u/CapitalistPear2r/immigrationAug 6, 2025
You cannot bring a full year's supply of your thyroid medication at one time, and you will need to establish care with a US doctor to get local refills. The FDA allows a {"term": "foreign-national", "text": "foreign national"} to bring or ship only a 90-day supply of prescription medication. Because Texas requires a US-licensed prescriber, a local pharmacy cannot fill your Canadian prescription.
“I am a Canadian citizen seriously considering moving to Texas. I have extreme hypothyroidism and my Canadian family doctor currently does my blood work and prescribes a full year's worth of medication at a time. Can I just continue using my Canadian healthcare provider and bringing my medication to the US, or do I need to navigate the US healthcare system?”
Summary
You do not have to figure out the US system on day one. You can bring your first 90 days of medication with you when you cross the border, giving you three months to find a local doctor and get a new prescription.
Because you cannot bring a 12-month supply, you have two main ways to maintain your medication after your first 90 days run out.
Visit a US healthcare provider to get a new prescription that you can fill at a local Texas pharmacy.
Have your Canadian doctor or pharmacy ship subsequent 90-day supplies to you by mail or courier.
As of September 2025, Texas requires a US-licensed prescriber, so a local pharmacy cannot fill your Canadian doctor's prescription.
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The rules for importing your medication
The FDA strictly limits personal importation of prescription drugs. You cannot bring a full year's worth of medication. The rule allows foreign nationals to bring or ship a maximum of a 90-day supply at a time.
If you are staying in the US longer than 90 days as a temporary foreign national, you can have additional 90-day supplies sent to you by mail or courier. If you choose this route, the FDA suggests including documentation in the package to prove it is for your personal use. This includes a copy of your visa or passport, a letter from your doctor, and a copy of your prescription in English.
The exemption that allows you to have unapproved foreign medication shipped to you by mail applies because you are a foreign national. If you are moving to the US as a permanent resident (a Green Card holder) rather than on a temporary visa, you do not qualify for this specific foreign national exemption.
Next steps
Here is how to bridge the gap between your Canadian healthcare and establishing care in Texas.
Bring a 90-day supply with you
Bring up to a 90-day supply of your thyroid medication in your personal baggage when you enter the US. Keep it in the original container and carry a valid prescription or a doctor's note written in English.
Visit a US-licensed healthcare provider
Use your first 90 days in Texas to establish care with a local doctor. You need them to write you a US prescription, because Texas pharmacies require a US-licensed prescriber.
Fill your prescription at a Texas pharmacy
Once you have a prescription from your new US doctor, you can fill it locally just like you would in Canada.
Others who faced this
You are not the first to go through this. Here is how it went for others who asked the same thing.
Legal sources
The rules governing medication importation and foreign prescriptions come from the FDA and state pharmacy guidelines.
FDA — Personal Importation of Medications
The FDA permits foreign nationals to bring or ship up to a 90-day supply of prescription medication into the US.
The FDA will allow foreign nationals to bring or ship a 90-day supply of drug products.
Vacation Medicine — State-by-State Variations
Texas law does not allow pharmacies to fill foreign prescriptions; a US-licensed prescriber is required.
Texas No Requires U.S.-licensed prescriber.
FDA — Personal Importation of Medications
Foreign nationals staying longer than 90 days can have additional medication mailed to them, provided they include documentation like a visa copy, doctor's letter, and English prescription.
If the foreign national is staying longer than 90 days, they may have additional medication sent to them. If you are having medication sent to you by mail or courier, it is suggested that you include documentation that provides evidence that the medication is being sent for your own use while visiting the U.S. This may include: - A copy of the visa/passport - Letter from doctor - Copy of Prescription (in English)
FDA — Personal Importation of Medications
The FDA defines a foreign national as someone who is neither a US citizen nor a permanent resident.
A foreign national is any person who is not a citizen or permanent resident of the U.S.
SettleKit is not a law firm and this is general information, not legal advice. Confirm your specific situation with a licensed immigration attorney or healthcare professional.
SettleKit is not a law firm. This information is for educational purposes and does not constitute legal advice.

