Starting October 22, the United States will indefinitely suspend the de minimis exemption that allowed shipments under $800 to pass through customs more easily, imposing additional data requirements and a bond guarantee on medications mailed from abroad. Some 2.3 million Americans buy their drugs abroad, according to a 2020 study published by JAMA Network. The Campaign for Personal Prescription Importation studied ten commonly imported medications from Canada: for example, Eliquis costs $565 for a three-month supply through a Canadian mail-order pharmacy, versus over $1,000 through Amazon Pharmacy or GoodRx. Representatives from both parties in Congress have asked the administration to protect access to affordable medicines for patients affected.
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