@jaybee00 I gave the link so that you will have an idea of the prices of various generics available in India. You can try contacting some exported through Indiamart. Here is the link https://dir.indiamart.com/search.mp...e+injection+20+mgml&src=as-kwd:kwd=glatiramer I think one or more of these distributors will be willing to export to US. I dont know how the US customs will handle this. Regarding the pricing you can talk to them through phone and get a quote. As @junkcrap50 said it has to be kept refrigerated at all times till you use it. Anyway I am scared of the severe allergy that it can cause like shortness of breath and chest pain, which some sites say are common side effects.