Medications from Canada and Mexico
As Tribes look for ways to reduce pharmaceutical costs, many have expressed interest in finding out about acquisition of pharmaceuticals through foreign sources (for example, medications from Canada or Mexico). A number of Tribes have been approached by U.S. and Canadian companies advertising that they can ship Tribes bulk medications from Canada at reduced prices or the Tribe can serve as an intermediary for mail order prescriptions from Canadian pharmacies. Tribes are advised that these activities violate federal law related to the Food Drug and Cosmetic Act. For additional information, see the documents below or contact the Federal Drug Administration (F D A) Division of Import Operations, Mr. Joe McCallion at 301- 443-6553 or their web site at http://www.fda.gov/ora/import/pipinfo.htm or F D A Office of Compliance, Mr. David Horowitz at (301) 827-8910.

03-16-04 HHS NAMES MEMBERS TO TASK FORCE ON DRUG IMPORTATION
01-22-04 Imported Drugs - Expedite-RX (P D F)
01-19-04 Canadian docs who co-sign Rx left without coverage
09-29-03 FDA/U.S. Customs Import Blitz Exams Reveal Hundreds of Potentially Dangerous Imported Drug Shipments
09-17-03 FDA Tells Mail-Order Pharmacy to Stop Supplying Drugs to Mass. City
09-16-03 Penobscots, seniors outline plan to import drugs from Canada
04-24-03 American Medical Association (A M A) APPLAUDS F D A ACTION ON INTERNET PRESCRIBING (P D F)
04-08-03 Illegal mailed drugs seized
03-31-03 F D A, Pharmacy Group Discussing Canadian Reactions
03-21-03 Competition Bureau Responds to Complaints Regarding Supply of Canadian-Based Internet Pharmacies
03-21-03 F D A Obtaining Unapproved Drugs from Canada
03-21-03 F D A Letter: R X Depot
03-11-03 Canadian drug link probed
02-21-03 Dear Tribal Leader Cover Letter (P D F)
02-21-03 Dear Tribal Leader Attachment (P D F)
02-13-03 House Rule 847-Amendment to Federal Food,Drug,and Cosmetic Act
02-12-03 F D A Letter: The Kullman Firm
01-21-03 GlaxoSmithKline acts to prevent illegal, potentially unsafe imports of prescription drugs
09-01-87 F D A Jurisdiction on Indian Reservations
Illegal Drug Importation Frequently Asked Questions (F A Q) (P D F)

Federal Discount Drug Programs:
Federal Supply Schedule (F S S)
01-27-04 New Eight-Year VA PPV Contract
06-05-01 F S S Program Resale Rules
06-05-01 F S S Program Resale Rules P D F (P D F 69 K B)

01-09-01 F S S Drug Diversion
01-09-01 F S S Drug Diversion P D F (P D F 70 K B)

01-04-01 Access to the V A P P V Letter
01-04-01 Access to the V A P P V Letter P D F (P D F 99 K B)

10-31-00 Extending Eligibility under I S D A
10-31-00 Extending Eligibility under I S D A P D F (P D F 101 K B)

H R S A 340B Discount Drug Program
12-28-00 340B Requirements B P H C Letter
12-28-00 340B Requirements B P H C Letter P D F (P D F 233 K B)

V A Pharmaceutical Prime Vendor (McKesson)
01-27-03 V A P P V Contract Modification P P T (PowerPoint 192 K B)

01-13-03 V A P P V Dr. Grim Letter
01-13-03 V A P P V Dr. Grim Letter P D F (P D F 243K B)

12-30-02 Americsource Bergen V A P P V Modification (Word 56 K B)

Drug Shortages
10-14-04 Flu Vaccine Update (Word, 46 k b)

Please see the FDA Drug Shortage website at http://www.fda.gov/cder/drug/shortages/
Please see the A S H P website at http://www.ashp.org/shortage/index.cfm

Medication Recalls
10-27-04 Vioxx Recall Notice – IHS Reimbursement
Please see the F D A website at http://www.fda.gov/oc/po/firmrecalls/archive.html

Email your questions and comments to rpittman@hqe.ihs.gov.
Send comments, corrections and questions about the webpage to cliff.wiggins@mail.ihs.gov