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Pharmacists fear more drugs may fall into loophole that saw B.C. Ozempic sent to U.S.

Lack of available data on cross-border sales concerns Canadian Pharmacists Association

CanadaB次元官网网址檚 pharmacists worry a lack of data about prescription management could see a repeat of the situation with diabetes and weight-loss drug Ozempic, in which thousands of doses have been mailed over the border to Americans.

Canadian Pharmacists Association vice-president of public affairs Joelle Walker said Americans buying cheaper Canadian drugs is nothing new.

But she said the case of Dr. David Davison, a Nova-Scotia-licensed physician based in Texas who is said by regulators to have prescribed large quantities of Ozempic to US-based customers via BC pharmacies, highlights the urgent need for a B次元官网网址渘ational conversationB次元官网网址 on how Canada can protect its prescription drug supply against such mass orders.

The College of Physicians and Surgeons of Nova Scotia said last week it issued an interim suspension of DavisonB次元官网网址檚 licence after learning of his alleged practices from the B.C. College of Pharmacists.

One of the main challenges, Walker said, is that there isnB次元官网网址檛 a strong sense of the prevalence of mass U.S. buying of Canadian prescription drugs because the data isnB次元官网网址檛 available.

She said the first step should be securing data on prescription-drug management in Canada, allowing regulators to see where the issues are before being able to address them.

B次元官网网址淚tB次元官网网址檚 very easy when you have a very specific case like Ozempic,B次元官网网址 Walker said. But without knowing B次元官网网址渉ow many other drugs are being sold and in what quantities B次元官网网址 in an online fashion to Americans, itB次元官网网址檚 very difficult to come up with the right policy solutions.B次元官网网址

OzempicB次元官网网址檚 primary use is to treat diabetes, but demand for the drug has spiked recently due to its so-called B次元官网网址渙ff-labelB次元官网网址 use for weight loss, hyped by social media and celebrity endorsement.

The Ozempic issue emerged after B.C. officials discovered that up to 15 per cent of the drugB次元官网网址檚 prescriptions in the province during the first two months of 2023 went to Americans.

B.C. Health Minister Adrian Dix announced that the province would restrict access to Ozempic for non-residents.

Davison, who graduated from Dalhousie University in 1977, did not respond to requests for comment.

He is listed by the Texas Medical Board as a physician at Texas Tech Family Medicine in Odessa, Texas. His records show no complaints, other than noting under B次元官网网址淣on-TMB Disciplinary ActionsB次元官网网址 that his Nova Scotia licence has been suspended.

The Texas Tech University Health Sciences Center B次元官网网址 which operates DavisonB次元官网网址檚 place of practice B次元官网网址 said the organization B次元官网网址渞ecently became awareB次元官网网址 of the B次元官网网址渁ssertionB次元官网网址 that he may have prescribed Canadian Ozempic to U.S. patients.

B次元官网网址淲e are looking into the matter and will address it internally and as appropriate,B次元官网网址 the statement said.

Organizations such as the Canadian Pharmacists Association and the Canadian Health Policy Institute have been sounding the alarm about possible loopholes that allow Canadian prescription drugs to end up in the U.S.

Peter Loewen, a University of British Columbia assistant professor and Vancouver General Hospital pharmacotherapeutic specialist, said price differences for drugs across the U.S. border, combined with the free movement of people and goods, mean regulating the flow of prescription drugs is easier said than done.

B次元官网网址淥ur economies are intimately intertwined,B次元官网网址 he said. B次元官网网址淎nd this issue is one that gets caught up in that.

B次元官网网址淚tB次元官网网址檚 the regulatory and trade relationship between our countries, and the fact that so many Canadians move between the two countries, as do Americans, (that) make it non-trivial to come up with what may seem like simple solutions.B次元官网网址

Walker said any discussion about how drugs are prescribed also needs to take into account that Canadians also make use of cross-border prescriptions when travelling or moving to another province.

As such, any new policy on prescription drug movements needs to be B次元官网网址渃arefulB次元官网网址 to avoid putting up B次元官网网址渦nnecessary barriers for Canadians to access care.B次元官网网址

But the status quo, she said, may create panic buying from Canadian consumers if they are not certain their drug supplies are protected.

B次元官网网址淲e need to make sure that Canada isnB次元官网网址檛 seen as sort of the solution to an American problem that needs an American solution.B次元官网网址

B次元官网网址擟huck Chiang, The Canadian Press

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