The People's Perspective on Medicine

Why Buy Brand Name Drugs from Canada?

Many people worry about generic drug quality. An FDA executive raised concerns about foreign manufacturing. Can you really buy brand name drugs from Canada?
Canadian flag in front of the beautiful city of Vancouver, Canada.

The person who is most directly involved in day-to-day drug regulation at the FDA is Janet Woodcock, MD. She is Director of the Center for Drug Evaluation and Research (CDER). When we have a drug watchdog issue involving the FDA, we contact Dr. Woodcock directly. For years we have been bugging her about generic drug quality. For most of that time the FDA has reassured us that generic drugs are just fine, thank you very much.

Maybe A New FDA Tune on Generic Drugs?

We were astonished to see Dr. Woodcock’s testimony to the House Subcommittee on Energy and Commerce. The publication FDAnews Drug Daily Bulletin (Nov. 11, 2019) summarized some of Dr. Woodcock’s key points:

“CDER Director Janet Woodcock called for an overhaul of American drug manufacturing to offset the nation’s dependence on APIs [active pharmaceutical ingredients] made in China, India and elsewhere, in remarks to a House subcommittee.

“The growing number of API manufacturing sites in China and other countries suggests the U.S.’ reliance on these countries for APIs is increasing,

“Only 28 percent of facilities making APIs for the U.S. market are domestic, while 72 percent are overseas.”

The bottom line seems to be that the pharmaceutical industry has moved its manufacturing processes oversees. That is especially true for generic drugs.

We were astonished to read that Dr. Woodcock would like to see purchasers of prescription drugs (pharmacy chains, wholesalers, pharmacy benefit managers, etc). buy medications from “manufacturers with very high reliability” (FDA, October 24, 2019).  We find this ironic since the FDA has been telling everyone for years that all FDA-approved generic drugs are just as good as the brand name originals.

In her statement to Congress, Dr. Woodcock notes that:

“…drug manufacturers are more likely to keep costs down by minimizing investments in manufacturing quality, leading to quality issues that can trigger supply disruptions and shortages of needed medications.”

That is the first time to our knowledge that anyone at the FDA has admitted that some drug manufacturers may be “minimizing investments in manufacturing quality” and that could lead to “quality issues.” 

Brand Name Drugs from Canada?

Many of our readers have been worried about generic drug quality for years. Some are buying brand name drugs from Canada to get quality at a lower price. One reader shared this:

Q. I have been on clonazepam, amitriptyline, levothyroxine, atorvastatin, atenolol and warfarin since 1994. Last Christmas I received my first generics from Indian manufacturers. This has been a nightmare, so I now buy brand Klonopin and attempt to get as many of my drugs as possible from Canada.

Too many generic drugs are not working because the FDA cannot monitor all off-shore Indian and Chinese manufacturers. I have had credible sources tell me that drug companies overseas check flight manifests to see when American FDA inspectors are coming.

Please send letters to the FDA to try to effect change. Bring drug manufacturing back to the US where the agency can monitor it properly!

A. You will be very interested in Katherine Eban’s new book, Bottle of Lies: The Inside Story of the Generic Drug Boom. She covers the FDA’s ineffectual struggles to oversee generic drug manufacturing outside the country, especially in India and China.

Should you wish to listen to our free interview with Ms. Eban, here is a link to the podcast:

Show 1169: What Are the Problems with Generic Drugs?

Readers Who Buy Brand Name Drugs from Canada:

Jan shares this experience:

“I currently buy some of my medications from a Canadian pharmacy. They are so much cheaper if you don’t have good insurance.”

“My doctor gives me a paper prescription. I mail it to the pharmacy. It’s a very easy process. I only buy brand name drugs. Do your home work and ask around.”

Nathan has to take a pricey cancer drug:

“I was diagnosed with prostate cancer in May 2018. The treatment was very expensive. I was not able to afford this medication. I am very thankful to my doctor, who suggested an offshore pharmacy. They are very affordable and trusted.”

But Is it OK to Buy Brand Name Drugs from Canada?

We recently wrote about a new policy about importing drugs from Canada at this link:

Is It Now Legal To Import Drugs from Canada?

Not all so-called Canadian pharmacies are trustworthy. Some masquerade as Canadian but may be on an island in the middle of nowhere. People who think they are buying brand name drugs from Canada may be getting them from halfway around the world.

To learn more about how to distinguish legitimate Canadian online pharmacies from counterfeit operations, you may wish to read our eGuide to Saving Money on Medicines. You can find this electronic resource in our Health eGuides section.

Share your own experience if you have bought brand name drugs from Canada. Was it hard or easy? Did you have problems with U.S. Customs? Did you save money? Was it worth the effort?

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    About the Author
    Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.” .
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    Where can I buy name brand medication in Canada safely?

    I take Pentasa and get it from a Canadian pharmacy recommended by my gastroenterologist. A 90-day supply is a $734; the least expensive local pharmacy is $4,309, also for 90 days. I save over $14,000/year.
    Without the Canadian pharmacy option, I certainly could not afford my medication and I certainly would be in a very bad way: Crohn’s Disease is life-threatening when uncontrolled.

    I buy Retin-Micro gel 0.1% mfg by Valeant (A Canadian Pharmaceutical) & 0.1% Tretinoin cream compounded at a Canadian Pharmacy at a fraction of the USA cost. The US Government allows a 3 month supply of medicine to cross the border with no problem. I do not buy any product that is manufactured outside of Canada. I email the prescription & it is immediately filled mailed. It takes about 10 days to reach the US East Coast from Winnipeg, BC. I do not order this particular med in the warmer weather as I do not wish it to be transported in hot weather. Study the internet before choosing a Canadian Pharmacy.

    What Canadian pharmacy is legit? I have tried looking on line but am very unsure of what I read.

    I have had very good luck in buying prescriptions from Canada. My Dr, gives me the prescription and I can either fax or mail it, along with a check and it works well. I’m on Medicare HMO so the drugs are either 3 or 4 Tier Drug and much cheaper than my Plan pays.

    You can also set up an account and pay electronically by check which I find very convenient.

    I buy Wellbutrin brand from Canada. The price difference from CVS – $5000+ for 90 days -vs- Canada $112 for 90 days. It is insane the difference for the same product. I’ve had 2 deliveries from Canada with no issues with delivery or quality. My bottle shows it was manufactured in Canada.

    I used the Graedon’s guide to selecting a Canadian online pharmacy (I chose one in Vancouver, BC) and will never go back to commercial US pharmacies. Not only was it easy to fax them a 3 month copy of my Rx with refills, but I can choose from where they are sourcing my RX. I can select from UK made, Turkey made, Canada made, India made, etc. all at different prices and quantities when I place my online order. Within an hour I get a confirmation call from a pharmacist or tech who goes thru my vitals, how I’m using the medication, if the dosage is correct, and cites me an arrival time because it has to go through customs. If your pharmacist cannot tell you where your meds are manufactured, consider another pharmacy.

    I buy generic Cialis from a certified Canadian pharmacy. Whether or not this drug works is very clear very quickly after it is taken. So far there have been absolutely no problems.

    For years before Medicare covered prescriptions I purchased the two I needed daily from Canada. No problem, excellent service and prices were much lower, especially on one that did not (still does not) have a generic (I no longer that that one). I wouldn’t hesitate to contact them if I had to start taking a really pricey drug.

    This guide has not been updated since 2016, so one must assume the information in it was gathered in 2015, making the listings 5 years old. Things change, especially in the area of pharmaceuticals.

    I did not like the generic drugs I was getting at my local Walmart. I started buying name Synthroid from Canada. It was incredibly easy. I uploaded my prescription and my ID and the first order took about 4 days from ordering to delivery. I saved nearly half of what I would have paid at my local Walmart. I was able to pick which manufacturer and which country of origin that I wanted to purchase from. All Synthroid is manufactured in Mylan. There really isn’t a choice on that.

    Cheryl,

    It is our understanding that Synthroid is made by the brand name manufacturer, AbbVie. Mylan is mostly a generic drug company. You may want to check about that.

    There are pharmacies In USA that have Canada as part of their name. Does this mean they are selling Canadian Drugs?

    Probably not. But they should be able to explain why they have that name.

    I used to get Synthroid for my dog from a pharmacy in B.C. that I was familiar with, Because my vet would not prescribe generic and my insurance, of course, would not pay. I also got Zoloft for a long time from them because insurance would only pay for generic. It was a simple, fast procedure that was online except for mailing the prescription for a year of refills. However these drugs still came from India and Turkey, et al, but as brand names.

    * Be nice, and don't over share. View comment policy^