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Access · International · continued

Second pass at: Cross-border purchase within the EU: the actual rules posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

ZA
z.adeyemiTL223 Feb 2025#61
bench_entry, post #40: I keep a log for Cross-border purchase within specifically because my memory of it turned out to be systematically wrong in one direction. Six weeks of notes cost nothing and settled it. Go to post

Post #58 is right about the mechanism and I think understates the practical bit.

Both are useful and they are different contributions. A first-hand account and a citation answer different halves of the question.

I would not lead a decision with this, but I would not ignore it either.

18 likes in reply to #40 17mo
EL
endpoint_lineTL3Regular24 Feb 2025#62
e.varga, post #54: Taking post #53 at face value and following it one step further. What I want from this Cross-border purchase within thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it. Go to post

Coming back to post #60, because the follow-up matters more than the original answer.

Import rules for personal quantities are jurisdiction-specific and change without much publicity. Establishing your own position is unavoidable.

0 likes in reply to #54 17mo
IG
i.grimaldiTL224 Feb 2025#63

Currency and exchange rates: paying in different currencies has different costs and risks. Bitcoin eliminates currency and intermediary issues but has other risks.

1 like 17mo
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RidgewayTL3Regular25 Feb 2025#64

This is the answer, and the reason it is the answer is the more useful part.

7 likes 17mo
AC
a.cabreraTL225 Feb 2025#65
dr_seong, post #36: Building on post #35 rather than restating it. Temperature-controlled material and long-haul travel is a practical problem with practical solutions, none of which are on the packaging. The number is defensible. The precision I gave it is not. Go to post

Import rules for personal use: what you can import for personal use depends on your country's rules, not on where it is sold. Checking your country's rules before ordering is prudent.

The claim is narrower than it sounds, and deliberately so.

12 likes in reply to #36 17mo
EF
erratum_fileTL3Regular26 Feb 2025#66

I read post #65 twice before replying, because I had assumed the opposite.

For anyone finding this later: the short answer on Cross-border purchase within is that it depends on one thing, and the rest of the thread is people identifying which thing.

26 likes 17mo
VK
v.kjaerTL227 Feb 2025#67

Taking post #66 at face value and following it one step further.

The confident answers on Cross-border purchase within and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category.

0 likes 17mo
CD
c.draganovTL1Member27 Feb 2025 · edited#68

Regulatory position dates: a regulatory position is only current as of when it was written. Rechecking is prudent, especially if you saw it months ago.

4 likes 17mo
MD
m.dumitruTL228 Feb 2025 · edited#69
i.guerrero, post #60: Confirming post #57 from a second method, which matters more than confirming it from a second person. Cross-border purchase within was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread. Go to post

Small correction to my own earlier position on Cross-border purchase within. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.

8 likes in reply to #60 17mo
Z
ZieglerTL3Regular28 Feb 2025#70

The question underneath Cross-border purchase within is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it.

Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help.

19 likes 17mo
MY
m.yilmazTL21 Mar 2025 · edited#71
customs_ledger, post #38: Where a compound is approved under a different trade name in another market, searching the local name finds documents the English name does not. Go to post

Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one.

It is worth checking rather than assuming, which costs nothing.

11 likes in reply to #38 17mo
G
GDashwoodTL3Regular1 Mar 2025#72
lu.cabrera, post #22: Post #20 and I disagree about the size of the effect, not about the direction. Where the Cross-border purchase within discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on. Go to post

Adding a small correction to the Cross-border purchase within summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

3 likes in reply to #22 17mo
SC
s.cardosoTL22 Mar 2025#73

Cross-border purchase within is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.

0 likes 17mo
GI
g.ibarraTL22 Mar 2025#74

Taking post #71 at face value and following it one step further.

Where a compound is approved under a different trade name in another market, searching the local name finds documents the English name does not.

24 likes 17mo
JN
j.nwosuTL23 Mar 2025#75

Helpful, and easy to find again, which is half of what a good reply is.

17 likes 17mo
BP
b.petrovTL23 Mar 2025#76
n.kravchenko, post #31: Where I part company with post #28, and it is a narrow parting. I would put moderate confidence on the mainstream reading of Cross-border purchase within and no more. That is not scepticism for its own sake; it is where the sourcing actually stops. Go to post

Careful with the language on Cross-border purchase within. "Not detected" and "not present" are different findings and the first is a statement about the method.

6 likes in reply to #31 17mo
EP
e.piresTL24 Mar 2025#77

Post #76 put the caveat in the right place and I want to underline it.

Compounding in different countries: some countries allow pharmacy compounding under defined conditions; others do not. The rules are jurisdiction-specific and change.

0 likes 17mo
AK
a.kowalskiTL24 Mar 2025#78

Building on post #76 rather than restating it.

Where a jurisdiction has published guidance for clinicians, that document usually answers the practical questions better than any consumer-facing page.

32 likes 17mo
FI
f.ibarraTL25 Mar 2025#79

Post #76 describes the usual case. This is about the unusual one.

I would keep Cross-border purchase within and the decision it usually gets used for separate in this thread. They are related and they are not the same question, and merging them is why the last one went badly.

4 likes 17mo
O
OTeixeiraTL3Regular5 Mar 2025 · edited#80
r.mwangi, post #41: Cross-border prescribing and cross-border dispensing are different questions with different answers in most jurisdictions. If this contradicts something upthread, the upthread version may well be the better one. Go to post

Adding the measurement that post #79 says would settle it.

Nothing here is legal advice, and in this subcategory that caveat is doing real work rather than sitting decoratively at the end.

0 likes in reply to #41 17mo
MH
ms_hollowayTL4Mass spectrometrist6 Mar 2025#81
h.karlsen, post #48: Answering the question post #46 raises rather than the one it answers. Travel with medication: carrying a compound across borders is complicated by legal status. Documenting that it is prescribed and carrying proof reduces (but does not eliminate) risk. Go to post

Adding the measurement that post #80 says would settle it.

Import rules for personal quantities are jurisdiction-specific and change without much publicity. Establishing your own position is unavoidable.

That matches what I was told, which is not the same as knowing it.

9 likes in reply to #48 17mo
EI
e.iyerTL26 Mar 2025#82

I have been on both sides of the Cross-border purchase within argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

21 likes 17mo
DV
dr.villanuevaTL3Physician7 Mar 2025#83

Regional practice around what a pharmacy will and will not do varies enormously and is not deducible from the regulatory position.

Speaking for myself and not for anyone else who has posted here.

0 likes 17mo
SG
s.grimaldiTL27 Mar 2025#84

No disagreement from me. Posting only so the question does not look ignored.

0 likes 17mo
AR
a.reyesTL4 Admin8 Mar 2025 · edited#85
bac_water, post #59: The number people quote for Cross-border purchase within is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own. Go to post

The thing about Cross-border purchase within that took me longest to accept is that a plausible mechanism is not evidence of an effect. It is a reason to look, not a result.

14 likes in reply to #59 17mo
KD
k.dahlbergTL28 Mar 2025#86

Import rules for personal use: what you can import for personal use depends on your country's rules, not on where it is sold. Checking your country's rules before ordering is prudent.

28 likes 17mo
OB
owen.bradyTL4 Moderator9 Mar 2025#87

Confirming post #85 from a second method, which matters more than confirming it from a second person.

Posting my Cross-border purchase within numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

0 likes 17mo
RS
r.serranoTL29 Mar 2025#88
k.asante, post #33: Regulatory position dates: a regulatory position is only current as of when it was written. Rechecking is prudent, especially if you saw it months ago. Go to post

I had written a reply contradicting post #86 and deleted it. Here is what survived.

Two questions I would want answered before drawing anything from the Cross-border purchase within data above: how were the cases selected, and what happened to the ones that dropped out.

2 likes in reply to #33 17mo
M
microgramsTL2Regular10 Mar 2025#89

Marking my place. If it changes for me I will come back and say so.

20 likes 17mo
AA
a.adeyemiTL210 Mar 2025#90