21 U.S.C. § 384
Importation of prescription drugs
United States · Title 21 — FOOD AND DRUGS · Status: effective
Cite this
- Citation
- 21 U.S.C. § 384, Importation of prescription drugs, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/454459
- Permanent ID
ys:prov:454459@1- SHA-256
55d44c78d0659fa6a3eb5e8794fa8c681e41b39dd397967208eb9f9ac2afecb8
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
In this section:
The term “importer” means a pharmacist or wholesaler.
The term “pharmacist” means a person licensed by a State to practice pharmacy, including the dispensing and selling of prescription drugs.
The term “prescription drug” means a drug subject to section 353(b) of this title, other than—
The term “qualifying laboratory” means a laboratory in the United States that has been approved by the Secretary for the purposes of this section.
The term “wholesaler” means a person licensed as a wholesaler or distributor of prescription drugs in the United States under section 353(e)(2)(A) of this title.
The term “wholesaler” does not include a person authorized to import drugs under section 381(d)(1) of this title.
The Secretary, after consultation with the United States Trade Representative and the Commissioner of U.S. Customs and Border Protection, shall promulgate regulations permitting pharmacists and wholesalers to import prescription drugs from Canada into the United States.
The regulations under subsection (b) shall—
The regulations under subsection (b) shall require an importer of a prescription drug under subsection (b) to submit to the Secretary the following information and documentation:
Documentation from the foreign seller specifying—
In the case of a prescription drug that is shipped directly from the first foreign recipient of the prescription drug from the manufacturer:
Certification from the importer or manufacturer of the prescription drug that the prescription drug—
The Secretary shall maintain information and documentation submitted under paragraph (1) for such period of time as the Secretary determines to be necessary.
The regulations under subsection (b) shall require—
if the tests are conducted by the importer—
that information needed to—
Any establishment within Canada engaged in the distribution of a prescription drug that is imported or offered for importation into the United States shall register with the Secretary the name and place of business of the establishment and the name of the United States agent for the establishment.
The Secretary shall require that importations of a specific prescription drug or importations by a specific importer under subsection (b) be immediately suspended on discovery of a pattern of importation of that specific prescription drug or by that specific importer of drugs that are counterfeit or in violation of any requirement under this section, until an investigation is completed and the Secretary determines that the public is adequately protected from counterfeit and violative prescription drugs being imported under subsection (b).
The manufacturer of a prescription drug shall provide an importer written authorization for the importer to use, at no cost, the approved labeling for the prescription drug.
Notwithstanding any other provision of this section, section 381(d)(1) of this title continues to apply to a prescription drug that is donated or otherwise supplied at no charge by the manufacturer of the drug to a charitable or humanitarian organization (including the United Nations and affiliates) or to a government of a foreign country.
Congress declares that in the enforcement against individuals of the prohibition of importation of prescription drugs and devices, the Secretary should—
exercise discretion to permit individuals to make such importations in circumstances in which—
The Secretary may grant to individuals, by regulation or on a case-by-case basis, a waiver of the prohibition of importation of a prescription drug or device or class of prescription drugs or devices, under such conditions as the Secretary determines to be appropriate.
The Secretary shall publish, and update as necessary, guidance that accurately describes circumstances in which the Secretary will consistently grant waivers on a case-by-case basis under subparagraph (A), so that individuals may know with the greatest practicable degree of certainty whether a particular importation for personal use will be permitted.
In particular, the Secretary shall by regulation grant individuals a waiver to permit individuals to import into the United States a prescription drug that—
Nothing in this section limits the authority of the Secretary relating to the importation of prescription drugs, other than with respect to section 381(d)(1) of this title as provided in this section.
This section shall become effective only if the Secretary certifies to the Congress that the implementation of this section will—
If, after the date that is 1 year after the effective date of the regulations under subsection (b) and before the date that is 18 months after the effective date, the Secretary submits to Congress a certification that, in the opinion of the Secretary, based on substantial evidence obtained after the effective date, the benefits of implementation of this section do not outweigh any detriment of implementation of this section, this section shall cease to be effective as of the date that is 30 days after the date on which the Secretary submits the certification.
The Secretary shall not submit a certification under subparagraph (A) unless, after a hearing on the record under sections 556 and 557 of title 5, the Secretary—
There are authorized to be appropriated such sums as are necessary to carry out this section.
Legislative history
The public laws that enacted or amended this section. Tallies are for the whole bill as it passed each chamber — often an omnibus covering far more than this provision — not a vote on this section alone.
- Medicare Prescription Drug, Improvement, and Modernization Act of 2003
- Trade Facilitation and Trade Enforcement Act of 2015