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Consumer import of prescription drugs refers to an individual person, typically a patient, getting
prescription drugs A prescription drug (also prescription medication or prescription medicine) is a pharmaceutical drug that legally requires a medical prescription to be dispensed. In contrast, over-the-counter drugs can be obtained without a prescription. The re ...
from a foreign country for their own personal use in their own country.


Import mechanisms

People can have drugs shipped to them from
online pharmacies An online pharmacy, internet pharmacy, or mail-order pharmacy is a pharmacy that operates over the Internet and sends orders to customers through mail, shipping companies, or online pharmacy web portal. Online pharmacies include: * Pharmacy bene ...
. They may travel internationally for the purpose of
medical tourism Medical tourism refers to people traveling abroad to obtain medical treatment. In the past, this usually referred to those who traveled from less-developed countries to major medical centers in highly developed countries for treatment unavailable a ...
, and purchase drugs there to be used back home.


Causes

Individual consumers will only consider seeking drugs from other countries if they have some barrier to access in their own country. One barrier to access is high local prices compared to other markets. Another barrier to access could be legal restrictions preventing an individual from getting a drug they want or need.


International drug market prices

In some markets, drug prices are set or influenced by the prices in other, nearby markets. In Europe, for example, people freely and easily travel to different countries, and the price of a certain drug in one country affects the price in other, nearby countries. Having this kind of competitive exchange can keep prices low, but it can also lead to lowered drug accessibility. Sometimes a manufacturer may choose not to offer a drug in one market, to ensure success in selling the drug at a higher price in a different market. Businesses, manufacturers and drug retailers wish to control the supply of pharmaceuticals in their own marketplace. As such, if low-cost drugs entered a market from other lower-cost territories, what might develop is pure
price-based selling Price-based selling is a specific selling technique in which a business exclusively reduces their price in attempt to close the sales cycle. Price-based selling clearly exists in businesses such as: commodity sales, auto sales, hospitality, and e ...
. The
TRIPS agreement The Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) is an international legal agreement between all the member nations of the World Trade Organization (WTO). It establishes minimum standards for the regulation by nat ...
is an example of a
World Trade Organization The World Trade Organization (WTO) is an intergovernmental organization that regulates and facilitates international trade. With effective cooperation in the United Nations System, governments use the organization to establish, revise, and ...
treaty which regulates how drugs can be traded in the international marketplace. Some developing countries might receive access to lower-cost drugs through
compulsory licenses A compulsory license provides that the owner of a patent or copyright licenses the use of their rights against payment either set by law or determined through some form of adjudication or arbitration. In essence, under a compulsory license, an ...
. Compulsory licenses affect markets outside the country in which they are issued.


Variation in legality

Drugs which are legal in one place may not be legal in another.


By region


Canada to United States

People in the United States have easy access to Canada. The quality of medicine in Canada is comparable to that of the United States. Drug prices are often much lower in Canada than in the United States. To save money, some consumers in the United States seek to purchase drugs in Canada. Different people have published different perspectives on this practice. One major on-line supplier, Canada Drugs, announced its closure on July 13, 2018, as part of an agreement with the U.S. Department of Justice. Two organizations, the
Canadian International Pharmacy Association Established in 2002, the Canadian International Pharmacy Association ("CIPA") is a Canadian association of licensed pharmacy businesses offering mail order pharmacy services to Canadian and international patients. CIPA members sell pharmaceuticals ...
and th
PharmacyChecker
Verification Program, verify the safety and legitimacy of online pharmacies that ship from Canada to the United States.


Mexico to United States

In some cases, U.S. insurance companies will pay consumers of high-cost drugs to personally travel to Mexico to buy the same drugs at a much lower cost there.Steps To Fix America's Broken Prescription Drug System
/ref>


Society and culture


Petition for government reform

Consumers may feel that prescription drugs which are available to multiple countries to be of equivalent quality, and feel comfortable buying and using drugs by choosing to purchase from the country which offers the drugs at the lowest price.


Legal status

Governments typically oversee the import of prescription drugs so bringing a prescription drug from a foreign country could be
Illegal drug trade The illegal drug trade or drug trafficking is a global black market dedicated to the cultivation, manufacture, distribution and sale of prohibited drugs. Most jurisdictions prohibit trade, except under license, of many types of drugs throug ...
.


See also

*
List of pharmacies This article is a list of pharmacies (also known as chemists and drugstores) by country. Australia Pharmacies in Australia are mostly independently owned by pharmacists, often operated as franchises of retail brands offered by the three majo ...
by country


References

{{reflist Drug pricing Medical tourism Social problems in medicine