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Medical Tourism and buying medications online


Katy
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If you live in the USA and if someone in your family needs a very expensive prescription medication for a chronic condition, and there is no generic available, I'm curious if you have ever left the USA to get that prescription at a foreign doctor and get the prescription filled in a foreign country. Or even bought online.  There don't seem to be any recent articles about this topic that I can find, only old references that a few bills had passed in the house.  I don't know if the law changed.  I do think I read somewhere recently that it was okay to travel with up to 90 days of prescription medication, but I can't even recall where I read that, let alone if it was a credible source.

 

If you know about this sort of topic, please fill me in.  I'm not talking about anything highly controlled here, just a prescription in the USA.

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I have a friend who was in a bad car accident and waiting for the other person's insurance to step up who went to Mexico for his prescriptions in the meantime. He and his wife didn't have insurance and the medicine he needed was crazy expensive and insurance companies spend more money denying you than helping you sometimes. He went to Mexico every three months for a long time. He always knew it wasn't safe, Mexico is not the US and you could get in trouble for anything and they could put you in jail and wait to see if your family comes to get you. He knew it was a big risk and he took it anyway. His Spanish and knowledge of the Mexican culture were excellent. 

 

I have considered doing the same for my MIL whose medicine is just insanely expensive. Even with Medicare it is 20k a year or she dies. Period. Her husband works very hard in his advanced years to pay for their medicine. I might go to Mexico to buy medicine to save her life... but I do have dependent child left... I would not want something to happen to me.

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I ordered medicine to increase my breastmilk supply online from Vanuatu. The site only gives a max of 90 day supply. Aside from it being a lot more expensive than if I'd been able to drive to Canada, where it's OTC and cheap (I live no where close to Canada), the experience was fine. I'll probably order again before this baby is born (takes a while to travel halfway across the world) so that I can nip at supply issues in the bud.

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My mom brought three months worth of her prescription drugs with her when she visited. She has a doctor's letter with her and her name was all all the prescription labels. The customs at SFO just took a quick look and that was it.

 

I might go to Mexico to buy medicine to save her life... but I do have dependent child left... I would not want something to happen to me.

An ex-colleague drove monthly into Canada to buy his mom's medication. He does stay in Washington state so nearer to the Canadian border. We didn't bring any medication back from Canada but the customs didn't ask either. The only customs form we filled is the one linked below https://www.cbp.gov/travel/us-citizens/sample-declaration-form

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I get a medication regularly from an online Canadian pharmacy. Here it is $300 for one month. From there it is $275 for a three month supply. Never had a problem.

 

About a year ago they stopped taking visa/mc and only take amex or mailed check now. It had something to do with pharm companies pressuring v/mc to stop processing.

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My grandmother used to order several of her medications online from Canada. I thought it was a cool thing for an old lady to do- like outlaw Grandma. :)

This is what we do. We use either Ontario or London pharmacies for our chronic prescriptions. Saves a fortune.

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I get a medication regularly from an online Canadian pharmacy. Here it is $300 for one month. From there it is $275 for a three month supply. Never had a problem.

 

About a year ago they stopped taking visa/mc and only take amex or mailed check now. It had something to do with pharm companies pressuring v/mc to stop processing.

I've seen this mob tactic used against pharmaceutical sellers too. It's so wrong. Quit gouging Americans.

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I'e bought meds online before. It's a medication that has been prescribed to me many times, and I know how it works and what to use it for. Ironically, I could buy the medication cheaper in the US, but then I'd have to go to a doctor and get expensive labs first. I am now one of those people who have insurance but can't afford to use it.

 

I've been very pleased with the medication I've bought online. It usually takes about 3 weeks to get here, but it has taken longer at times.

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I have bought medicine in Brazil, when DH travels there for work, that is Rx here but OTC there. I have DH buy a bunch and stock up. It is roughly the same price, until you factor in the doctor visit required here.

 

I have also bought an anti itch cream there, not available here at all (here, it is available as a pill or suppository, for other uses, but not as a cream), but which is amazing.

 

I have family who have traveled into Mexico for medicine, dental work, etc. but have not done so myself.

 

None of these meds are anything controlled, and customs has never asked or said anything. We have had TSA inspect our bags nearly every flight when we were going back and forth, but never had any OTC meds taken in either direction. (When we lived there, we would bring in children's Tylenol and Motrin, and Excedrin migraine, and Imodium, as these were all either cheaper or more convenient in the US forms than the Brazil forms). We haven't ever taken excess Rx across, though, or had any hassle with the Zofran -- I think since it is under a different name and OTC there, they either didn't recognize it or didn't care.

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There are multiple facets to the issue, imo:

 

1. Can you find a reliable pharmacy?

2. Can the drug be safely transported here (temperature control on biologics, as an example)?

3. Has the drug been FDA approved here? (Note the blind eye language here if it's not FDA approved: http://www.fda.gov/AboutFDA/Transparency/Basics/ucm194904.htm)

4. Is the drug subject to further restrictions because it is a narcotic or psychotropic? (see this language: http://www.incb.org/documents/Psychotropics/guidelines/travel-regulations/2013-travellers-update/USA_17_June_2014_Original_travellers_II.pdf)

 

We've considered it strongly, and should we ever lose prescription insurance, it would be much, much, much cheaper for me to fly to the UK or Canada to get medications than to pay US cash prices here.

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There are multiple facets to the issue, imo:

 

1. Can you find a reliable pharmacy?

2. Can the drug be safely transported here (temperature control on biologics, as an example)?

3. Has the drug been FDA approved here? (Note the blind eye language here if it's not FDA approved: http://www.fda.gov/AboutFDA/Transparency/Basics/ucm194904.htm)

4. Is the drug subject to further restrictions because it is a narcotic or psychotropic? (see this language: http://www.incb.org/documents/Psychotropics/guidelines/travel-regulations/2013-travellers-update/USA_17_June_2014_Original_travellers_II.pdf)

 

We've considered it strongly, and should we ever lose prescription insurance, it would be much, much, much cheaper for me to fly to the UK or Canada to get medications than to pay US cash prices here.

 

Both of your links say "Page not found"

 

Wonder what else they are hiding or lying about?  ;)

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I have a friend who was in a bad car accident and waiting for the other person's insurance to step up who went to Mexico for his prescriptions in the meantime. He and his wife didn't have insurance and the medicine he needed was crazy expensive and insurance companies spend more money denying you than helping you sometimes. He went to Mexico every three months for a long time. He always knew it wasn't safe, Mexico is not the US and you could get in trouble for anything and they could put you in jail and wait to see if your family comes to get you. He knew it was a big risk and he took it anyway. His Spanish and knowledge of the Mexican culture were excellent. 

 

I have considered doing the same for my MIL whose medicine is just insanely expensive. Even with Medicare it is 20k a year or she dies. Period. Her husband works very hard in his advanced years to pay for their medicine. I might go to Mexico to buy medicine to save her life... but I do have dependent child left... I would not want something to happen to me.

 

So, I live less than half hour from the border, in AZ.  I don't go across, my mom grew up walking across the border to visit family, and she won't go across now.  Too many bad experiences in the family.  Though, others in the family (including my 90 yr old grandmother) have shrugged at these things as bad luck and continue to cross, if only a few miles in. 

 

BUT, that being said, Nogales is probably a safe and easy way to get Mexico prices without a huge commitment in terms of "traveling to Mexico".  Since the town is split down the middle by the line, I know they have parking on this side, you can walk across the border, and there are restaurants, pharmacies, doctors, etc., that cater to Americans who are either just day-trips, or medical tourists.  My tia and her kids do this sometimes, mostly to buy decorations for parties and stuff like that.  The pharmacies there probably have slightly inflated prices compared to the rest of Mexico, but still a good savings.  

 

I don't know if CA has an equivalent town to Nogales.  I go to the AZ Nogales often enough and feel comfortable there, I'm told crossing the line doesn't change the atmosphere much.  And the town, especially right next to the border, relies on tourism so there is less risk associated with it, if you keep to the catering areas.   I don't see a huge risk in safety by recommending this route. The drive from CA to AZ is probably more dangerous. 

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I have considered doing the same for my MIL whose medicine is just insanely expensive. Even with Medicare it is 20k a year or she dies. Period. Her husband works very hard in his advanced years to pay for their medicine. I might go to Mexico to buy medicine to save her life... but I do have dependent child left... I would not want something to happen to me.

 

Anne, 

 

Have you checked to see if your in-laws qualify for "extra help" paying for her Medicare Part D premium? It comes with reduced copays as well. My mom now pays $2.95 for a generic and less than $8 for brand name drugs. It's a life saver for her. Without it, her medications would easily top $1K per month and it sounds like your in-laws have far more. 

 

Here is the link - the information on qualifying is straight-forward so they should be able to figure out if they qualify fairly quickly. 

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We live in Colombia and there are a *lot* of people who come here for Medical and/or Dental care.  I would not  purchase medicine online.  I do buy Centrum Silver  Vitamins on eBay, from Sellers in the USA, from time to time, and have them shipped to our Reciver/Forwarder in Miami. .  If you are close to Mexico or Canada, probably you can safely go into any reputable pharmacy (as you can do here in Colombia) and get top quality medicines.  Here in Colombia and probably in Mexico (I was there many many times and had planned to retire there)  you can buy the vast majority of what would be  prescription drugs in the USA, over the counter. We do have some controlled drugs that are only sold in very special pharmacies.  I think once in 21   1/2 years, we had  a prescription for a  medicine that was restricted here.  

 

Many people in the USA abuse drugs (legal and illegal) and that is why there is such very  tight control there and that one needs a prescription from an M.D. to be filled by a Pharmacist. That increases the costs to the honest law-abiding people. 

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I buy my ongoing prescription med from a Canadian online pharmacy. It's 1/3 of what I'd pay here even using insurance. US Customs allows 90 days of meds for personal use to go through, whether in person at the border or through the mail. Technically it's still illegal, but they state up front that they will allow it through as long as it meets their certain requirements (like FDA approved) and you have a script etc.

 

There is a high risk of scams with online pharmacies, but there are several organizations that weed those out for you. I used pharmacychecker.com and have been pleased with the pharmacy I chose. It was a very easy process; much easier than going in person to another country. Honestly I don't know why more people don't do it (other than the illegal bit, lol.) Just do your research to avoid the scams and know the limits of what you can import.

 

 

http://well.blogs.nytimes.com/2013/11/11/ask-well-buying-cheaper-drugs-online/

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We live in Colombia and there are a *lot* of people who come here for Medical and/or Dental care.  I would not  purchase medicine online.  I do buy Centrum Silver  Vitamins on eBay, from Sellers in the USA, from time to time, and have them shipped to our Reciver/Forwarder in Miami. .  If you are close to Mexico or Canada, probably you can safely go into any reputable pharmacy (as you can do here in Colombia) and get top quality medicines.  Here in Colombia and probably in Mexico (I was there many many times and had planned to retire there)  you can buy the vast majority of what would be  prescription drugs in the USA, over the counter. We do have some controlled drugs that are only sold in very special pharmacies.  I think once in 21   1/2 years, we had  a prescription for a  medicine that was restricted here.  

 

Many people in the USA abuse drugs (legal and illegal) and that is why there is such very  tight control there and that one needs a prescription from an M.D. to be filled by a Pharmacist. That increases the costs to the honest law-abiding people. 

 

That is really annoying how we are kept from useful medicines in the U.S. unless we are willing or able to spring for a gatekeeper's visit every time.  Ridiculous. 

 

Almost everything should be freely available. 

 

If they were, maybe there would be less abuse? Maybe people wouldn't see it as something interesting and forbidden?  I don't know though.  We still have a lot of alcoholics and smokers, and that's legal. 

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I've received medical treatment overseas many times and had no issues, but I did not plan for it (ie it wasn't tourism), but I have brought home meds "prescribed" by docs overseas (I say "prescribed" because they just wrote on a slip of paper what meds to buy at the pharmacy, all OTC). I had no issues with quality. In fact one med, that is not available here in the USA, is what finally put an end to my miscarriages and allowed me to carry to term.

I also loved the fact I could just walk in and order blood work and get the results myself. And so cheap where I travel to. Dh gets a full panel whenever he goes. Just an idea for price, MIL pays $100 a year and has a "membership" to a full medical practice (multi floor building with GPs and specialists and their own labs/xrays/US) that covers all visits and in house testing, she only pays out of pocket for any meds(cheap), tests in the hospital or ER or trips to the hospital (At a discount rate since she is a "member"). Kind of reminds me of how Kaiser works.

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That is really annoying how we are kept from useful medicines in the U.S. unless we are willing or able to spring for a gatekeeper's visit every time.  Ridiculous.

 

In NL hydrocortisone cream is prescription only. So, it's on my parents' list of things to purchase here and bring with me next week when I go visit them (the rest of the list is non-medical - things like chili seasoning).

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It's phenegren, which is used as an anti-nausea pill or suppository in the US. I don't know if the pill form would help stop itching if taken or not.

 

Google seems to list phenergan as similar to hydroxyzine, which can reduce itching in pill form, so it very well might.

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In NL hydrocortisone cream is prescription only. So, it's on my parents' list of things to purchase here and bring with me next week when I go visit them (the rest of the list is non-medical - things like chili seasoning).

 

So crazy. Like you are going to overuse cream that stops an itch from a bug bite or something?

 

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I've received medical treatment overseas many times and had no issues, but I did not plan for it (ie it wasn't tourism), but I have brought home meds "prescribed" by docs overseas (I say "prescribed" because they just wrote on a slip of paper what meds to buy at the pharmacy, all OTC). I had no issues with quality. In fact one med, that is not available here in the USA, is what finally put an end to my miscarriages and allowed me to carry to term.

I also loved the fact I could just walk in and order blood work and get the results myself. And so cheap where I travel to. Dh gets a full panel whenever he goes. Just an idea for price, MIL pays $100 a year and has a "membership" to a full medical practice (multi floor building with GPs and specialists and their own labs/xrays/US) that covers all visits and in house testing, she only pays out of pocket for any meds(cheap), tests in the hospital or ER or trips to the hospital (At a discount rate since she is a "member"). Kind of reminds me of how Kaiser works.

 

Wow.  Where is this and can you tell me the name of the network?  Or PM if you'd rather not disclose publicly.

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Wow.  Where is this and can you tell me the name of the network?  Or PM if you'd rather not disclose publicly.

LOL. MIL is in Beirut. Not much help I think. How's your Arabic? :lol:  Plus non-Lebanese are charged more. 8 years ago, a friend was there with her DH and had a sudden onset of appendicitis. Normal cost around $500 (surgery , stay, etc). She speaks NO Arabic so they asked to see her passport (American). New cost = $2000.

Other countries I have medical care in are Egypt and Syria(pre-war obviously). A whole panel of blood workup, about 10 tests besides a CBC,  in Egypt ran about $8.

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So crazy. Like you are going to overuse cream that stops an itch from a bug bite or something?

 

Well, it's also used for people with eczema, in which case you could use a lot more. And, excessive use of corticosteroids can thin the skin. But, realistically, I actually have eczema and my doctor prescribes me a much stronger corticosteroid cream, so yeah, I think it's silly the weak hydrocortisone cream that is OTC in the US is not OTC in NL.

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Google seems to list phenergan as similar to hydroxyzine, which can reduce itching in pill form, so it very well might.

Interesting! Of course, the pill form is Rx in the US anyway, so we'll keep stocking up on the cream. No idea why the cream isn't available, at all, in the US. It is amazing stuff. It even worked on itching from a virus, not a bite/rash, even though people said it shouldn't.

 

And thank you for correcting the spelling; I always spell it wrong. Let me know if you need more info on it, if you're looking for availability where you are.

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How do you order meds online? Do you need a prescription, or is it like ordering on Amazon?

 

Depends... real US pharmacies are going to want a prescription. The people in Vanuatu couldn't care less. Not sure about the Canadians (likely want a prescription), Mexicans (probably?), etc.

Edited by luuknam
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How do you order meds online? Do you need a prescription, or is it like ordering on Amazon?

The Canadian pharmacy I use requires a faxed or mailed prescription. They then called me just to ask if I had any questions (and probably to check to make sure I was a real person). I also have to sign for the package once it arrives. First time through was probably a week from me faxing the script to getting my meds.

Edited by livetoread
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Yes. But everyone in my household is a British citizen except me. Our family maintains the option of free medical care for the cost of an international flight.

 

 

I hate to say it but you don't qualify for free medical care (it's not really free anyway because people pay taxes for it) just by being a British citizen. You have to be a UK resident for a year before you legally qualify. Now, it's not always completely enforceable, but that is the rule. I'm pretty sure, but not 100% that it is a year's residency.

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The Canadian pharmacy I use requires a faxed or mailed prescription. They then called me just to ask if I had any questions (and probably to check to make sure I was a real person). I also have to sign for the package once it arrives. First time through was probably a week from me faxing the script to getting my meds.

 

Are you able to say the name of the pharmacy you use? We may be losing our health insurance after Christmas and I've been wondering about getting my medicine somewhere like this. I certainly won't be able to afford to just buy it here.

 

Not to offend anyone, but I have to say the health care system in the US sucks! My ability to get healthcare and dental care has been abysmal since I've lived here, other that this last 18 months when we've had insurance through an employer. I'm from the UK and although the system there has it's own problems, I could, at least, see a dr or dentist and afford the medicine etc. 

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I hate to say it but you don't qualify for free medical care (it's not really free anyway because people pay taxes for it) just by being a British citizen. You have to be a UK resident for a year before you legally qualify. Now, it's not always completely enforceable, but that is the rule. I'm pretty sure, but not 100% that it is a year's residency.

True

 

DH is Canadian but hasbeen living in Australia for 27 years. For his annual visit back to Canada he needs travel insurance because he is not eligible for public health as he is a non resident of Canada

 

However some countries have a reciprocal arrangement likeGreece and Australia. Probobly because ther are so many Greeks living in Australia.

Edited by Melissa in Australia
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Yes. But everyone in my household is a British citizen except me. Our family maintains the option of free medical care for the cost of an international flight.

 

This is actually illegal unless they are resident in the UK:

 

If you are moving abroad on a permanent basis, you will no longer automatically be entitled to medical treatment under normal NHS rules. This is because the NHS is a residence-based healthcare system. YouĂ¢â‚¬â„¢ll have to notify your GP so that you and your family can be removed from the NHS register.

 

http://www.nhs.uk/NHSEngland/Healthcareabroad/movingabroad/Pages/Introduction.aspx

 

ETA: you have to be ordinarily resident:

 

The NHS operates a residence-based healthcare system and not every person is entitled to free NHS treatment in England. Provision of free NHS treatment is on the basis of being ordinarily resident and is not dependent upon nationality, payment of UK taxes, national insurance (NI) contributions, being registered with a GP, having an NHS number or owning property in the UK. Ordinarily resident means, broadly speaking, living in the UK on a lawful and properly settled basis for the time being.

 

If you are not ordinarily resident in the UK, you are considered to be an overseas visitor and may be charged for NHS hospital services. It is strongly recommended that you take out sufficient health insurance to cover your stay.

 

http://www.nhs.uk/NHSEngland/AboutNHSservices/uk-visitors/moving-to-england/Pages/moving-to-england-from-the-eea.aspx

 

Guidance on charging overseas visitors:

 

Overseas visitor Ă¢â‚¬â€œ means any person of any nationality not ordinarily resident in the UK.

 

3.4 A person is not ordinarily resident in the UK simply because they have British nationality; hold a British passport....

 

https://www.gov.uk/government/publications/guidance-on-overseas-visitors-hospital-charging-regulations

Edited by Laura Corin
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Are you able to say the name of the pharmacy you use? We may be losing our health insurance after Christmas and I've been wondering about getting my medicine somewhere like this. I certainly won't be able to afford to just buy it here.

 

Not to offend anyone, but I have to say the health care system in the US sucks! My ability to get healthcare and dental care has been abysmal since I've lived here, other that this last 18 months when we've had insurance through an employer. I'm from the UK and although the system there has it's own problems, I could, at least, see a dr or dentist and afford the medicine etc.

I'm so sorry about your insurance situation. We have amazing health care in certain places for certain people, but I agree - overall our system is not good. We have been willing to settle for amazing health care in certain places for certain people and have just shrugged over all the rest who don't have that. I don't know why we tolerate it.

 

This link gives you good options. The organization verifies the safety of the pharmacy which is important because the world of international online pharmacies can be a real gamble when it comes to getting what you paid for. Read the reviews and compare the prices of the particular medication you need because they vary some. You might very well find one that is better than the pharmacy I settled on for your particular medication.

 

https://www.pharmacychecker.com/

 

Editing to add that another downside to buying the medication this way is you can't use HSA money to do it. I know some people do and just figure they won't get caught, but I draw the line there. I'm not a risk taker and would never have considered it in the first place without the US Custom guidelines assuring me that I'm not going to get a knock on my door!

Edited by livetoread
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I had surgery in Mexico.  I had one of the most experienced surgeons in the world at the time, wonderful care, and a fab experience. I would do it again.

 

We've bought Rx meds in Egypt when we visit DH's family.  They are the same, but so much cheaper.  They are often packaged directly by the manufacturer...rather than a pharmacist filling an Rx in a separate bottle, so one knows where it comes from.   I used to work for a global pharmaceutical firm, so I'm pretty confident in the standards around the world followed by major drug manufacturers.

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When my youngest was a baby I ordered medication to increase my breastmilk supply from an online pharmacy based in New Zealand. The medication I needed is not sold in the US. My other option was to get it made at a compounding pharmacy, and my doctor wrote me a prescription that I had compounded just one time to hold us over while I waited for my international shipment, but it was too expensive to do that long term. The online pharmacy that I used didn't require a prescription to order this particular drug at the time, although they did require one for other medications. 

Edited by Wabi Sabi
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I'm so sorry about your insurance situation. We have amazing health care in certain places for certain people, but I agree - overall our system is not good. We have been willing to settle for amazing health care in certain places for certain people and have just shrugged over all the rest who don't have that. I don't know why we tolerate it.

 

This link gives you good options. The organization verifies the safety of the pharmacy which is important because the world of international online pharmacies can be a real gamble when it comes to getting what you paid for. Read the reviews and compare the prices of the particular medication you need because they vary some. You might very well find one that is better than the pharmacy I settled on for your particular medication.

 

https://www.pharmacychecker.com/

 

Editing to add that another downside to buying the medication this way is you can't use HSA money to do it. I know some people do and just figure they won't get caught, but I draw the line there. I'm not a risk taker and would never have considered it in the first place without the US Custom guidelines assuring me that I'm not going to get a knock on my door!

 

I just looked for the med that I take and it would be much more affordable for me than buying here. I could get 3 months worth for the same amount as 30 days worth would cost me. Thanks for sharing this. It is a real relief to think I may be able to still carry on with it,even if we do lose our insurance. I haven't found anything else that works nearly as well for me, and would be miserable much of the time if I could no longer take it.

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I just looked for the med that I take and it would be much more affordable for me than buying here. I could get 3 months worth for the same amount as 30 days worth would cost me. Thanks for sharing this. It is a real relief to think I may be able to still carry on with it,even if we do lose our insurance. I haven't found anything else that works nearly as well for me, and would be miserable much of the time if I could no longer take it.

That's great! My med was about 1/3 as much as well. I hope you don't lose your insurance, but if you do, hopefully this works out for you.

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