Florida wins first import approval (2024)
The FDA approved Florida's plan to import drugs for conditions like HIV and mental illness, supplied through state agencies. Florida projected up to $180 million in first-year savings.
Canada finalized rules within days to block exports that could worsen its shortages.
Two years on, Florida imported no drugs and needed a six-month extension in May 2026.
Florida is the direct precedent and cautionary tale. It shows that FDA approval is the start, not the finish.
