Every day for the last three years, I've started my morning with four prescription pills that cost roughly $11 each. The last time I filled a 90-day prescription, the full cost was $4,037. Sometimes, a 90-day refill costs hundreds of dollars less. Global Care RX, a Canadian online pharmacy, sells a 90-day supply of Lialda for $710, while Canadian Pharmacy King sells it for $734. But it's always expensive enough for one of the pharmacy techs at my local Rite Aid to let out a whistle when I tell them what I need to pick up. Buying prescription drugs from a Canadian website isn't legal, but many Americans do it anyway because of the government's unofficial "non-enforcement policy" for personal imports. First publicized in 1998, the policy basically says the Food and Drug Administration (FDA) will focus its enforcement efforts on unapproved imported drugs intended for commercial markets here in the U. S., and that patients who order personal amounts of non-controlled substances from foreign pharmacies will generally go unharassed. But some recent developments suggest the FDA is abandoning that policy, and that means it's time to talk once again about why Canada seems like such an appealing solution to high prescription drug prices here in the U. In October 2017, FDA agents raided nine stores in Central Florida that facilitate prescription drug buys from online pharmacies nominally based in Canada. The owner of six of those Florida stores told Kaiser Health News that he doesn't sell or receive the drugs; he just helps older patients—all of whom have prescriptions—find legitimate online pharmacies. buy cialis beijing The most prevalent financial problem Americans face month in month out is the inability to afford their medicines. can cost up to twice as much as it does in other parts of the world, so many bargain hunters turn to the Web seeking discounted, name-brand prescription drugs from Canada or other countries. That’s according to a monthly national poll by Consumer Reports National Research Center. But recent analysis has found that buyers should beware: Only a fraction of online pharmacies are legitimate. Our medical consultants say that given such risks, ordering from foreign websites should be avoided altogether. More specifically, the NABP found: • 6,812 (nearly 85%) don’t require a valid prescription from the customer’s doctor • 3,687 offer foreign drugs or ones not approved by the FDA • 2,100 have a physical address outside of the U. • 2,878 have servers located in foreign countries The problem with websites selling medication from other countries is that there’s no way to ensure their safety or legitimacy. Of the more than 8,300 online pharmacies reviewed in July 2011 by the National Association of Boards of Pharmacy (NABP), which accredits online drugstores in addition to representing state pharmacy boards across the U. The FDA doesn’t have the authority to regulate foreign versions of medicine purchased by people over the Internet, so their ingredients might be unknown. Also, the drugs may not have been approved by the FDA (as in the case of generic versions of drugs not yet approved in the U. S.), or foreign regulatory agencies might not have approved the medication, either. 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