Be careful with drugs from other countries. If you can go to Canada and confirm who you're dealing with, it might be occasionally helpful. Canad imports drugs from over 80 countries, including India, Iran and many others. I encourage folks to make an appointment with a good community pharmacist to sit with you, go though your meds, pull up your insurance plan and see if any less costly options are available. In many cases, there are options, but it takes some digging, I'm a pharmacist in Michigan and feel we should be helping patients find low cost, affordable options. Cost burden for care and drugs in the US is shameful, and we all need to bring extreme pressure to reduce the excessive number of payers and middle-men, and take steps to connect and empower docs, patients and pharmacists to work together vs putting one barrier after another up to reduce access to care. Keep screaming folks, and hold the insurance carriers and PBM's accountable. Get names when you call for help and don't receive it. Or, when serious errors occur. Communicate your frustration loudly to elected representatives who are supposed to be your advocates.