Frequently Asked Questions

Yes, virtually everyone with Hepatitis C can be treated with the new Direct Acting Antivirals (DAAs).

For most patients, the chances of getting cured are around 95%. This does mean that 5% (1 patient in 20) will not be cured, at least at the first attempt.

Sadly, 5% (1 patient in 20) will not be cured, at least at the first attempt. Retreatment is entirely possible.

Patients who have cirrhosis, genotype 3, or who have failed past treatments have slightly lower cure rates.

Sorry no, however, we can help you get a prescription. Your prescription ensures you get the right treatment, for the correct duration to maximise your chances of being cured.

Please contact us for help if required.

No, in most countries, where personal medication importation is legal, the medications can simply be sent to you by courier.

Travelling to pick up the medications is the only practical option for patients in some countries.

Most patients with Hepatitis C can be successfully treated with 12 weeks of medication. This costs between $800 and $1100 USD, inclusive of delivery.

Patients with cirrhosis may require a longer 24-week treatment, which doubles the cost.

All branches of medicine have some “secret code” and Hepatitis C is no different.

• DAAs are the new Direct Acting Antiviral medications.
• PCR is Polymerase Chain Reaction and used to count the level of virus in the blood.
• SVR is Sustained Virological Response and really means CURE.

You will find all the common medical terms explained in our glossary.

When a medication is invented the originator takes it to market, often with a very high price tag.

Generic medications are less expensive copies of an originator medication.

Like any copy, generic medications come in both high and low-quality varieties. It is important to understand this and make sure any generic medication you use meets the appropriate quality standards.

In the world of generic pharmaceuticals, you do tend to get what you pay for.

To place and order you will need a prescription from a doctor specifying which medications are required and the ability to pay either by credit card or bank wire transfer.

We help patients to exercise their legal right to make a personal medication importation.

If your country’s laws prohibit personal medication importation by mail, a very practical solution is simply to import the medication to a nearby country that does allow it, then travel there to pick up the medication.

It is almost universally permitted to bring foreign sourced medication back into your country on your person. The obvious exception to that is narcotics, but these medications have no other purpose than to treat Hepatitis C so are not prohibited.

Please contact us for help if you run into any problems accessing treatment.

Ideally your local doctor will write a prescription for you, however, if they are unwilling to do so there are doctors around the world who are. It is also possible to see a doctor online via video (telehealth) and get a prescription in that way.

Please contact us for help if you run into any problems.

No, the safety of these medications has not been, and never will be, established in either breastfeeding or pregnancy.

You can get pregnant after finishing your treatment but should wait 3-6 months.

Mathematically there will be no residual drugs left in your system 6 months after you finish.

Yes, you can.

The usual too much alcohol is bad for you advice applies, but drinking alcohol will not adversely impact your treatment.

Your GGT will probably remain elevated if you are drinking but that’s the booze not the bug.

Yes, you can continue to smoke while taking the medications.

Less is more, but this is not a QUIT campaign.

Yes, of course.

Yes, the vast majority of people taking these medications feel the same, or better, than they did before treatment within a week of starting. These new medications do not have the harsh side effects of the old medications.

These new medications do not have the harsh side effects of the old medications, however, some people have a mild influenza-like illness during the first week of treatment.

Given you are here, this might seem like a strange question to be asking.

The reason it’s here is that not all patients with Hepatitis C need treatment right this second.

It is likely that availability will improve over time, so if paying for generic treatment would stretch the budget, it might be worth waiting to see if a cheaper treatment becomes available in your country over the next few years.

But maybe you can’t afford to wait, or maybe you’re just sick of waiting, and if so that’s fine – we are here to help.

The vast majority of patients feel better after treatment so it’s definitely worth doing. It is easier to treat patients sooner rather than later and treatment prevents the progressive damage that occurs with Hepatitis C.

While it is theoretically possible to treat a patient known to have Hep C with these medications with limited workup available, it is far from best practice.

There are 3 critical things to know:

• Hepatitis C Genotype (which will be 1 2 3 4 5 or 6, and perhaps with an ‘a’ or a ‘b’)
• Fibrosis by fibroscan, APRI, Fibrosure, Hepascore, ELF score or biopsy
• Past Treatment for HCV

Knowledge of these 3 allows the correct medication to be selected and the appropriate duration to be given.

There are several other important things to do:

• Screen for Hep B status (patients with chronic Hepatitis B need an extra medication)
• Screen for Hepatocellular Carcinoma (HCC) using the AFP blood test, ultrasound, CT or MRI

Patients with Hepatitis C are more prone to diabetes and thyroid problems so these are good to check for.

With fibrosis assessment biopsy is the gold standard (but is unpleasant and risky). A fibroscan is a good non-invasive way to get a similar result, but, if needs be an assessment can be made with blood tests.

Basic blood tests:

• HCV PCR Genotype
• Complete (Full) Blood Count (CBC/FBC)
• Liver and Kidney Panel (CMP or LFTs + Cr+U+E)
• Hepatitis B surface antibody, Hepatitis B core antibody
• Alpha Feto Protein (AFP) to look for cancer

These are sufficient to assess fibrosis and make an accurate prescription.

Extra blood tests:

• Thyroid Function (TFTs)
• Blood Sugar (BSL)
• Fibrosure/Hepascore/ELF score (to help assess fibrosis)

A fibroscan is nice but requires special equipment. The simplest way to assess fibrosis is with the APRI score which comes from the AST in the CMP and the Platelets in the CBC. http://www.hepatitisc.uw.edu/page/clinical-calculators/apri a score over 1 suggests cirrhosis.

Yes, you can find our privacy policy here.

We only share information with your doctor if you ask us to.

We most certainly do not share your information with the government.

We use dedicated hardened Linux servers that are protected by the Sucuri antivirus and firewall infrastructure.

You can check the current status here by clicking here which will take you to the bottom of the page. Click on the Sucuri trust see to check our current status.

Yes and no.

Almost all doctors prescribe generics to their patients, either because they have to or because they are cheaper. The only difference between these generics and Hep C generics is that a doctor can write their usual script secure in that knowledge that it is routine practice and those medications are approved in their country and available at the local pharmacy.

Because of patent restrictions, Hep C generics are not available in the majority of countries in the world. They are manufactured to high standards, and approved for sale in countries like Egypt and India, and were it not for patents, meet the standards for registration anywhere in the world, but the fact remains that these medicines are not registered for sale in many countries.

Besides things like arrogance and ignorance, the fear doctors have is that if they prescribe these medications, and they know the patient will use that prescription to get generics, is that if anything goes wrong the patient will come back and sue them. In the two years patients have been accessing generics we are unaware of a single case where that has occurred, but the fear remains and is real.

Sadly, in the race between the greater good and self-interest, back self-interest every time.

Being honest with your doctor is a good idea, however, it does present them with an ethical dilemma.

For a doctor, writing a prescription for medications that cure Hep C to a patient with Hep C is more or less a no brainer.

Writing a prescription with full knowledge that the patient can’t afford to pay for the originator medication, and is not covered by insurance, and is, therefore, wanting the prescription to access generics, might make your doctor complicit in that.

We are aware of some patients that have taken generics and simply turned up to their doctor/clinic for bloods. The reactions to undetected results have ranged from outrage to intrigue about what’s gone on.

Your doctor really has an ethical duty to monitor you, but we are aware this view is not universal.

If this happens, you can see an online doctor via https://gp2u.com.au/ who can monitor treatment and help you to arrange the necessary tests.

If you doctor won’t prescribe generics then finding one that will is the obvious solution.

We observe that Infectious Disease (ID) Physicians are more amenable to prescribing than Gastroenterologists and Hepatologists. This relates to the ID doctors having used generics during the HIV crisis in the past, and for PrEP currently.

We also observe, even within clinics that support generics, some doctors are not on board with the idea. The nurses will typically know who you should, or should not, see.

Your Family Doctor or General Practitioner usually has your best interests at heart so may well help.

If all that fails, please book an online appointment at https://gp2u.com.au/ where the doctors are experienced in this and do prescribe without being judgemental about what is a deeply personal decision.

In the event your doctor will not prescribe, they should be willing to monitor you. Being unwilling to monitor you would be similar to refusing to treat an overdose patient on the basis that they were not taking approved medications. Sadly, some doctors take this stance.

In this case it is also possible to monitor your treatment remotely, including getting the required tests done via https://gp2u.com.au/

You will find an explanation of many Hep C related terms in our glossary.

Complete (Full) Blood Count (CBC/CBC)

The CBC checks the red cells, white cells and platelets in the blood. All of these can change in liver disease, and during treatment (particularly if Ribavirin is being used).

http://www.mayoclinic.org/tests-procedures/complete-blood-count/home/ovc-20257165

Complete Metabolic Panel (CMP)

The CMP combines liver and kidney function tests (see below)

Liver Function Tests (LFT)

The LFTs provide an idea how well the liver is functioning. Here are the tests and the normal ranges.

ALT 7 to 55 units per liter (U/L)
AST 8 to 48 U/L
ALP 45 to 115 U/L
Albumin 3.5 to 5.0 grams per deciliter (g/dL)
Total protein 6.3 to 7.9 g/dL
Bilirubin 0.1 to 1.2 milligrams per deciliter (mg/dL)
GGT 9 to 48 U/L
LDH 122 to 222 U/L

http://www.mayoclinic.org/tests-procedures/liver-function-tests/basics/definition/prc-20012602

Renal Function Tests (Creatinine, Urea and Electrolytes)

The creatinine (from which is calculated the eGFR) assess how will the kidneys are working. A normal eGFR is > 90.

http://www.mayoclinic.org/tests-procedures/creatinine-test/home/ovc-20179389

Coagulation Studies

The INR provides an assessment about how quickly blood clots and this rises in advanced liver disease.

Alpha Feto Protein (AFP)

The level of this protein rises slightly in liver disease and more dramatically in patients with Hepatocellular Carcinoma.

Fibrosis Tests (Fibrosure, Hepascore, ELF score, APRI)

These tests measure a number of things in the blood to provide an estimate of liver fibrosis. THESE TESTS ARE NOT VALID IN PATIENTS ON TREATMENT because the things they are measuring in the blood are known to change.

The APRI score is calculated from the AST from the liver panel and the Platelets from the CBC. You will find a calculator here: https://www.mdcalc.com/ast-platelet-ratio-index-apri

Hepatitis B surface Antibody (HBsAb)

This is present in patients who are immune to Hepatitis B regardless of whether that immunity is from vaccination or past exposure.

Hepatitis B core Antibody (HBcAb)

This is only present in patients who have been exposed to Hepatitis B.

Hepatitis B surface Antigen (HBsAg)

This is present in patients with active hepatitis B (it is the outer part of the virus)

Hepatitis B PCR DNA

This is present in patients with active hepatitis B (it is the genetic code of the virus)

Hepatitis C antibody (HCVAb)

This is only present in patients who have been infected with Hepatitis C. It remains positive during infection, and for many years after the infection has been removed.

Hepatitis C PCR RNA qualitative (HCV PCR RNA qual)

This test gives a yes/no (detected/not detected) result for Hepatitis C RNA (the genetic code of the virus)

Hepatitis C PCR RNA quantitative (HCV PCR RNA quant)

This test gives a count of how much viral RNA is in the blood. The average is around 3 million but the range is 100 to 10,000,000. There is no real significance in a higher or lower count in terms of how sick a patient is, or how hard they are to cure.

Thyroid Function Test (TFTs)

Thyroid function is assessed with TSH, T4, T3

Blood Sugar Level (BSL)

This is elevated in patients with diabetes. Diabetes is 2-3 times more common in patients with Hepatitis C.

Scans are performed for 2 reasons:

• To assess the level of liver fibrosis
• To look for liver cancer

Fibroscan (Shear wave elastography)

This scan is a special type of ultrasound that uses sound waves to see how elastic the liver is. The more elastic the less fibrosis is likely to be present. A value of over 12.5 kPa typically indicated cirrhosis.

Ultrasound

Ultrasound can look at the liver without any radiation exposure. It can see the texture of the liver, but is not reliable in detecting cirrhosis

CT

CT (Computed Tomography) uses Xrays to look at the liver. Triple phase contrast scans are usually conducted to look cancer. Doing one from time to time is low risk, but CT is not ideal for regular follow up in cirrhotic patients at high risk of liver cancer.

MRI

MRI (Magnetic Resonance Imaging) performs similarly to CT without the radiation exposure. It takes longer and costs more than CT but is good for repeated follow up.

In the bad old days, the treatment for Hepatitis C involved the use of Interferon and Ribavirin. This treatment was harsh, had relatively low success, often took one year to complete, and is no longer recommended. Sadly, it remains the only treatment available in some countries.

The new treatments use medications called Direct Acting Antivirals (DAA‘s) and achieve high success rates, with minimal side effects, and usually only require 12 weeks of treatment with daily tablets.

You will find the names of all the new medications, and the genotypes they are used to treat in the table here.

All medications have two names. The brand name, and the generic name. The generic name is the actual name of the medication ingredients.

All medications have side effects. In general the DAA class has relatively few, and is similar to other antiboitics.

Skin rash and stomach upsets are common to all medications, but relatively uncommon with DAAs

About 1 in 5 patients will get headaches, usually only at the start of treatment during the first week.

About 1 in 5 patients will suffer from insomnia and this is likely to last the entire duration of treatment.

Most patients feel better, rather than worse on treatment, however fatigue is noted in some patients, particularly those with insomnia.

A freedom of information request to the FDA disclosed this list of reported adverse drug reactions for Harvoni. This list is sorted by order of frequency.

Routine antibiotics and pain killers do not interact with the DAA medications.

This Interactions Checking Tool from the University of Liverpool is recommended:

http://www.hep-druginteractions.org/checker

To use it simply select the DAA combination you are taking, and then any other medications. Please note that you need to use the GENERIC name for your medication, not the brand name.

You will find the consumer medication for the DAAs here.

Country: Afghanistan
CC2: AF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Aland Islands
CC2: AX
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Albania
CC2: AL
Import by Mail: Yes
Local Script: Yes

Country: Algeria
CC2: DZ
Import by Mail: Maybe
Local Script: Maybe
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: American Samoa
CC2: AS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Andorra
CC2: AD
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Angola
CC2: AO
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Anguilla
CC2: AI
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Antarctica
CC2: AQ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Antigua and Barbuda
CC2: AG
Import by Mail: Yes
Local Script: Yes
Notes: Same as UK

Country: Argentina
CC2: AR
Import by Mail: Yes
Local Script: Maybe
Notes: Import is permitted provided it is for personal use. Prescription drugs should be no more than 3 months supply.

Country: Armenia
CC2: AM
Import by Mail: Yes
Local Script: Maybe
Notes: Prescription drugs should be no more than 3 months supply.

Country: Aruba
CC2: AW
Import by Mail: Yes
Local Script: Maybe
Notes: Import is permitted, prescription drugs should be no more than 3 months supply

Country: Australia
CC2: AU
Import by Mail: Yes
Local Script: Maybe
Notes: Under the Personal Importation Scheme, you may import a 3 month supply at one time (at the maximum dose recommended by the manufacturer) of unapproved therapeutic goods into Australia without any approval required by the TGA
Links: https://www.tga.gov.au/personal-importation-scheme
http://fixhepc.com/worldwide-import-regulations

Country: Austria
CC2: AT
Import by Mail: Yes
Local Script: Maybe

Country: Azerbaijan
CC2: AZ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Bahamas
CC2: BS
Import by Mail: Maybe
Local Script: Yes
Notes: Same as UK

Country: Bahrain
CC2: BH
Import by Mail: Yes
Local Script: Yes
Notes: Import is permitted, prescription drugs should be no more than 3 months? supply.

Country: Bangladesh
CC2: BD
Import by Mail: Yes
Local Script: Yes
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: Barbados
CC2: BB
Import by Mail: Yes
Local Script: Maybe
Notes: Import is permitted, prescription drugs should be no more than 3 months? supply.

Country: Belarus
CC2: BY
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Belgium
CC2: BE
Import by Mail: Yes
Local Script: Yes
Notes: Import is permitted, prescription drugs should be no more than 3 months supply.

Country: Belize
CC2: BZ
Import by Mail: Maybe
Local Script: Maybe
Notes: Same as UK

Country: Benin
CC2: BJ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Bermuda
CC2: BM
Import by Mail: Maybe
Local Script: Maybe
Notes: Same as UK

Country: Bhutan
CC2: BT
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Bolivia
CC2: BO
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Bosnia and Herzegovina
CC2: BA
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Botswana
CC2: BW
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice

Country: Bouvet Island
CC2: BV
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Brazil
CC2: BR
Import by Mail: Yes
Local Script: Yes
Notes: Individuals can import up to USD 3000 in medication through the mail system without paying taxes. Copy of doctor’s prescription and identity card showing CPF number must be included with the medication package

Links: http://thebrazilbusiness.com/article/importing-drugs-and-medicines-to-brazil
http://fixhepc.com/worldwide-import-regulations

Country: British Indian Ocean Territory
CC2: IO
Import by Mail: Yes
Local Script: Maybe
Notes: Same as UK

Country: British Virgin Islands
CC2: VG
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Brunei Darussalam
CC2: BN
Import by Mail: No
Local Script: Maybe
Notes: A license must be obtained from the Director of Medical Services for the importation of medicines

Country: Bulgaria
CC2: BG
Import by Mail: Yes
Local Script: Maybe

Country: Burkina Faso
CC2: BF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Burundi
CC2: BI
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Cambodia
CC2: KH
Import by Mail: Maybe
Local Script: Yes
Notes: Prescription drugs should be no more than 3 months? supply

Country: Cameroon
CC2: CM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Canada
CC2: CA
Import by Mail: Yes
Local Script: Maybe
Notes: Canadian citizens can only import drugs for personal use (outside of the emergency medical act) through registration as part of a clinical trial (e.g. FixHepC etrials).
Links: http://www.hc-sc.gc.ca/dhp-mps/compli-conform/import-export/gui-0084_biu-uif-eng.php#a6

Country: Cape Verde
CC2: CV
Import by Mail: Maybe
Local Script: Maybe
Notes: Subject to approval of the Ministry of Health

Country: Cayman Islands
CC2: KY
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Central African Republic
CC2: CF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Chad
CC2: TD
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Chile
CC2: CL
Import by Mail: Yes
Local Script: Maybe
Notes: Prescription medicaion no more than 3 months and Substantial Duties will be applied

Country: China
CC2: CN
Import by Mail: Yes
Local Script: Maybe
Notes: Import of up to 3 months worth of medication for personal use is exempt from official approval. If medication invoice is greater than 400 CNY, then duties are applied.

Country: Christmas Island
CC2: CX
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Cocos (Keeling) Islands
CC2: CC
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Colombia
CC2: CO
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply.

Country: Comoros
CC2: KM
Import by Mail: Maybe
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Congo (Brazzaville)
CC2: CG
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Congo (Kinshasa)
CC2: CD
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Cook Islands
CC2: CK
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Costa Rica
CC2: CR
Import by Mail: Yes
Local Script: Yes

Country: Cote d’Ivoire
CC2: CI
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Croatia
CC2: HR
Import by Mail: Yes
Local Script: Maybe

Country: Cuba
CC2: CU
Import by Mail: Yes
Local Script: Maybe

Country: Cyprus
CC2: CY
Import by Mail: Yes
Local Script: Maybe

Country: Czech Republic
CC2: CZ
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Denmark
CC2: DK
Import by Mail: Yes
Local Script: Yes
Notes: Hep C medicine 3 months supply for personal use (disease control), is permitted. Medicine should be in orginal packaging with receipt and ingredient list
Links: https://fixhepc.com/forum/buyers-club-nodes/1586-danmark-dansk-overvejer-du-selv-at-kobe-hepc-medicin.html#24475

Country: Djibouti
CC2: DJ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Dominica
CC2: DM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Dominican Republic
CC2: DO
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Ecuador
CC2: EC
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Egypt
CC2: EG
Import by Mail: Maybe
Local Script: Maybe
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: El Salvador
CC2: SV
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Equatorial Guinea
CC2: GQ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Eritrea
CC2: ER
Import by Mail: Maybe
Local Script: Yes
Notes: Import of medicine for personal use requires Health Ministry approval and prescription. No more than 3 months supply. Duties apply

Country: Estonia
CC2: EE
Import by Mail: Yes
Local Script: Maybe

Country: Ethiopia
CC2: ET
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Falkland Islands (Malvinas)
CC2: FK
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Faroe Islands
CC2: FO
Import by Mail: Yes
Local Script: Yes
Notes: Hep C medicine 3 months supply for personal use (disease control), is permitted. Medicine should be in orginal packaging with receipt and ingredient list
Links: https://fixhepc.com/forum/buyers-club-nodes/1586-danmark-dansk-overvejer-du-selv-at-kobe-hepc-medicin.html#24475

Country: Fiji
CC2: FJ
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Finland
CC2: FI
Import by Mail: Yes
Local Script: Maybe

Country: France
CC2: FR
Import by Mail: Yes
Local Script: Maybe

Country: French Guiana
CC2: GF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: French Polynesia
CC2: PF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: French Southern Territories
CC2: TF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Gabon
CC2: GA
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Gambia
CC2: GM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Georgia
CC2: GE
Import by Mail: Yes
Local Script: Maybe

Country: Germany
CC2: DE
Import by Mail: Yes
Local Script: Maybe

Country: Ghana
CC2: GH
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Gibraltar
CC2: GI
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Greece
CC2: GR
Import by Mail: Yes
Local Script: Yes
Notes: HepC medicine is for personal use (disease control), max 3 months, in orginal packaging with receipt and ingrediants

Country: Greenland
CC2: GL
Import by Mail: Yes
Local Script: Yes
Notes: Same as Denmark

Country: Grenada
CC2: GD
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Guadeloupe
CC2: GP
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Guam
CC2: GU
Import by Mail: Maybe
Local Script: Maybe
Notes: Same as USA

Country: Guatemala
CC2: GT
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Guernsey
CC2: GG
Import by Mail: Yes
Local Script: Maybe
Notes: Same as UK

Country: Guinea
CC2: GN
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Guinea-Bissau
CC2: GW
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Guyana
CC2: GY
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Haiti
CC2: HT
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply.

Country: Heard and Mcdonald Islands
CC2: HM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Holy See (Vatican City State)
CC2: VA
Import by Mail: Maybe
Local Script: Maybe
Notes: Refer to Italy

Country: Honduras
CC2: HN
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply

Country: Hong Kong, SAR China
CC2: HK
Import by Mail: Yes
Local Script: No
Notes: Local script and photo ID not required if medication shipped via EMS

Country: Hungary
CC2: HU
Import by Mail: Yes
Local Script: Maybe

Country: Iceland
CC2: IS
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: India
CC2: IN
Import by Mail: Maybe
Local Script: Maybe
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: Indonesia
CC2: ID
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. Duties apply if script is not local

Country: Iran, Islamic Republic of
CC2: IR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Iraq
CC2: IQ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Ireland
CC2: IE
Import by Mail: Yes
Local Script: Maybe

Country: Isle of Man
CC2: IM
Import by Mail: Yes
Local Script: No
Notes: Same as UK

Country: Israel
CC2: IL
Import by Mail: Yes
Local Script: Maybe
Notes: Import for personal use is OK provided recipient has prescription. no more than 3 months? supply. Substantial Duty may apply

Country: Italy
CC2: IT
Import by Mail: Yes
Local Script: Maybe

Country: Jamaica
CC2: JM
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Japan
CC2: JP
Import by Mail: Yes
Local Script: Maybe
Notes: Importation of medicine (personal use only) is acceptable for up to 1 month supply, greater than that and a Yakkan Shoumei (Medicine Import Certificate) is required.
Links: http://www.au.emb-japan.go.jp/itpr_en/visa_medicine_en.html

Country: Jersey
CC2: JE
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Jordan
CC2: JO
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Kazakhstan
CC2: KZ
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Kenya
CC2: KE
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Kiribati
CC2: KI
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Korea (North)
CC2: KP
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Korea (South)
CC2: KR
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Kosovo
CC2: XK
Import by Mail: Yes
Local Script: Yes
Notes: Delivery to Kosovo is available with a local doctor prescription. Custom duties may apply.

Country: Kuwait
CC2: KW
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Kyrgyzstan
CC2: KG
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Lao PDR
CC2: LA
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Latvia
CC2: LV
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers packaging.

Country: Lebanon
CC2: LB
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Lesotho
CC2: LS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Liberia
CC2: LR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Libya
CC2: LY
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Liechtenstein
CC2: LI
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Lithuania
CC2: LT
Import by Mail: Yes
Local Script: Maybe

Country: Luxembourg
CC2: LU
Import by Mail: Yes
Local Script: Maybe

Country: Macao, SAR China
CC2: MO
Import by Mail: Yes
Local Script: Maybe

Country: Macedonia, Republic of
CC2: MK
Import by Mail: No
Local Script: N/A

Country: Madagascar
CC2: MG
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Malawi
CC2: MW
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging and description of ingrediants

Country: Malaysia
CC2: MY
Import by Mail: No
Local Script:
Notes: Patients in Malaysia can have medications shipped to any address (including hotels) in Singapore. A doctor’s prescription is required. Please contact us for advice.

Country: Maldives
CC2: MV
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Mali
CC2: ML
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Malta
CC2: MT
Import by Mail: Yes
Local Script: Maybe

Country: Marshall Islands
CC2: MH
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Martinique
CC2: MQ
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Mauritania
CC2: MR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Mauritius
CC2: MU
Import by Mail: Maybe
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Mayotte
CC2: YT
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Mexico
CC2: MX
Import by Mail: Yes
Local Script: Maybe
Notes: Can be delivered but can take up to 3 months to get the medication released
Links: http://www.cancun-airport.com/customs.htm

Country: Micronesia, Federated States of
CC2: FM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Moldova
CC2: MD
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Monaco
CC2: MC
Import by Mail: Yes
Local Script: Maybe

Country: Mongolia
CC2: MN
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Montenegro
CC2: ME
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Montserrat
CC2: MS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Morocco
CC2: MA
Import by Mail: Maybe
Local Script: Maybe
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: Mozambique
CC2: MZ
Import by Mail: Maybe
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Myanmar
CC2: MM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Namibia
CC2: NA
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Nauru
CC2: NR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Nepal
CC2: NP
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Netherlands
CC2: NL
Import by Mail: Yes
Local Script: Maybe
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription and orginal packaging required.
Links: https://www.belastingdienst.nl/wps/wcm/connect/bldcontenten/belastingdienst/individuals/abroad_and_customs/restricted_prohibited_import_export/medicines1/medicines

Country: Netherlands Antilles
CC2: AN
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: New Caledonia
CC2: NC
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: New Zealand
CC2: NZ
Import by Mail: Yes
Local Script: Yes
Notes: Medsafe letter (prescription form) from a local physician must accompany all packages imported by mail. Please contact us for a blank copy of the Medsafe letter.
Links: http://www.medsafe.govt.nz/consumers/miet/importmedicines.asp
http://fixhepc.com/worldwide-import-regulations

Country: Nicaragua
CC2: NI
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Niger
CC2: NE
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Nigeria
CC2: NG
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Niue
CC2: NU
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Norfolk Island
CC2: NF
Import by Mail: Yes
Local Script: Maybe
Notes: As per Australia

Country: Northern Mariana Islands
CC2: MP
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Norway
CC2: NO
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Oman
CC2: OM
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Pakistan
CC2: PK
Import by Mail: Maybe
Local Script: Maybe
Notes: If you live here you do not require our services. Excellent local companies make generics. Please contact us for help if you run into any problems accessing treatment, or if you have specific requirements.

Country: Palau
CC2: PW
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Palestinian Territory
CC2: PS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Panama
CC2: PA
Import by Mail: Yes
Local Script: Yes
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription and orginal packaging required.

Country: Papua New Guinea
CC2: PG
Import by Mail: Yes
Local Script: Yes
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription and orginal packaging required.

Country: Paraguay
CC2: PY
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Peru
CC2: PE
Import by Mail: Yes
Local Script: Yes and endorsed by DIGEMID
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription and orginal packaging required.

Country: Philippines
CC2: PH
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Pitcairn
CC2: PN
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Poland
CC2: PL
Import by Mail: Yes
Local Script: Maybe
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription and orginal packaging required.
Links: http://www.finanse.mf.gov.pl/en/import-of-medicinal-products
http://www.migrant.info.pl/Importing_goods_from_outside_the_European_Union_into_Poland.html

Country: Portugal
CC2: PT
Import by Mail: Yes
Local Script: Maybe

Country: Puerto Rico
CC2: PR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Qatar
CC2: QA
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Reunion
CC2: RE
Import by Mail: Yes
Local Script: Yes
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months? supply. Prescription and orginal packaging Required

Country: Romania
CC2: RO
Import by Mail: Yes
Local Script: Yes
Notes: Import permits are not required for medicines intended for personal use and in quantities no more than 3 months supply. Prescription, orginal packaging, and medication invoice required.
Links: http://fixhepc.com/worldwide-import-regulations

Country: Russian Federation
CC2: RU
Import by Mail: Yes
Local Script: Yes
Notes: Medications should be accompanied by prescription.
Links: http://www.saint-petersburg.com/essentials/customs/
http://eng.customs.ru/index.php?option=com_content&view=article&id=1686&Itemid=1908

Country: Rwanda
CC2: RW
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Saint Helena
CC2: SH
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Saint Kitts and Nevis
CC2: KN
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Saint Lucia
CC2: LC
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Saint Pierre and Miquelon
CC2: PM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Saint Vincent and Grenadines
CC2: VC
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Saint-Barth?lemy
CC2: BL
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Saint-Martin (French part)
CC2: MF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Samoa
CC2: WS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: San Marino
CC2: SM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Sao Tome and Principe
CC2: ST
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Saudi Arabia
CC2: SA
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Senegal
CC2: SN
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Serbia
CC2: RS
Import by Mail: No
Local Script: Maybe
Notes: Private individuals cannot import medicines (drugs).
Links: https://www.ups.com/ga/CountryRegs?loc=en_US

Country: Seychelles
CC2: SC
Import by Mail: Yes
Local Script: Yes
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Sierra Leone
CC2: SL
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Singapore
CC2: SG
Import by Mail: Yes
Local Script: Yes

Country: Slovakia
CC2: SK
Import by Mail: Yes
Local Script: Maybe

Country: Slovenia
CC2: SI
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: Solomon Islands
CC2: SB
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Somalia
CC2: SO
Import by Mail: Maybe
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging

Country: South Africa
CC2: ZA
Import by Mail: No
Local Script: Maybe
Notes: Private individuals cannot import medicines (drugs).

Country: South Georgia and the South Sandwich Islands
CC2: GS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: South Sudan
CC2: SS
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Spain
CC2: ES
Import by Mail: Yes
Local Script: Maybe

Country: Sri Lanka
CC2: LK
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Sudan
CC2: SD
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Suriname
CC2: SR
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Svalbard and Jan Mayen Islands
CC2: SJ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Swaziland
CC2: SZ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Sweden
CC2: SE
Import by Mail: Yes
Local Script: Maybe

Country: Switzerland
CC2: CH
Import by Mail: Yes
Local Script: Yes
Notes: Swissmedic states that import of prescription medications (Hep C) is permitted, prescription from a Swiss doctor required.

Country: Syrian Arab Republic (Syria)
CC2: SY
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Taiwan, Republic of China
CC2: TW
Import by Mail: Yes
Local Script: Yes
Notes: Import of prescription medicines requires prior approval by the Taiwan FDA – Goods Import Consent Application.
Links: http://www.roc-taiwan.org/us_en/post/102.html

Country: Tajikistan
CC2: TJ
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Tanzania, United Republic of
CC2: TZ
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Thailand
CC2: TH
Import by Mail: No
Local Script: Maybe
Notes: Private individuals cannot import medicines (drugs).
Links: https://www.thaivisa.com/forum/topic/540214-importing-prescription-drugs-to-thailand/

Country: Timor-Leste
CC2: TL
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Togo
CC2: TG
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Tokelau
CC2: TK
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Tonga
CC2: TO
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Trinidad and Tobago
CC2: TT
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Tunisia
CC2: TN
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Turkey
CC2: TR
Import by Mail: Yes
Local Script: No

Country: Turkmenistan
CC2: TM
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Turks and Caicos Islands
CC2: TC
Import by Mail: Yes
Local Script: Maybe
Notes: Requires doctor’s prescription, must not exceed 3 month’s supply, personal use only.

Country: Tuvalu
CC2: TV
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Uganda
CC2: UG
Import by Mail: Yes
Local Script: Yes
Notes: Requires Health Ministry Approval as per
http://apps.who.int/medicinedocs/en/d/Js19727en/

Country: Ukraine
CC2: UA
Import by Mail: Yes
Local Script: No

Country: United Arab Emirates
CC2: AE
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: United Kingdom
CC2: GB
Import by Mail: Yes
Local Script: No
Notes: Import of medication for personal use is OK with prescription. No more than 3 months supply. In manufacturer’s packaging. VAT may be imposed and is payable by receiver.
Links: https://www.gov.uk/government/organisations/hm-revenue-customs
https://www.gov.uk/government/publications/controlled-drugs-list
http://fixhepc.com/worldwide-import-regulations

Country: United States of America
CC2: US
Import by Mail: Yes
Local Script: No
Notes: Import of medication for personal use is OK with prescription. No more than 3 months supply. In manufacturer’s packaging.
Links: https://www.fda.gov/ForIndustry/ImportProgram/ImportBasics/ucm432661.htm
http://fixhepc.com/worldwide-import-regulations

Subsidised Access: Patients unable to pay for generic medication should try all the alternative options listed here: https://www.hepmag.com/basics/hepatitis-c-basics/paying-hepatitis-c-treatment

Country: Uruguay
CC2: UY
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: US Minor Outlying Islands
CC2: UM
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Uzbekistan
CC2: UZ
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Vanuatu
CC2: VU
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Venezuela (Bolivarian Republic)
CC2: VE
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging.

Country: Viet Nam
CC2: VN
Import by Mail: No
Local Script: Maybe
Notes: Vietnam does not permit the import of drugs requested by a registered doctor on a named-patient basis except for hospital needs
Links: http://tilleke.com/sites/default/files/2013_Jan_Distribution_Promotion_Drugs_Vietnam.pdf

Country: Virgin Islands, US
CC2: VI
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Wallis and Futuna Islands
CC2: WF
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Western Sahara
CC2: EH
Import by Mail: Maybe
Local Script: Maybe
Notes: Please contact us for advice.

Country: Yemen
CC2: YE
Import by Mail: Maybe
Local Script: Yes
Notes: Requires Health Ministry Approval

Country: Zambia
CC2: ZM
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging with ingrediants listed in English.

Country: Zimbabwe
CC2: ZW
Import by Mail: Yes
Local Script: Maybe
Notes: Import of medicine for personal use is OK with prescription. No more than 3 months supply. In manufacturers Packaging with ingrediants listed in English.

Yes, we guarantee delivery or your money will be refunded.

You can read the delivery guarantee here.

You medications will be shipped within 24-48 hours of your payment being confirmed.

You will get a tracking ID at this time.

The first thing you will get is an acknowledgement of your order.

If you paid by credit card then you will receive a confirmation of payment and a transaction id.

If you paid by wire transfer this will take about 3-7 days to arrive, depending how long the transfer takes.

Within 24-48 hours you will receive a tracking ID that allows you to follow the progress of your medication being couriered to you.

It takes about 24 hours for shipments to turn up on the tracking systems used by the couriers.

If you received your tracking ID more than 24 hours ago, and your shipment is still not trackable, please contact us.

Generally speaking no special changes are required during treatment, however you should:

1. Check any medications you are taking on the interactions checker
2. Not take antacids with Harvoni® or Epclusa® generics

Absolutely. While the old treatments, using PEG-interferon and Ribavirin did make patients very unwell, most patients taking the new Direct Acting Antivirals feel better than they did prior to starting treatment, so, if you are working now, you should have no trouble continuing to work.

You should store your medication out of reach of children, in a cool dry place.

The consumer medication information for your medication will provide more details, typically stating things like < 30°C.

No, absolutely not. 78% of patients will be undetected by week 4, but if you stop taking the medications at this point then you will almost certainly relapse.

The weeks of treatment after being undetected are the time when the last stragglers are killed off and are critical to treatment success. That said, 75% of patients who are still detected at the end of treatment will still go on to SVR12 (but have obviously cut things very fine).

If you forget a tablet, and you are less than 18 hours late take it now.

If you forget a whole day simply continue as usual. Do not double up.

Plan a system to remember – an alarm on your phone is good, putting the medication with other medications is good.

Regular dosing maximises your chances of success, but most patients will forget at least one tablet during treatment so don’t panic. It’s not ideal, but does not cause problems for most people.

You should eat a normal varied diet.

On Daclatasvir you should not eat Grapefruit as it can cause the levels of the medication to rise due to its inhibition of CYP3A4. You should not take medications, food or supplements that inhibit CYP3A4.

As a general rule, provided you don’t eat the same thing every single day, you are unlikely to run into any issues.

If you are still detected at a point 4 weeks or more into treatment then your response is a little slow, or your virus is a little more resistant than usual.

While only 22% of patients are still detected at the 4-week point they go on to make up 44% of the failures. If this happens it might be worth considering extending treatment by 4 or more weeks, or adding a booster like Ribavirin.

Your body does not typically need supplements. A normal diet consisting of a variety of foods is sufficient.

While most supplements will be harmless, and will not interact with your medications, they have not been studied, so we recommend you do not take them during treatment.

If you insist, take them at the opposite end of the day to the time you take your medication.

Please use the drug interaction checker here to check anything you are taking, or plan to take will not interact with your treatment.

Yes, it is entirely normal to feel anxious while you wait to see if the treatment has succeeded.

Keep in mind that the odds are 20:1 in your favour that you will be cured.

Also remember that in the unlikely event your first treatment does not work, retreatment is entirely possible, and generally very successful.

When you finish your course of tablets, you enter a frustrating waiting period.

Although 99.5% of patients become undetected on treatment it is possible that there is still a small quantity of virus left.

When the tablets finish, if there is any virus left it will start to grow back as soon as the medication is out of your system (within about a week). This results in the return of your familiar Hep C symptoms.

Most patients will notice this within 4 weeks, and we can also see it in their blood results with a rise of the AST and ALT.

We have to wait a full 12 weeks to be sure that the virus is completely gone.

It is possible to test before the 12 week waiting period is up. Just testing liver function is cheaper than doing a viral load.

Patients who are still undetectable at 4 weeks after treatment have a 96% chance of being cured, at 12 weeks that is 99.7% and at 24 weeks it is 99.99%+.

With the virus gone, the levels of Hepatitis C antibody detectable in your blood will fall over time, however, the tests are very sensitive and you will remain detectable for years.

The Hep C PCR RNA test proves that there is no virus present and should be done at the same time as the antibody test in the context of that being done for work or visa related reasons. This shows you are cured and non-infectious.

When you finish taking the treatment the medications rapidly leave your system. Within a day there is only 1/2 as much left, in 2 days 1/4, 3 days 1/8, 4 days 1/16, 5 days 1/32, 6 days 1/64 and so on.

If there is no medication in your system, and the virus does not grow back there is only one reason – there is no virus to grow back. We call this SVR (Sustained Virological Response) but we really should call it CURE.

For most patients, that is it. You don’t have the virus. It’s gone. It’s over. You are non-infectious and although your Hep C antibody will still mark the fact that you did once have the infection, there is and will remain, no virus in your system.

If you had cirrhosis, we need to continue to monitor things. Please see the next question.