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Eliquis costs over $600/month in the US. I pay about $20/month for the generic Apixaban, which HAS been approved for use in the US since 2019, however Bristol-Myers has managed to block its availability until at least 2028.

My generic is manufactured by Taro Pharmaceuticals, an Israeli company that has been in existence since 1950. In 2024 Taro merged with Sun Pharmaceuticals, which is the fourth largest generic pharmaceutical company in the world, established in 1983. You need a valid prescription from your US doctor to purchase.

My doctor - cardiologist/electrophysiologist - was skeptical, ie, worried that it might not be legit, so he ordered a blood test. My serum level of Apixaban is exactly in the middle of where it's supposed to be.

I also have numerous friends (in addition to my parents, years ago) who have had great results and have saved a lot of money importing expensive drugs from Canadian pharmacies.

I'm sure there are fly-by-night outfits out there -- you have to do your due diligence - but apparently the FDA, lobbied by Big Pharma, releases these scare stories all the time. Big Pharma has even managed to coerce credit card companies NOT to allow purchases from Canadian pharmacies. Easy enough ... I just set up a second bank account with just enough money to cover my drug costs, and the pharmacy takes payment automatically.

Edited to add: One thing to look for, re: medications ordered from Canada, is certification by the Canadian International Pharmacy Association.