Ozempic shipments to U.S. leave Canadian pharmacists fearing impact on drug supply

Canada's pharmacists worry that a lack of data about prescription management could see a repeat of the situation with diabetes and the drug Ozempic, in which thousands of doses have been mailed over the border to Americans.

Canadian Pharmacists Association vice-president of public affairs Joelle Walker said Americans buying cheaper Canadian drugs is nothing new.

But she said the case of Dr. David Davison, a Nova-Scotia-licensed physician based in Texas who is said by regulators to have prescribed large quantities of Ozempic to U.S.-based customers via B.C. pharmacies, highlights the urgent need for a "national conversation" on how Canada can protect its prescription drug supply against such mass orders.

The College of Physicians and Surgeons of Nova Scotia said last week it issued an interim suspension of Davison's licence after learning of his alleged practices from the B.C. College of Pharmacists.

Ozempic's primary use is to treat diabetes, but demand for the drug has spiked recently due to its so-called off-label use for weight loss, hyped by social media and celebrity endorsement.

One of the main challenges, Walker said, is that there isn't a strong sense of the prevalence of mass U.S. buying of Canadian prescription drugs because the data isn't available.

She said the first step should be securing data on prescription-drug management in Canada, allowing regulators to see where the issues are before being able to address them.

"It's very easy when you have a very specific case like Ozempic," Walker said. But without knowing "how many other drugs are being sold and in what quantities … in an online fashion to Americans, it's very difficult to come up with the right policy solutions."

The Ozempic issue emerged after B.C. officials discovered that up to 15 per cent of the drug's prescriptions in the province during the first two months of 2023 went to Americans.

B.C. Health Minister Adrian Dix announced that the province would restrict access to Ozempic for non-residents.

WATCH | B.C. to limit sales of Ozempic to U.S.: 

Davison, who graduated from Dalhousie University in 1977, did not respond to requests for comment.

He is listed by the Texas Medical Board as a physician at Texas Tech Family Medicine in Odessa. His records show no complaints, other than noting under "non-TMB disciplinary actions" that his Nova Scotia licence has been suspended.

The Texas Tech University Health Sciences Center — which operates Davison's place of practice — said the organization "recently became aware" of the "assertion" that he may have prescribed Canadian Ozempic to U.S. patients.