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New CBP Rule Could End Mail-Order Canadian Prescriptions For Americans

Officials said the measure is intended to collect tariffs and combat the trafficking of fentanyl and counterfeit goods.

People who buy prescriptions from Canada because it's cheaper will soon have to pay a lot more. Pic via(@BostonGlobe)

A new U.S. Customs and Border Protection rule could significantly restrict Americans from receiving prescription medications by mail from Canada and other foreign countries beginning October 22, 2026.

The rule would indefinitely suspend the de minimis exemption for certain low-value international mail packages, which previously allowed qualifying shipments to enter the United States without duties. Officials said the measure is intended to collect tariffs and combat the trafficking of fentanyl and counterfeit goods.

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Patients who rely on Canadian pharmacies fear higher costs and disrupted access. Toledo resident Susan Hooper said the price of her Theophylline prescription increased from $85 to $141, while Foradil rose from $151 to $273 after tariffs were imposed.

More than 70 Democrats and several Florida Republicans have urged the White House to delay the policy, arguing it could undermine access to affordable medicines. Patients are now considering stockpiling medications ahead of the deadline while awaiting further clarification.

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