If you carry controlled substances, keep them in the container they were dispensed in and tell a customs officer they are for personal use. That is the written rule for travelers, and we found nothing in it that exempts Trusted Traveler Program members.
This article sticks to what FDA and the federal regulations say. Several popular claims about medication and Global Entry could not be confirmed from official sources, so we left them out and list them below.
Controlled substances: the written rules
21 CFR 1301.26 sets the conditions for travelers carrying Schedule II to V controlled substances across the border. If you are unsure whether your medication is scheduled, ask your pharmacist before you travel.
Keep the original container
The drug must stay in the container in which it was dispensed. Do not move pills into a weekly organizer for the trip.
What to tell the officer
You must declare to a customs officer that the substance is for personal use. You must also give the trade or chemical name and the schedule symbol, if the label shows them.
If the label does not show the name, you must give the name and address of the dispensing pharmacy or practitioner, plus the prescription number.
The 50 dosage unit limit
A US resident may bring in no more than 50 dosage units of controlled substances obtained abroad. The limit does not apply to substances lawfully obtained in the US under a prescription from a DEA registrant.
Residency is defined by your principal dwelling place, regardless of intent. If you live in the US and filled a prescription overseas, count the pills before you board.
Non-controlled prescription drugs
FDA says it is generally illegal for individuals to import drugs into the US for personal use. Foreign products often are not FDA-approved, and FDA cannot ensure the safety or effectiveness of medicine bought abroad or online.
There is a limited exception. FDA may take a more permissive approach to personal-use prescription drugs for a serious condition, and the usual quantity limit is about three months' supply. The criteria include:
- Effective treatment may not be available domestically.
- The product is not marketed to US residents.
- It does not pose an unreasonable risk.
- You affirm in writing that it is for personal use.
You must also give the name and address of a US-licensed doctor treating you, or evidence that the drug continues treatment begun abroad. This is FDA discretion, not a right.
For products under both DEA and FDA jurisdiction, the agencies coordinate on admissibility. For controlled substances, the DEA generally decides whether personal-use importation is allowed.
What Global Entry changes
The rules above are written for travelers, and we found no carve-out for program members in them. We could not retrieve a CBP page on declaring medication at a kiosk or in the app, so we will not describe those steps.
If you are carrying a controlled substance, tell the officer plainly. The CBP Global Entry page is the place to check program terms.
What we could not confirm
These claims circulate elsewhere, but we could not back them with an official source:
- Whether medication counts toward the $800 personal exemption, and how medication bought abroad is treated for duty.
- Whether a doctor's note is required or recommended for returning travelers. FDA mentions a doctor's letter only as a suggested supporting document for foreign nationals.
- Whether a medication problem can put Global Entry membership at risk.
For more on the program itself, see the Global Entry guide library.