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Access · International · continued

Second pass at: Cross-border purchase within the EU: the actual rules posts 31–60

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

NK
n.kravchenkoTL26 Feb 2025#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.

1 like 18mo
WN
w.novakTL3Regular7 Feb 2025#32
a.adebayo, post #9: The arithmetic in post #8 is right; the assumption feeding it is the part to check. Where a jurisdiction has published guidance for clinicians, that document usually answers the practical questions better than any consumer-facing page. Go to post

Bookmarking this. I will come back when I have something worth adding.

0 likes in reply to #9 18mo
KA
k.asanteTL28 Feb 2025#33
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

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.

16 likes in reply to #31 18mo
CO
c.okaforTL3Regular8 Feb 2025#34

Worth separating Cross-border purchase within as a question about the compound from Cross-border purchase within as a question about the documentation. They get answered by different people and only one of them is answerable here.

6 likes 18mo
CV
c.vasquezTL29 Feb 2025#35

Post #31 put the caveat in the right place and I want to underline it.

Where I have landed on Cross-border purchase within, having got it wrong once in public: the direction is clear, the magnitude is not, and anyone quoting a precise magnitude has borrowed it from somewhere that did not measure it.

0 likes 18mo
DS
dr_seongTL3Physician10 Feb 2025 · edited#36
h.nwosu, post #7: Picking up post #4: that is the part I would want checked first. The honest answer on Cross-border purchase within is that it depends, and the useful part is the list of what it depends on. Four items, in rough order of how much they matter. Most people get the first two right and then argue about the fourth. Go to post

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.

32 likes in reply to #7 18mo
PO
p.ostergaardTL210 Feb 2025#37

Adding the boring version of Cross-border purchase within, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

11 likes 18mo
CL
customs_ledgerTL3Regular11 Feb 2025#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.

3 likes 18mo
BF
b.friskTL211 Feb 2025#39
n.haddad, post #28: Offering a way to settle Cross-border purchase within rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision. Go to post

Same experience here, different supplier, so it is at least not unique to one of them.

0 likes in reply to #28 18mo
BE
bench_entryTL3Regular12 Feb 2025 · edited#40
k.marchand, post #20: Post #17 answers the question as asked. The question underneath it is different. Import rules for personal quantities are jurisdiction-specific and change without much publicity. Establishing your own position is unavoidable. If that reads as pedantic, it is, and it has saved me twice. Go to post

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.

24 likes in reply to #20 17mo
RM
r.mwangiTL212 Feb 2025#41
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

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.

6 likes in reply to #36 17mo
CN
c.niemelTL3Regular13 Feb 2025#42
w.moreau, post #5: Cross-border purchase within came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction. Go to post

Quietly grateful for the plain phrasing. Not every thread gets that.

16 likes in reply to #5 17mo
SF
s.ferreiraTL214 Feb 2025#43

Adding the measurement that post #40 says would settle it.

What would change my mind on Cross-border purchase within is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

32 likes 17mo
OC
o.cousineauTL3Regular14 Feb 2025#44

A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site.

0 likes 17mo
AS
a.silvaTL215 Feb 2025#45

Licensed prescribing: where a compound is approved, prescribing is restricted to licensed prescribers. Where it is not approved, the legality of possession and use is unclear.

3 likes 17mo
MI
m.ivaturiTL215 Feb 2025#46
k.vanhecke, post #1: Posting this under the heading it deserves: Second pass at: Cross-border purchase within the EU: the actual rules Everything below is what sits behind that. The question about Cross-border purchase within that I actually want answered is the second one below. The first is context and I have kept it short. Both are stated with units, and… Go to post

I changed my mind about Cross-border purchase within after someone here asked me for the source and I could not produce one. That is worth saying out loud because it is the ordinary way it happens.

11 likes in reply to #1 17mo
DB
d.barrosTL216 Feb 2025#47

The arithmetic in post #44 is right; the assumption feeding it is the part to check.

I would rather this thread reach "we do not know" about Cross-border purchase within than reach a confident answer that nobody can support when asked.

24 likes 17mo
HK
h.karlsenTL216 Feb 2025 · edited#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.

0 likes 17mo
CA
c.adebayoTL217 Feb 2025#49

Post #48 answers the question as asked. The question underneath it is different.

Two things can be true about Cross-border purchase within at once: the mechanism is plausible and the evidence for the size of the effect is thin. Most of the argument here is people defending the first against attacks on the second.

15 likes 17mo
SD
s.dziedzicTL217 Feb 2025#50
a.silva, post #45: Licensed prescribing: where a compound is approved, prescribing is restricted to licensed prescribers. Where it is not approved, the legality of possession and use is unclear. Go to post

Before the thread moves on from Cross-border purchase within — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

31 likes in reply to #45 17mo
LG
lc_gradientTL3Analytical chemist18 Feb 2025#51

The most useful thing anyone can add to a thin regional thread is what the official source says and where it is, rather than what happened to them.

I am reporting what happened, not recommending it.

14 likes 17mo
SO
s.okaforTL219 Feb 2025#52

Licensed prescribing: where a compound is approved, prescribing is restricted to licensed prescribers. Where it is not approved, the legality of possession and use is unclear.

Written in the hope of being told what I have missed.

5 likes 17mo
RA
r.aldana_pharmdTL4Pharmacist19 Feb 2025#53
aliquot_line, post #17: Post #13 describes the usual case. This is about the unusual one. Summarising the Cross-border purchase within thread so far, since it is long and the answer is buried: the first reply has the method, the fourth has the correction to it, and the rest is people agreeing at length. Go to post

Post #49 and I disagree about the size of the effect, not about the direction.

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

0 likes in reply to #17 17mo
EV
e.vargaTL220 Feb 2025#54
w.moreau, post #5: Cross-border purchase within came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction. Go to post

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.

0 likes in reply to #5 17mo
EF
e.ferreiraTL3Regular20 Feb 2025#55

Everything in post #53 holds. The case it does not cover is the one I have.

Cross-border purchase within: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

9 likes 17mo
TD
t.duarteTL221 Feb 2025 · edited#56

Acknowledging rather than arguing. The reasoning holds as far as I can follow it.

2 likes 17mo
DB
dr_bhattacharyaTL3Physician21 Feb 2025#57

A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site.

A weak preference rather than a position.

0 likes 17mo
DV
d.vukovicTL222 Feb 2025#58
dr_bhattacharya, post #57: A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site. A weak preference rather than a position. Go to post

Building on post #57 rather than restating it.

Customs practice varies between entry points within the same country, which is why two people in the same jurisdiction report different experiences honestly.

29 likes in reply to #57 17mo
BW
bac_waterTL2Regular22 Feb 2025#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.

28 likes 17mo
IG
i.guerreroTL223 Feb 2025#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.

14 likes 17mo