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Clearance Document: Personal Medication Importer is a U.S. Resident

Your shipment has been delayed and is on hold with DHL because the description indicates that it contains a prescription or over-the-counter (OTC) drug. The U.S. Food and Drug Administration (FDA) regulations require DHL to place the shipment on hold until necessary import documents are provided.
The FDA may allow an individual entering the U.S. to import a three-month (90-day) supply of a foreign manufactured, unapproved drug if all of the following conditions are met:
  1. The intended use of the drug is for a serious condition for which effective treatment is not available in the U.S.
  2. The importer will not distribute the drug commercially
  3. The product is considered not to represent an unreasonable risk
  4. The individual seeking to import the product affirms in writing that the drug is for his or her own use and provides the name and address of the doctor licensed in the U.S. responsible for his or her treatment with the product, or provides evidence that the product is for the continuation of a treatment that began in a foreign country.
To allow DHL Express to attempt to clear the shipment on your behalf, all of the following documentation must be provided:
  • Copy of prescription
  • Drug name (trade/generic), quantity and dosage
  • Drug manufacturer
  • Description of the continuing condition the medication is used to treat
Note: Please ensure the Zip file is 3MB or less and ready for upload with all required documentation prior to starting this form.

Release of shipments containing drugs is contingent upon the determination of the FDA, Customs and Border Protection (CBP) and potentially Drug Enforcement Administration (DEA) depending on the nature of the product.

Please complete and submit this form along with all documents so we can properly submit your entry to Customs.
Fields marked with an asterisk (*) are required.
Shipment Details
Please complete the following fields pertaining to the shipment and commodity.

Medicine Information
Please complete the following fields pertaining to the medicine.

Is this medicine available in the U.S.? *

Is this medicine available in the U.S.?

Is a prescription required for purchase? *

Is a prescription required for purchase?

Is it available for purchase over-the-counter? *

Is it available for purchase over-the-counter?

Prescription Information
Please complete the following fields pertaining to the prescribed medicine.

What form is the medicine? *

What form is the medicine?

Doctor Information
Please complete the following fields pertaining to the doctor who wrote the prescription.

Documentation
  • Upload the Zip file containing all of the following documentation:.
  • Copy of prescription
  • Drug name (trade/generic), quantity and dosage
  • Drug manufacturer
  • Description of the continuing condition the medication is used to treat

Click the button. Then, find and select your Zip file under 3MBs, click Open.
Note: Attachments are removed when the form generates an error message.

Please indicate agreement *

Please indicate agreement