Some people in the US get medicine from other countries because of the lower prices. This is illegal, but not enforced. State authorities have no effective way to stop this.
A pharmacist can mail prescription medicine to a patient in another state. But location of the patient controls what is needed to get a prescription. There is an undecided Mississippi court case (Genbiopro v. Dobbs) arguing the FDA’s decisions have supremacy over state laws. (The Supreme Court, if forced to hear the appeal, might rule that Congress does not have the power to regulate medicine.)
— links —
Genbiopro, Inc. v. Dobbs (3:20-cv-00652)
District Court, S.D. Mississippi
Date Filed: Oct. 9, 2020
Date of Last Known Filing: Sept. 14, 2021
https://www.courtlistener.com/docket/18525833/genbiopro-inc-…
US judge blocks Mass. ban on painkiller, April 15, 2014
“If the Commonwealth were able to countermand the FDA’s determinations and substitute its own requirements, it would undermine the FDA’s ability to make drugs available to promote and protect the public health,” Zobel said in her ruling, saying the Supremacy Clause of the US Constitution gives the federal regulatory agency more weight than the state."
https://www.bostonglobe.com/metro/2014/04/15/federal-judge-s…
“It is illegal for a medical professional to prescribe the pills via a telemedicine appointment to a woman in a state where they are illegal, legal experts say. “The laws around telemedicine generally say that the location of the patient controls,”… Women in states cracking down on telemedicine abortion have increasingly turned to ordering pills online from overseas. While the practice is not legal, state authorities have said they have no effective way of policing orders from foreign doctors and pharmacies.”
https://www.reuters.com/business/healthcare-pharmaceuticals/…
Buying Prescription Drugs From Canada: Legal or Illegal?, May 31st, 2013
“But is it legal to buy medications from Canadian pharmacies? The answer is, technically no, but U.S. officials are allowing it to happen.”
https://www.elderlawanswers.com/buying-prescription-drugs-fr…
from https://www.usps.com/ship/shipping-restrictions.htm
Domestically Prohibited Items
You can’t send these items in the U.S. mail:
Air Bags
Ammunition
Explosives
Gasoline
Marijuana (medical or otherwise); hemp/CBD is allowed, but restricted
Domestically Restricted Items
“Only licensed manufacturers and dealers may mail or receive handguns. Even though unloaded rifles and shotguns are mailable, mailers must comply with applicable regulations.”
“Prescription medications may only be mailed by Drug Enforcement Administration (DEA) registered distributors.”
“For prescription medicines containing a nonnarcotic drug(s), only a pharmacist or medical practitioner, etc., who dispenses the medicine may mail such substances to the patients under their care… each mailpiece containing a mailable drug or medicine (that does not contain a controlled substance) must be held in a plain outer wrapper or packaging.”