Issues with Canagliflozin import?

Yes… Typically around $600 per month in the USA, vs. $60 from India

Has anyone ordered through Pramukh Medical? Or Aspar Impex?

I’d add if the price is still an issue and one is already set on SGLT2i (which is not really equivalent) - perhaps a dapagliflozin price crash may soon be worth looking at.

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what would be the cause of it?

dapagliflozin is way cheaper at the Indian pharmacies