Answered July 2026

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.

Get a US prescriptionBest path

Visit a US healthcare provider to get a new prescription that you can fill at a local Texas pharmacy.

Ship refills from CanadaAlternative

Have your Canadian doctor or pharmacy ship subsequent 90-day supplies to you by mail or courier.

Fill your Canadian prescription in TexasBlocked

As of September 2025, Texas requires a US-licensed prescriber, so a local pharmacy cannot fill your Canadian doctor's prescription.

Read the full explanation

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.

Bringing prescription ADHD medication to the US

u/CapitalistPear2r/immigrationAug 6, 2025

I'm arriving in the US soon for grad school, and my psychiatrist has advised me to take a half year, or year's worth of medication with me, to account for the time it'll take to get into the medical system and rediagnozed locally - since it's recommended to not take more than 90 days of medication, it would be written as a double or quadruple dose prescription for 3 months. She's told me this is what people going to the US usually do, but I'm a bit concerned about this year's circumstances. Any advice would be appreciated. I also have a bit of older medication that has piled up, but I've bee

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.

FDA — Personal Importation of Medications

The FDA will allow foreign nationals to bring or ship a 90-day supply of drug products.

Read the full text

Vacation Medicine — State-by-State Variations

Texas law does not allow pharmacies to fill foreign prescriptions; a US-licensed prescriber is required.

Vacation Medicine — State-by-State Variations

Texas No Requires U.S.-licensed prescriber.

Read the full text

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.

FDA — Personal Importation of Medications

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)

Read the full text

FDA — Personal Importation of Medications

The FDA defines a foreign national as someone who is neither a US citizen nor a permanent resident.

FDA — Personal Importation of Medications

A foreign national is any person who is not a citizen or permanent resident of the U.S.

Read the full text

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.

Join the SettleKit newsletter

We research the hard parts of settling in the US and write articles you will not find anywhere else. Subscribe to get each new article by email.

One email per new article. Unsubscribe anytime.

This is likely not your only questionCheck out SettleKit, the best source on the internet for newcomers to the US.
Build your free SettleKit