I am a retired clinical pharmacist. I have bought drugs from Canada with a valid prescription from my doctor here in the USA for years. My insurance would not cover Cialis. I saved thousands of dollars. It is now generic in the USA, thus I no longer do this. There are many other drugs that are in extreme price ranges that can be purchased from Canada at a great saving. These are drugs that are used chronically for health.
I have no problem with drugs from Canada, if purchased from a legitimate licensed pharmacy in Canada.
Any pharmacy from any country that does not require a prescription for a prescription only drug is not legitimate. Do not use them. You do not know what you are getting. I myself used "Northwest Pharmacy" out of Vancouver. They are very legitimate and ethical. However, there are many others in Canada of equal ethics. Avoid any pharmacy online that deals in scheduled drugs, i.e. narcotics. Without exception they are bad people.
Eliquis here is $1400 for a 2 month supply, I buy mine online from Canada $122
Just because the U.S. requires a prescription for a drug doesn't mean that everywhere else does, and that doesn't make it "not legitimate". I travel for a living and many drugs that are overcontrolled in the U.S. are available over the counter in other countries. For example I was running low of lisinopril in Dubai. I walked into the pharmacy and asked them for it, they turned around and grabbed a box off the shelf then rang me up. No BS of "where's your prescription" or "I've got to talk to your doctor". Many drugs that should be OTC are prescription because the medical establishment makes more money of people that way. Having to trot into a doctor to get a refill of something like lisinopril requires an expensive doctor's visit. The justification for it is always pitched under the guise of patient safety, after all who could be against safety? The reality is it's just a money grab by a bloated health care system that's sucking us dry.
Like you, I have purchased Rx meds through a CIPA Canada pharmacy for more than 12 years. Have saved thousands of dollars. Very pleased with the quality and prices for meds. The pharmacy steadfastly adheres to valid prescriptions and filling no more than 90 days per refill.
The former president of the Maine Board of Pharmacy,who also teaches classes in pharmacy and law, spoke very eloquently about the drugs that are going thru Canada from other countries. Canarx was importing those from other countries but using Canada as a conduit.