Advocating for lower U.S. drug prices through safe importation and policy reform.
Prescription Justice

Lower Drug Prices Through Safe Importation.

Maximize access to safe and affordable imported drugs through executive authority and legislative reform.

Brand-name drugs cost about 75% less in other high-income countries. That disparity is unjust. Pharmaceutical companies argue that drugs from other countries are dangerous. That claim is overstated. Identical or equally safe and effective versions of FDA-approved drugs are widely used in peer countries.

Permitting personal prescription drug importation in the near term, and enabling commercial-scale importation beyond Canada over time, will move the United States toward price parity with its allied trading partners.

Protect Personal Importation

Support current patient access to safe, lower-cost medicines from reliable foreign sources

Executive Actions

Support executive action under 804(j)(2) to expressly permit safe personal importation through waivers

Legislative/Regulatory Reforms

Support federal legislation to allow wholesale drug importation beyond Canada

Address important related policy concerns

  • Drug Shortages: Targeted importation can help relieve specific shortages, particularly where equivalent products are already approved in peer countries.
  • National Security: Importation from trusted, highly regulated countries can strengthen supply chain resilience and reduce reliance on less transparent sources.
  • U.S. Manufacturing: Domestic manufacturing and safe importation are complementary policy tools that advance both affordability and supply security.
Support the work

Where your support goes

  • Policy advocacy and legal analysis
  • Public-facing education on safe importation
  • Research and stakeholder engagement
  • Defense of practical pathways to affordable medicines

News and analysis

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Policy Analysis

Prescription Justice Stands Behind MFN Drug Pricing for America

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Importation

Florida’s Canadian Wholesale Drug Importation Program Is a Step in the Right Direction

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Explainer

Insulin: A Uniquely American Problem

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