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TSM Guide Importing Medicine USA
TSM Guide Importing Medicine USA
importing medicine
into the USA
The individual importing the drug verifies in writing that Generally, not more
it is for his or her own use, and provides contact than a 3-month supply
information for the doctor providing treatment or of the drug is imported
shows the product is for the continuation of treatment
begun in a foreign country
www.everyone.org 1
Requirements for importing medicine
1 States.
2 United States.
The name and address of the United States–licensed treating doctor responsible for
An affirmation that the medicine will be used only for the individual patient and not
distributed to others.
www.everyone.org 2
Prescription Guideline
If you need help with your prescription, send a message with your questions at
support@everyone.org.
Patient name:
Date of birth:
Date:
Name of medicine:
Strength:
Quantity:
Do
cto
rs
Sta
mp
Doctor signature:
www.everyone.org 3
Import letter Sample
If you need help with your import letter, send a message with your questions at
support@everyone.org.
By writing this letter, I confirm that my patient [name of the patient], born on [date of
birth of the patient] who is suffering from [disease], needs to be treated with
[medicine]. The dosage would be:
[dosage]
[quantity required]
[treatment duration]
I understand medicine has not been approved for indication however I believe that
this treatment is appropriate for my patient and a key component to ensure
maximal quality of life.
I would like the medication to be sent to [the clinic/the patient] as soon as possible at
the following address:
[address]
Best regards,
[signature of doctor]
www.everyone.org 4
Help with accessing and importing a
medicine into the United States
Our Patient Support Team can also assist you when the medicine you are trying to access is
approved by the FDA but not yet available.
everyone.org is registered with the Dutch Ministry of Health in The Hague as an independent medicines intermediary, registration
number 6730 BEM and as a pharmaceutical wholesale distributor, registration number 16258 G.