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Personal importation of prescription medications from licensed Canadian pharmacies operates under FDA enforcement discretion — a longstanding, well-documented federal framework. The FDA's policy is generally not to pursue individuals importing small quantities for personal use from licensed foreign pharmacies, provided the medication is not readily available domestically at a comparable cost and poses no safety risk.

ColdRxMeds sources exclusively through a Canadian pharmacy licensed and audited under the Manitoba International Prescription Service framework, dispensing Health Canada-approved medications. Manitoba is the only Canadian province whose regulatory framework specifically authorizes international prescription fulfillment. We recommend any PBM, TPA, or employer evaluate this framework with their own legal counsel before launching a program — and we provide the full documentation package to support that review.

The distinction matters. We source only through a licensed Canadian pharmacy regulated under the Manitoba International Prescription Service framework, dispensing Health Canada-approved, brand-name medications from the same manufacturer supply chains used for domestic Canadian dispensing. We do not source from grey-market distributors, unverified online pharmacies, or countries with weaker regulatory oversight.

Every order requires a valid prescription reviewed by a licensed pharmacist before dispensing. We will not work with compounding pharmacies or supply compounded alternatives under any circumstances. Full licensing details and pharmacist credentials, with verification instructions, are provided in the compliance documentation package at onboarding.

Every shipment includes a dispensing record from the licensed pharmacy showing the patient name, drug name, lot number, expiry date, dispensing pharmacist name and license number, dispensing date, and pharmacy details — along with a pharmacy receipt. This gives you a clear, verifiable record of who dispensed the medication, when, and from where.

For B2B partners who need additional documentation for program or audit requirements, we walk through exactly what's available during the partner consultation and onboarding.

No — this is a firm policy, not a case-by-case decision. We supply brand-name medications only, dispensed from the original manufacturer's supply chain through a licensed retail pharmacy. We do not work with compounding pharmacies and do not supply compounded GLP-1s or any other compounded injectable. If a patient or partner is looking for compounded alternatives, we're not the right fit.

Canada. Only Canada — and that is deliberate.

We source exclusively through a Manitoba IPS-licensed pharmacy because Manitoba's regulatory framework is the only one in Canada that specifically authorizes international prescription fulfillment, and because Canadian sourcing carries over twenty years of documented FDA enforcement discretion precedent. We will not add a sourcing country — regardless of pricing advantage — because compliance certainty is the foundation of every program we run.

Yes. Brand-name medications like Ozempic, Mounjaro, Dupixent, and Enbrel are manufactured by the same global companies — Novo Nordisk, Eli Lilly, Sanofi, Amgen — using the same formulations and facilities regardless of which country they're dispensed in. The price difference is driven by how Canada negotiates drug pricing nationally, not by any difference in the product itself.

Every shipment arrives in original manufacturer packaging with the lot number and expiry date intact, accompanied by dispensing records from the licensed pharmacy. We can trace every order back to its dispensing record. Authenticity issues are extremely rare when sourcing from a licensed Canadian pharmacy precisely because of the regulatory environment it operates under — and if you ever have a concern about a shipment, contact us immediately.

All temperature-sensitive medications ship in insulated packaging with gel packs calibrated for a 2°–8°C range over the expected transit window. We adjust pack quantities seasonally and by destination. Many shipments include a visual temperature indicator that permanently changes if the cold chain was breached. If a shipment arrives showing a temperature excursion, contact us and we will replace it at no charge.

Typical delivery is 7–14 business days from order confirmation — this covers pharmacist review and dispensing (usually 1–3 business days) plus transit from Canada. Expedited options are available for urgent timelines. We recommend placing your first order at least two weeks before you expect to run out of your current supply.

The vast majority of our shipments clear customs without issue. In the rare event a package is delayed, we'll provide any supporting documentation needed. If a package is seized and cannot be released, we reship at no charge. Our shipping protocols are designed specifically for personal-import medication shipments from Canada.

ColdRxMeds is designed as a specialty carve-out or supplemental sourcing layer — it works alongside your existing PBM or TPA, not as a replacement. The most common model is an employer-direct or TPA-administered opt-in program where eligible members can elect to use ColdRxMeds for high-cost specialty medications. We handle dispensing, cold chain, and per-order documentation; your program manages member eligibility and benefit design. Every program is different — we're happy to walk through the specifics of your structure on a consultation call.

At the per-order level, every shipment includes a dispensing record from the licensed Canadian pharmacy — pharmacist name and license number, drug name, lot number, expiry, and dispensing date. At the partner onboarding level, we provide the full compliance documentation package, including pharmacy licensing, pharmacist-in-charge credentials, and verification instructions. For partners with specific audit or reporting requirements, we confirm upfront exactly what's available.

No hard minimum. Programs are most impactful where there are multiple members on high-cost specialty medications — even a handful of members on GLP-1s or biologics can generate meaningful savings. If you're a benefits consultant or broker looking to offer this to smaller employer clients, contact us — we have structures that work for that scenario.

Each partner program includes a dedicated point of contact on our side for onboarding and escalations. Members can reach us directly for order status, shipping questions, and prescription upload support. For complex clinical questions, members are directed to their prescribing physician — we are a dispensing and logistics operation, not a clinical service.

Yes, always — no exceptions. A valid prescription from a licensed U.S. physician is required for every order. You can upload a photo or PDF of your prescription during checkout or email it to us. Every prescription is reviewed by a licensed pharmacist before your order is dispensed. This is not automated.

Most standard U.S. insurance plans do not reimburse international pharmacy purchases. ColdRxMeds is primarily used by patients paying out of pocket who find our pricing substantially lower than their U.S. cost. Some employer-sponsored programs include ColdRxMeds as a covered benefit — check with your HR or benefits team if you're unsure. We provide an itemized receipt with every order that may be used for HSA or FSA reimbursement in many cases.

Yes. There's no contract or commitment for individual patients. You can use ColdRxMeds for one order and go back to your local pharmacy the next — whatever works for you. Given the 7–14 day delivery window, we recommend keeping a small buffer supply on hand so you're never caught short while waiting for a shipment.