) enforces rigorous standards for the international shipment of products requiring refrigeration. Only PharmacyChecker-accredited dispensing pharmacies located in Canada, the United Kingdom, or the United States that also hold PharmacyChecker cold chain certification are authorized to dispense and/or ship refrigerated products into the United States.
Online pharmacies partnering with accredited dispensing pharmacies that meet cold-chain certification requirements may list prices for refrigerated medications under the "International Price Comparison" tab below.
Pharmacies listing refrigerated product prices on PharmacyChecker.com must demonstrate ongoing compliance with IPVP cold chain shipping requirements.
We strongly recommend patients avoid ordering refrigerated medications—or any medicines—online from websites that are not verified by the PharmacyChecker International Pharmacy Verification Program or another comparable verification program.
For detailed policies, please see: PharmacyChecker International Pharmacy Verification Program Policies.
If you have questions or comments about this issue, please email us.
International online pharmacies are not permitted to ship Lemtrada 12/1.2 mg/mL internationally.
The United States (U.S.) Food and Drug Administration (FDA) has identified Lemtrada as a medication with additional ETASU requirements related to dispensing, such as restricted distribution or pharmacy registration.
According to PharmacyChecker International Pharmacy Verification Program standards, international online pharmacies “must not market, sell, process or dispense internationally medications identified by the U.S. FDA as Risk Evaluation and Mitigation Strategy (REMS) medications with additional “Elements to Assure Safe Use” (ETASU) requirements related to dispensing, such as restricted distribution or pharmacy registration, as international pharmacies are not recognized as participants by the U.S. FDA.”
For other REMS medicines without ETASU, “the pharmacist processing and/or dispensing internationally a medication that has been identified by the U.S. FDA as a REMS medication must ensure that the patient receives a copy of the most current version of the U.S. FDA approved Medication Guide (MedGuide) each time the medication is dispensed.”
More information about the REMS program can be found on the FDA website: Approved Risk Evaluation and Mitigation Strategies (REMS)
There are no international mail-order prices listed for Lemtrada 12 mg/1.2 mL. If you are a U.S. resident, you can compare discount drug prices offered by pharmacies in your neighborhood. We also encourage patients and caregivers struggling to afford medicine in the United States to look into patient assistance programs that may be available for your prescribed drug therapy.
This prescription drug discount card provides Americans with significant medication bill savings at major pharmacy chains nationwide. You can use this card to save money on most medications available at over 67,000 participating U.S. pharmacies. Keep it on your phone and wallet to get multiple uses. Share the card with friends and family so they can also take advantage of instant discounts!
This discount card displays a contracted rate based on agreements between your pharmacy or purchasing group and a pharmacy benefit manager (PBM). Please use the above BIN, PCN, and Group number to adjudicate. This discount card is powered by IntegrityRx. Please call 1-800-796-6064 for IntegrityRx support.
