Warren B. Seiler III, MD
John Di Saia, MD
Beatriz H. Porras, MD
Shervin Naderi, MD, FACS
Edward Zimmerman MD
Paula Di Marco Young, BS RN
Seth A. Yellin, MD FACS
Dr. Kevin D. Light
Stephen Weber MD PhD
Brian K. Sidella
Sabine Zenker, MD
Daniel Kaufman MD
Brian Howard MD FACS
Mickey A. Couvertier
Lila Bratani MD
Alex Denes MD FACP
Medical Spa MD on Botox & Filler Injections + Botox vs Dysport + Info + Medical Spa RX + Resources Medical Spa RX: Botox sales through November.
Here's a chart showing the number of wholesale Botox, Dysport, Restylane, Juvederm and Sculptra orders through MedicalSpaRX.com since the site was launched. You'll see immediately that the number of individual orders per month is growing dramatically.
The numbers above show just how good physicians are finding Medical Spa RX's service and pricing. Almost everyone who's placed a 'test order' of a single vial of Botox as I've suggested before has come back within the next 30 days and placed additional orders, adding to a growing number of physicians who are using RX for the majority of their filler and Botox. (308 orders in November and 87% growth over October.)
I've received some email questions about Medical Spa RX and how it works. Here's some info.
Medical Spa RX is a Select Partner of Medical Spa MD. The RX site an exclusive portal made available exclusively for Medical Spa MD Members to harness the collective buying power of a community of more than 4,000 physicians worldwide.
This exclusive arrangement means that Medical Spa RX has access to a large community of Medspa MD Physician Members, and those same physicians have collective buying power that they don't have by themselves. This large community means that RX can price 100mu of Botox at wholesale prices, much lower than they normally sell it for.
And we've been extremely diligent in makeing sure that Medical Spa MD Members are being taken care of. As far as I'm aware we've never had a single complaint about Medical Spa RXs service or products.
I should note here that Medical Spa RX and Medical Spa MD are completely different entities. Medical Spa RX is a Select Partner who offers exclusive services to our Members. (Any technology provider or service company who can provide meaningfull value to our Members is welcome to apply.)
For those physician or medical spa Members who have not yet ordered your Botox through Medical Spa RX and are in a position to do so, I'd highly recommend giving them a chance by placing a small test order of whatever you use most, Botox, Restylane, Juvederm of Dysport. You can see clearly from the chart above that physicians are obviously ordering more and more.
We're ecstatic that Medical Spa RX is doing so well for our Members and hope that other technology and service providers will make their offerings available to our community. We're actively seeking additional parthers to help. If you're a reputable company who would like to apply to become a Select Partner, please contact us using this form. (You'll need to provide significant benefits to our Members.)
Note: Any post mentioning Botox on Medspa MD is a spam magnet. Spam will be ruthlessly deleted and the spammer reported and blocked.
Email This Article Share Article tagged Botox Canada, Botox Pharmacy, Discount Botox, Dysport, Import Botox, Juvederm, Medical Spa RX, Restylane, Sculptra, Wholesale Botox | 12-10-2009 
Reader Comments (29)
Jeff,
We've noticed that that Juvederm comes in a different variety than that here in the U.S. Can you please post the equivalent product to Juverderm Ultra and Juverderm Ultra Plus?
Also, the site states that the syringes come in .5 cc - which differs from the U.S. .8cc. (Is this a type-o on the site?)
We've ordered the Botox and are very happy with it. (I hope my competitors don't know about it :-))
@JBird,
Glad to hear you're happy with your orders. We're anxious to keep building partnerships with reputable companies and giving our community buying power. As to your questions about the Juvederm Ultra and Ultra Plus, I've forwarded your questions to Medical Spa RX. They know their stuff so I'll let them post a reply.
Hello JBird, we always love to hear from our customers.
To answer your questions: Those are the correct sizes posted on the site. The Juvederm Ultra 2 and Juvederm Ultra 3 come in .5ml sizes and the Juvederm Ultra 4 in .8ml.
As far as equivalency, this is the info that I have that can give the doctors an idea on what to expect to use the new products for. Unfortunately I do not have an exact comparison, but I believe that this should give the doctors a good idea of which can be comparable to the old Juvederm Ultra and Ultra Plus.
Juvederm® ULTRA 2
(2 x 0.55ml syringes, 30G needle)
A highly cross-linked formulation for the subtle correction of medium facial lines and skin depressions. Also enhances lip contour.
Juvederm® ULTRA 3
(2 x 0.55ml syringes, 27G needle)
A highly cross-linked formulation for more versatility in contouring and volumising medium to deep facial lines and skin depressions, such as nasolabial folds. Also enhances lip contour and volume.
Juvederm® ULTRA 4
(2 x 0.8ml syringes, 27G needle)
A highly cross-linked robust formulation for volumising and correction of deeper folds and wrinkles, including enhancing volume in the cheeks and chin. This formulation should not be injected into the glabella (frown lines) or into the areas under the eyes.
And as always Medical Spa MD Members can get wholesale Botox pricing and can use the Group Buy option.
I'll chime in here with JBird. We've also placed a first order for a single vial of Botox in the middle of October. Since then, we've placed a number of orders for Botox and one for Juvederm. We've been very happy with both the service, and more importantly, the product.
We're in a very competitive marketing and pricing Botox and fillers has been challenging. The price means that we're once again making a little profit on our Botox. I'll also cross my fingers that my competitors are in the dark about this. : )
Hi Jeff,
What I wrote in the other thread was never replied:
So I happily placed my first order 1 month ago, but I was later informed via e mail that it was cancelled, because Medical Spa Rx ship only within NORTH AMERICA!! SO NOT TO HONG KONG.
Oh well, I read:
"First, let me tell you that Medical Spa RX is a new pharmacy store front exclusively for Medical Spa MD Members from a major Canadian pharmacy that has been in business for many years and currently ships to physicians all over the world. "
ALL OVER THE WORLD ??
Ok, I sent in another order, using my family's address in Canada. No replies for 2 weeks, until I sent in an enquiry, and within few hours I got a reply via e mail that Medical Spa RX DOES NOT SHIP WITHIN CANADA !!!!
So this Medical Spa Rx ship to only America? Let me know how I can really make an order?? I need Latisse, Restylane and Subcut. Thank you!
dr stephen
Hello Dr. Stephen,
First let me state that we absolutely do ship and do business world wide. However, there are conditions that exist in parts of the world that can effect this.
Unfortunately, we were not able to locate you exact order. However we would like to bring to your attention several reasons why your order could have been rejected:
1) At the moment we do not ship to several countries that we can not guarantee delivery for. We do apologize for any inconvenience that this may cause some of our potential clients. However, we have made this decision for several reasons. Amongst these reasons in many situations are repeated attempts to previous clients that do not get delivered or other delivery issues. We do not ship to some countries as well because of traditionally high rates of fraud in those countries. We hope that you do understand that if you are not in a country we can verify your information for we will be even less likely to process your order.
2) If you originally placed an order from Hong Kong and then at a later date a seperate order to be shipped to Canada for you, your order will automatically be stopped. Firstly we only ship products to the country where you are licensed. If you ordered initially claiming to be a Hong Kong based medical professional and later tried again to send to another country your order will not be processed. These kinds of attempts are flagged as possible fraud. This is not saying you are trying any kind of fraud, however the practice of attempting from different addresses is frequently associated with fraudulent activity.
On a regular basis we have non licensed individuals attempting to order from us either posing as medical professionals or having goods shipped to them with fake phone numbers or addresses. Therefore we have implemented some standard procedures to lower the rate at which this order will get passed the initial processing stage. This includes not processing orders from countries that have high rates of fraud, and not processing orders for individuals who have attempted to order for a second time after having their initial order rejected with different contact information. As mentioned above, also we currently also are not shipping to several countries to where either we have have several failed attempts at delivering orders, or where we can not verify information.
We do apologize for any inconvenience this may cause, however we do hope that you understand our position. If you are located and licensed outside North America we suggest that you contact us prior to placing your order to find out if we can service you.
Warmly,
Medical Spa RX
This seems fishy to me. The very fact that a doc here mentioned that his order was confiscated by customs tells me this isn't legal. Worst case scenario, the DEA comes knocking at your door. Another scenario,US customs and or the FDA legally seizes your order after you've paid. Then you're SOL! I've worked too hard for my license and practice to take stupid chance on buying cut rate foreign Botox.
P.s. My attorney say ignorance of the law will be no defense to the DEA, FBI or state medicall board.
My thoughts exactly; they aren't owned by this site. Medical Spa Rx is a part of a large company with several other sites that have a couple of questionable policies. Agreed, if customs can confiscate my foreign Botox order, then buying it doesn’t pass the smell test.
To further this point, my attorney friend said that when he first read the Terms of Purchase on Medical Spa Rx it said all orders seized by US customs would be reimbursed. They have since taken that clause out of their policy statement.
I agree that if US customs can seize your order buying this Botox doesn't pass the smell test. In all sincerity I'd advise everyone to do as I did; write to your state medical examiners and federal regulatory agencies before giving them your license number and address. Then consult with an attorney versed in license protection and Internet drug sales law. I was told that this isn’t an FDA “grey area”.
MedspaRx,
I've been watching the threads here about buying Botox off of the net. Would someone from MedspaRx please clarify the situation by posting the FDA's position, the laws involved and who is liable in the event of a malpractice suit, issue with the FDA or defense expenses for any possible board action.
One other concern, someone else asked this question but it was never answered. - Can patients use the $50. Allergan rebate with your Botox?
Thank you very much.
Best Regards,
ENT Dallas TX
@ ENT Dallas,
You're not going to get someone in another country to detail laws in your own. (Nor would I trust it.)
While I'm not advocating that anyone do anything that they're not comfortable with, I made a decision to make take the plunge and test out both the product and the service. I'm extremely happy. But, if you're not comfortable making a purchase, don't. I'm happy to make three times more profit from every Botox treatment than I did 60 days ago.
I would like to know if all of this is legal, and if it follows FDA regulations regading Drug Importation. Thank you...
It's absolutely not legal and most know that. That's why they don't put the drug in a "Imported Drugs for Dr ---".
And that's why one here said he "recycles" his english Botox boxes so patients won't tell.
“Recent advertisements in U.S. newspapers and magazines claim that Congress has made the personal importation of drugs a legal practice. Other advertisements and certain Internet sites state that personal importation of up to a 90-day supply of prescription medications is legal.
----> Neither of these claims is true. <--- As we will discuss in more detail below, we are seeing an increasing number of Canadian pharmacies and U.S. intermediaries marketing prescription drug products directly to U.S. citizens, in violation of state pharmacy laws and the FD&C Act.” The current drug importation policy permits the exercise of enforcement discretion to allow entry of an unapproved prescription drug ----> only if the intended use is for a serious condition for. which effective treatment may not be available domestically <---
emphasis added source: http://www.hhs.gov/asl/testify/t020709.html
This bit about increasing sales by 87% in November alone and talk of three times more profit in 60 days set off alarm bells as to the obvious legal issue here. To get a definitive answer I sent links to three internet pharmacies (and a number of links to threads from this site) to Allergan, Inc, the FDA, DEA, State Board of Medical Examiners, National Association of Boards of Pharmacy, State Board of Pharmacy.
To looking, The physicians who ordered had to know the the FDA law. If it looks too good to be true...
I have a feeling a lot more of these unmarked packages coming from med spa Rx will be confiscated at the border.
I've enjoyed MedicalSpaMD for lasers discussion but I too thought it was odd when they let a Foreign Internet Pharmacy advertise. Not kosher. But I think Medical Spa MD isn't actually affiliated with this Internet drug exporter. It was mentioned that the Medical Spa Rx has multiple sites trying to sell drugs on the Internet. They just made up a name that sounds like this website in order to appear legal. Many apparently aren't comfortable with this and wish they'd hawk their wares elsewhere.
This quote is from their policy statement. It doesn’t sound REMOTELY like decent business policy nor does it sound legal per US law. Please take the time to read and be forewarned. This is the EXACT SAME foreign pharmacy that advertises here.
“As a licensed medical professional you acknowledge the critical importance of having medical products delivered to you in a timely manner and without interruption. To avoid any interruptions you authorize MD to place additional orders on your behalf based on your estimated consumption so that you may receive additional stock on hand for your future use. You acknowledge that any additional stock ordered on your behalf is owned by you and is payable within 180 days of the order being shipped to you or an location authorized by you. You authorize MD to ship your orders to you, or unless otherwise instructed to a third party storage and sorting facility. You understand that the third party storage facility will store your stock in your name and will ship this stock to you at your request. You further acknowledge that you may at any time return any unused stock being held at the third party storage facility to MD for a full refund of monies paid.
4.You authorize MD to establish an account with a third party storage and sorting facility so that you may receive product storage, shipping and ancillary administrative services from a third party storage and sorting facility.
5.You expressly authorize MD to choose the third party storage and sorting facility at its sole discretion on your behalf. A third party storage and sorting facility may perform tasks such as shipping, storage, and sorting of orders placed by you for products that are being stored there for you on your behalf.
6.You authorize the third party storage and sorting facility to inform MD of any and all shipment requests made by you for the sole purpose to authorize MD to initiate payment through your credit card. A shipment request is defined as any request made to the third party storage facility for the shipping of products to the clients designated shipping address. All products shipped by the third party storage facility is drawn from the clients own inventory held in storage with the third party storage facility.
7.In the situation you default on any payment due, you acknowledge and agree that MD retains the right to seize any inventory stored by you at the third party storage facility for recovery of funds owed.”
Strong arm policy statement. Maybe sending drugs I never ordered and storing them at a facility expressly choosen by the sole discretion of the Foreign Pharmacy works on 1 Yonge StreetSuite 1801 Toronto, Ontario, not in America.
Typical American huberis. Why is it that Americans think that the world revolves around them. I've been reading this site (presumably along with many other physicians who are not in the US) for the last two years and have learned a tremendous amount from this rather varied community. For that, thank you. But this amazing smugness baffles me. To treat every conversation as though it's only relevant to a select and chosen few is both arrogant and patronizing to the rest of us poor physicians who need to be taught how to operate and conduct ourselves by the U.S..
I'll make my own decisions and leave you to your current health care debate.
CanDoc,
No hubris or smugness was intended. I didn't mean to offend or remotly imply that the US leads the world in medicine. We don't and we haven't for at least the last 2 decades.
I was actually addressing the topic at hand-the discussion of the illegality of physicians *in the US* (governed by the US FDA, DEA and US state medical boards buying and importing drugs. It's not legal for *US physicians* to do this. I don't know the import and drug laws of other countries so I was speaking to the US physicians here as a warning.
It’s beyond me why American practitioners get their panties-in-a-knot over fellow MDs who purchase FDA approved products, that originate from the same manufacturer but are shipped from a non-US rep, at prices that are comparable to what the rest of the world is paying.
The USA one of the few countries that still support non-regulated pharmaceutical pricing. In today’s international market you (as a country) might want to reconsider/ballotting that law (?)..
Hello everyone, we're here to help so I though I'd take the time to address some of the issues raised above. I'll attempt to address a number of issues but to facilitate brevity I won't repeat the question here.
To address the charge that since we've changed a policy that it's a 'shady practice'.
First, policies are regularly changed in any business. I do not see anything shady in that. Anyone that has purchased from us knows that we are 100% dedicated to the satisfaction of our clients. We are not aware of any shipment that has not been delivered when ordered by a licensed medical professional anywhere in the world. (The mention we made about canceling an outgoing order to in our previous comment referenced preventing fraud in countries such as China that we have shipped to. We have occasionally had to stop a shipment when we are unsure of the actual recipient or to prevent fraud. This should be expected.)
About our products:
Absolutely all the products we sell are from the same manufacturers that are are sold in every country, including the USA. As an example, the Botox supplied through Medical Spa Rx is manufactured by Allergan, and Allergan manufactures all the Botox for their supply worldwide in only one facility in Westport, Ireland. Just look at any box of Botox, or the insert, including the product from your local Allergan rep.
About the 'legality' of ordering from us for a specific country:
We are a licensed and regulated pharmacy located in Canada and operating under Canadian law. We do business and ship world-wide. It is not our place to offer legal advice of any sort. We are not a legal firm or regulatory agency, nor are we offering legal advice. To be honest, we don't know what your particular circumstances are. We recommend that if you do not feel comfortable ordering through us that you either do not order or seek legal advice in your country of destination first. We only sell to legally licensed medical professionals and if you order from us your credentials are required. Period.
Medical Spa RX is in no way' shady'. We're clearly identified and have made this service available exclusively to Medical Spa MD members wherever they are to give individual physicians access to the buying power of the entire group. We're very proud of that. We're also very aware that as a Select Partner our reputation is tied exclusively to how well we service Medical Spa MD's Members and what they think of our service.
As a licensed and regulated pharmacy we require licensing information in the country of origin as we are required to do by our own licensing board in Canada. There are many unlicensed online pharmacies out there that are getting closed regularly, I agree, however we do not serve the general public, nor do we provide any products that might be controlled substances. We are a licensed pharmacy that serves medical professionals around the world.
If you've ordered from us and have a complaint, please contact us. We will do our utmost to make sure you're completely satisfied. If you're prevented from or not willing to order from us, don't. But please don't smear our reputation and ethics anonymously when you have had no interaction with us. It's unfair both to us, and to our customers.
I typically read here and don't like to post, but I decided to make an exception. I personally am in a different field so I don't buy from these guys, but even those policies are not very worrying sounding to me. You ever consider that your goods are in the hands of a third party where the goods are stored and sorted when anything is shipped to you from anyone anywhere that uses a shipping company? How about when you order large amounts of anything, do you think the guys you order from always have the stock in hand, or do they order it in just for your order? And if you have a regular that comes in every month to your business don't you order ahead for them in anticipation they are going to buy. Honestly, come on, read the fine print for any of the places you buy things, almost none of them would be to our liking. This seems pretty reasonable to me, but to each his own.
don't get it,
It's because it's AGAINST our US FDA law. The docs who bought these dirt cheap products, clandestinely imported in non-descript packages KNOW it's illegal. That's why when the FDA and other authorities that poster “looking for the definitive answer" will confiscate these drugs and when they are made aware they always shut these pharmacies down. MedicalspaRx is well aware of the US laws and sanctions we'll face if the authorities are tipped off.
Read that policy statementsomebody posted above. IF this is an above board pharmacy complying with the laws that govern US doctors WHY would they say they can FORCE you to pay for drugs not ordered?
READ IT! We didn't make it up. It's on two of their web sites. That is the EXACT same foreign pharmacy currently advertising on our site! Our "panties aren't in a knot" we simply like to comply with US law because we don't want the FDA or DEA or even our licensing boards calling us with questions. MedicalSpaRx IS taking down addresses with our state license numbers and DEA numbers.
Also note the comment from the lawyer posted above who noticed the change in policy since this pharmacy has been allowed to advertise here. They were saying they would reimburse for all product that is caught by US customs. But now that policy has been taken off the site.
I'm hoping the looking for answer poster above will post the replies the FDA, DEA, National Board of Pharm and Allergan send.
Well said CanDoc and NewMeDC,
It's typical of every person to extend their own situation into their world view but Americans have elevated this to an art form. (As displayed most eloquently above.) As I read all of the posts I can't see what all the finger-wagging's about truly. They are located in Canada. It's clear. If you don't want it, don't buy it. I for one like the general idea that I can have buying power.
Where American medicine was once something to aspire to, that time has past as we're regularly reminded. I understand that since this site is located in the States that many physicians might confuse that with ownership. I hope that that is not the case. I hope that this site will continue to provide services to physicians around the world who enjoy the free interchange of ideas in an atmosphere of civility.
@We get it: I am pretty sure they stated that they comply with Canadian laws because they are in Canada, not a US company. Also, are we 100% sure that this is illegal here. Did you get a few lawyers opinion to be so sure? Perhaps there's something we're missing or not looking at. Just look at the referenced material from Sincere in Seattle, it's over 7 years old.
I just read through those policies again and I still don't see where they are saying that they can charge you for product you didn't order. What I am understanding is that if they brought in product for you that you do not take, they can take it back/keep it.
Also you ever consider that these sites might be affiliates and not necessarily the same company, a common practice in internet sales.
They are asking for our license info, but isn't that a legitimate requirement for any licensed seller in almost any normal country to keep track of?
Some of the stuff is starting to sound a bit "out there" with some possibly disgruntled people on here looking for reasons to discourage everyone else. Not to mention the sudden jump in new poster names that seem to have come out of nowehere and look like some of them could be one and the same person answering from different names.
Personally I am not even going to read this thread any further. Sorry if I offended anyone in the process.
This is interesting to me as I know many American doctors who freely admit medicine in th US is FUBR.
The issue isn't the fact that the internet pharmacy is located in Canada or that this site is owned by someone in the US. Any doctor other than ones with US licenses are free to buy. It's only the AMERICANS who are regulated by the FDA and US laws. This doesn't affect the rest of us if our/your laws permit importation of drugs from the internet.
I did think it strange to see an advert for an internet pharmacy on Medical Spa MD. Whilst I'm not well versed on the precise UK laws for drug importation so I think it can be done if the drug isn't available in the UK. I will be most intrested to hear any reply "looking for the definative answer" gets pertaining to his emails to the FDA and such!
UKRhinoMD
Note: I've deleted a number of posts on this tread from the same IP address using different names (Not to mention the spam). I'm closing the comments on this thread until I can get to the bottom of that.
NewMeDC and don't get it sound like the pharmacy guy. They said already they know you comply with Canadian law. This problem is the laws for American doctors importing. That's what they are emailing their authorities to find out. I don't think they can be blamed for asking their federal drug agency and drug enforcement agency for written clarification on whether they are complying with their laws and regs.
I didn't see any person say you are in violation of your Canadian laws. Congrats on your 87% sales jump since you started adverts and posting on this site.
USA - American medicine was once something to aspire to. What happened?
A a point of clarity, ee would like to inform the readers that 'NewMeDC' and 'don't get it' who have posted here are in no way associated with Medical Spa RX as has been inferred. The opinions of anyone else in no way reflect Medical Spa Rx's point of view. Indeed it would be correct to seek clarification from a lawyer in your jurisdiction regarding your position if you can order from us.