Heads up, Canada: Colorado wants your drugs

This item is part of Watching Washington, a regular dispatch from CBC News correspondents reporting on U.S. politics and developments that affect Canadians.

Colorado is the latest state to apply for a licence to import medicines from Canada, the most recent development in a politically sensitive cross-border issue.

This week the state announced that it asked the U.S. Food and Drug Administration (FDA) for permission to import 112 medicines from Canada including EpiPens and drugs for cancer, asthma, multiple sclerosis, diabetes and other ailments.

Because those drugs are cheaper in Canada, the state projects that importing them would save Coloradans an average of 65 per cent per drug.

"This exciting step means we are closer to savings for Coloradans," Gov. Jared Polis said in a statement.

The context is sky-high drug prices. Americans pay more than residents of other countries for medicine, in some cases multiple times more. 

That's in part due to national regulations: Other countries have stricter rules for setting maximum prices and negotiating those with drug companies.

The U.S. has taken limited steps to address this; Years ago it introduced an optional coverage plan for seniors that allowed price negotiations, and the just-passed Inflation Reduction Act includes several cost-saving measures.

The pharmaceutical sector lobbied hard against price controls. The health sector outspent every other U.S. industry in lobbying last year, with drug companies especially funding lawmakers who voted against such reforms.

Some U.S. states have taken up another idea: free trade in medicine. Why not just import drugs from abroad?

Six U.S. states have passed laws allowing imports of medicine from abroad, particularly from Canada, and now Colorado is the second of those, after Florida, to have formally requested authorization from the FDA.

It's applying under a process established by the FDA in 2020. But no state has received an approval yet, as the process is complicated. To help explain the rules, the FDA issued a compliance guide this year.

The reason this matters to Canadians can be summed up in nine letters: shortages.

It's already a problem: shortages occur constantly and, particularly, at present, scores of drugs are in short supply in both Canada and the U.S.