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Gov. Blagojevich calls on Canadian Prime Minister Martin to strengthen mail-order pharmacy regulations rather than cut off access by Americans     Send a link to a friend

Governor points to safeguards built into the I-SaveRx prescription drug importation program

[JAN. 7, 2005]  CHICAGO -- In a letter to Canadian Prime Minister Paul Martin on Thursday, Illinois Gov. Rod Blagojevich urged the Canadian government to adopt stronger rules for online and mail-order pharmacies rather than banning prescription drug exports altogether. The governor pointed to safeguards built into Illinois' I-SaveRx prescription drug importation program as requirements that help doctors better understand patients' conditions and needs.

"Rather than take drastic action that would unnecessarily harm millions of people, I urge you to consider instead strengthening your regulations to ensure Canadian doctors have the information they need to safely co-sign or rewrite prescriptions for American patients," the governor wrote.

"Two million Americans are currently acquiring much-needed prescription drugs from Canada, and by doing so, they avoid having to make the choice between their medicine and their next meal. When our citizens can get access to the medications they need at prices they can afford, they can live healthier and more productive lives."

Canadian Health Minister Ujjal Dosanjh has recommended a plan to stop Canadian exports of prescription medication, citing concerns that Canadian physicians do not have enough information to adequately determine whether a prescription for a patient they haven't examined in person is appropriate.

Gov. Blagojevich pointed out that during more than a year of research into the savings and safety of prescription drug importation, his health and regulatory experts have worked out a process under the I-SaveRx program that could serve as a model for Canadian regulators.

"In order to ensure that doctors working with the I-SaveRx program have the information that they need to rewrite a prescription, I-SaveRx program participants must fill out a detailed health history form. Furthermore, prescriptions can only be filled through I-SaveRx if the participant has been taking that medication for at least 30 days, and their licensed U.S. physician writes an original refill prescription. With these provisions, doctors and patients can be assured that only the appropriate medications are dispensed through this program," the governor said in his letter.

"Should you choose to change the Canadian regulations, I would urge you to require detailed health history forms be filled out by non-Canadians purchasing drugs from Canadian pharmacies by mail order and only allow refill prescriptions to be filled for export. With these changes, you could address the concerns raised by your health minister, Ujjal Dosanjh, without cutting off an absolutely critical supply of affordable drugs for millions of Americans."

Blagojevich launched the I-SaveRx program in early October 2004, along with Gov. Jim Doyle of Wisconsin. Since then, the states of Missouri and Kansas have joined I-SaveRx. Residents of the four states are able to purchase approximately 150 of the most common name-brand medications used to treat chronic conditions from state-inspected and approved pharmacies in Canada and the United Kingdom. Retail prices in those countries are 25 percent to 50 percent less than in the United States.

Frustrated with inaction from the Bush administration in helping Americans find relief from the highest drug prices in the world, Gov. Blagojevich and Wisconsin Gov. Jim Doyle co-signed a letter Wednesday to the president urging him to use the full diplomatic influence of the United States to discourage Canada from restricting Americans from purchasing safe, affordable prescription medications. ["Govs. Blagojevich and Doyle urge Bush to take action on possible restriction of prescription drugs from Canada," posted Jan. 6]

[News release from the governor's office]

 

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Text of letter to Canadian Prime Minister Paul Martin:

Office of the Governor
Rod R. Blagojevich
JRTC, 100 West Randolph, Suite 16-100
Chicago, Illinois 60601

January 6, 2005

The Right Honourable Paul Martin
Office of the Prime Minister
80 Wellington Street
Ottawa, Ontario
K1A 0A2

Dear Prime Minister Martin,

I understand that the Canadian government is planning to effectively ban prescription drug exports from Canada by requiring American patients to be physically examined by a Canadian doctor.

Rather than take drastic action that would unnecessarily harm millions of people, I urge you to consider instead strengthening your regulations to ensure Canadian doctors have the information they need to safely co-sign or re-write prescriptions for American patients.

Two million Americans are currently acquiring much needed prescription drugs from Canada, and by doing so, they avoid having to make the choice between their medicine and their next meal. When our citizens can get access to the medications they need at prices they can afford, they can live healthier and more productive lives.

Unfortunately, the Federal Government in the United States has not yet taken action to address the extraordinarily high drug costs in this country. Thus, I, along with the Governors of Wisconsin, Missouri, and Kansas have decided to provide our citizens with some relief from these high prices through a program I created called I-SaveRx. As you may be aware, this program enables individuals in our four states to purchase their prescriptions from state inspected and approved pharmacies in Canada and the United Kingdom at discounts of 25%-50% off the retail prices here in the United States.

We have closely studied the many safety concerns surrounding this issue, and designed the I-SaveRx program to directly address those issues. In order to ensure that doctors working with the I-SaveRx program have the information that they need to re-write a prescription, I-SaveRx program participants must fill out a detailed health history form. Furthermore, prescriptions can only be filled through I-SaveRx if the participant has been taking that medication for at least 30 days, and their licensed U.S. physician writes an original refill prescription. With these provisions, doctors and patients can be assured that only the appropriate medications are dispensed through this program.

Should you choose to change the Canadian regulations, I would urge you to require detailed health history forms be filled out by non-Canadians purchasing drugs from Canadian pharmacies by mail order, and only allow refill prescriptions to be filled for export. With these changes, you could address the concerns raised by your health Minister, Ujjal Dosanjh, without cutting off an absolutely critical supply of affordable drugs for millions of Americans.

As you are aware, this program, and others like it, pose no threat at this time to the drug supply available to Canadian citizens. In the absence of any harm to the citizens of your country, I can see no reason why you would take an action that would not only stop the flow of hundreds of millions of American dollars into the Canadian economy, but would also cause unnecessary hardship for millions of your neighbors to the south.

On behalf of the 12.6 million residents of Illinois, and millions of other Americans who are struggling everyday with the high costs of prescription drugs, I request that you reconsider any plans to end Canadian drug exports.

If you would like to discuss this issue further, I would be happy to meet with you or your representative at a time that is convenient for you.

I thank you for your time.

Sincerely,
Governor Rod R. Blagojevich

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