How To Ship Medical Supplies Overseas: Helping the World

A woman preparing rubber gloves and face masks for shipping
Shipping medical supplies overseas is a difficult task. With the help of your guide, you’ll be able to perform this task with no problem.
By  Jacob Lee
Last Modified: November 14, 2022

Taking the time to understand how to ship medical supplies overseas is an important skill you’ll need. There are numerous government regulations you’ll need to follow, as well as taking the time to pack your shipment properly. Fortunately, these challenging tasks are easily overcome and you’ll be able to ship your medical supplies in no time. 

According to the Food and Drug Administration (FDA), you’ll need to perform the following tasks to ship medical supplies overseas:

  • Obtain an export certificate
  • Obtain medical export documents
  • Perform record keeping

Lastly, medical supplies need to be packed carefully using packing materials, cardboard boxes and in some cases, a pallet.

In our guide, we’ll show you how to ship medical supplies overseas safely and efficiently. 

How To Ship Medical Supplies Overseas With Ease

As a shipper, you’re allowed to ship medical supplies and equipment internationally. The United States exports medical supplies all over the world on a consistent basis. The data below shows an assortment of medical supplies that the U.S. exported in the past few years.

U.S. Exports Of Medical Supplies Between 2020-2021

Syringes, with or without needles$858 Million
Pacemakers$165.8 Million
Prescription Drugs$3.1 Billion
Vaccines$2.03 Billion

Provided by OEC World and World’s Top Exports 

Thanks to the U.S., people around the world can gain access to sensitive medical supplies that they need. To ensure that their goods get to another nation safely and quickly, many shippers turn to the services of a freight forwarder who organizes their shipments for them. 

Our article on freight forwarding logistics will be able to provide you with more information on a forwarder can help. 

Let USA Freight Forwarding Services be your parnter
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Let USA Freight Forwarding Services be your partner.
A man and a woman discussing how to ship medical supplies overseas

What Are the Regulations For Exporting Medical Supplies From the U.S.?

Despite how often medical supplies are shipped from the U.S., there are a few regulations that shippers are required to follow for them to send their goods off without incident. The regulations you’ll have to abide by are maintained and enforced by the FDA.

Medical supplies is a very broad term describing different types of products. Essentially, there are two types of medical supplies that the FDA regulates: 

  • Medical devices
  • Human drugs

The regulations that the FDA places on these medical supplies vary based on the supply itself. 

Export Certificates

Any shipper that wants to ship medical supplies from the U.S. will need to obtain an FDA export certificate. Certificates are often requested by foreign importers to indicate that goods are safe and in compliance with FDA regulations. 

If you’re shipping medical devices specifically, you’ll need to obtain an export certificate from the FDA’s Center for Devices and Radiological Health (CDRH). The CDRH provides four of the following export certificates:

  • Certificate to Foreign Government (CFG)
  • Certificate of Exportability Under Section 801 of the Federal Food, Drug & Cosmetic Act (FD&C Act)
  • Certificate of Exportability Under Section 802 of the FD&C Act
  • Non-Clinical Research Use Only (NCR)

You’ll be charged a $175 fee for the first certificate you obtain from the CDRH. For any subsequent certificates you obtain, you’ll have to pay a fee of $80. Another certificate associated with medical devices is called a Certificate for Device Not Exported from the U.S. (CDNE). 

This certificate will need to be obtained when you ship goods that were manufactured in another country. This may be the case if you’ve imported for re-export. 

To request this certificate, you’ll need to have achieved the following criteria:

  • Been inspected by the FDA within 3 years of the date you requested the certificate
  • Audited by a program recognized by the FDA or a program the FDA participates in
  • Results from the audit must have been provided to the FDA within 3 years of the date you requested the certificate. 

For human drugs like prescriptions, you’ll need to apply for a certificate from the FDA’s Center for Drug Evaluation and Research (CDER). Certificates for pharmaceutical goods are called Certificates of Pharmaceutical Products (CPPs). All CPPs provided by the CDER can be applied for and obtained online. 

Another document that you might need to provide when shipping drugs for human use is the Current Good Manufacturing Practice (CGMP). This document is only needed if the foreign regulator in the country shipping these supplies doesn’t accept a CPP. 

Medical Export Documents

While the FDA doesn’t require additional export documentation for human drug exports, you will need to provide additional export documentation for medical devices. 

The following is a list of export documents along with the medical devices that correspond with them:

  • Export Permit Letter Under Section 801
    • Class 3 devices
    • Banned devices
    • Unapproved devices that don’t have a Premarket Approval Application submitted for them
    • Devices that don’t meet the criteria of Section 802 of the FD&C Act for Certificate of Exportability
  • Export Permit Letter Under Section 802
    • Applicable for medical devices meant for investigational use in any Tier 1 country that’s listed in Section 802 of the FD&C Act
  • Simple Notification
    • Required ONLY for goods exported under Section 802

When filling out a Simple Notification, you’ll need to make sure you include some of the following information:

  • Trade name of the device
  • Type of device
  • The model number of the device
  • The country that will receive the device

Having these documents ready will ensure that your goods will be able to make it past U.S. customs and safely onto the mode of transport that will take it to another country.  

Record Keeping

Lastly, you’ll need to take care of all record-keeping requirements regarding your medical exports. When dealing with medical devices under Section 801, you’ll need to keep all the documents that demonstrate your shipment meets the criteria under the section. 

As for recordkeeping for goods under Section 802, you’ll need to keep records of devices that you shipped and to what countries they were sent. Record keeping for human drug exports are the same under Sections 801 and 802. 

A port that's heavily congested with various cargo containers

What Modes Of Transportation Can Move Medical Supplies Internationally?

Once you’ve figured out which regulations you’ll need to for your medical supplies, you can consider which mode of transportation you’ll use to ship them. There are numerous factors that you’ll need to consider when picking a mode of transportation for your medical items. 

These factors include things like: 

  • How many medical supplies you’re shipping
  • The country you’re shipping to
  • The urgency at which the receiver needs your medical supplies  

Based on the factors above, your preferred shipping mode will change. 

Ocean Shipping

Ocean shipping services are the most common service used when goods need to be moved internationally. Not only is this a reliable shipping service, but it’ll also allow you to send extremely large shipments of freight within a shipping container. Most types of medical supplies don’t take up too much space.

Whether you’re using an entire TEU or Less-Than-Container (LCL) shipping options, you’ll be able to ship a large number of goods. The only downside to ocean freight shipping is the amount of time it takes for freight to travel. Taking into consideration the disruption caused to the supply chain by COVID-19, there is a good chance your medical supply shipment will be delayed. 

International Air Shipping

Shipping medical equipment overseas by air is another option that you can take advantage of. Compared to ocean freight shipping, international air shipping is much faster. Depending on the shipping company you hire, your medical supplies can touch down in another country within one to ten business days. 

This is much faster than the 30 to 40 days or more averaged by ocean freight services. International air freight is an excellent choice if your buyer in  another country is in desperate need of medical supplies. The downside to this shipping option is that you won’t be able to send as much freight, and it will cost more.   

To learn more about this service, check out our article on air freight forwarders.

A woman keeping track of package barcodes on a label

How To Pack Medical Supplies Correctly

Although a freight forwarder can help organize your shipment, you’ll still have the responsibility of actually packing your medical supplies before they are shipped. Packing your goods is the most important step of shipping medical supplies. Medical devices and drugs for human consumption are often delicate and should be handled with care. 

The items you’ll need to use when packing and shipping medical supplies are:

  • Cardboard boxes
    • Regular cardboard box
    • Corrugated cardboard box
    • Foam-padded cardboard box
  • Packing tape
  • Packing materials
    • Bubble wrap
    • Cling film
    • Packing peanuts
    • Folded paper
    • Packing paper
  • Foam-padded cardboard cartons
  • Pallet (optional)

These materials will allow you to give your medical supplies the proper protection they need to survive while in transit. 

  1. Wrapping Medical Items

The packing process should start with you wrapping your medical supplies with packing material. Bubble wrap is the best packing material you can use when you wrap your medical instruments or human drug products. 

A good rule of thumb to go by is to wrap your medical supplies two to three times. You can keep the bubble wrap from becoming unwrapped by taping it closed with packing tape. Another option you can use when wrapping human drugs is to use a ziplock bag.  

  1. Boxing Medical Items

Once secured in packing material, you can focus on placing your medical supplies inside a box. Medical equipment can come in different dimension varieties, so you’ll need to obtain a cardboard box that will fit it. Very fragile medical equipment and small parts might require a special foam-padded cardboard box to hold them in. 

Human drugs are already contained in some types of packaging like pill containers such as:

  • Vials
  • Bottles
  • Sachet packaging

 When you place human drugs in a box, you have to make sure that they’ll stay secured in place rather than bouncing around. You can secure human drugs using a variety of packing materials, as well as with the use of a corrugated cardboard box.    

  1. Closing the Box

After your medical supplies are packed safely and securely within the box you’re shipping them in, you only need to close the box. This can be done using packing tape to seal all of the flaps. After completing this step, you only need to place the shipping label on the box. 

  1. Palletizing 

Palletizing your medical supplies after you’ve boxed them is one option you can explore. Both air and ocean shipments can accommodate palletized freight. A palletized load will keep your medical supplies secured together and provide a much sturdier base for your goods than shipping them as non-palletized freight. 

If you choose to palletize your shipment of medical supplies, follow the steps below:

  • Use a 48”x40”
  • Place heavier freight at the bottom of the pallet
  • Make sure boxes don’t overhang the pallet
  • Stack boxes in an interlocking pattern
  • Stack pallet up to 60 inches
  • Secure freight to the pallet using straps or plastic wrap
  • Place shipping labels on each side of the pallet

These steps that we’ve listed are only the general rules to follow when palletizing. That said, these steps for palletizing your medical shipments might slightly vary based on the requirements given to you by the buyer and carrier. While palletizing has its benefits, you might find it unnecessary if you’re not shipping extremely large quantities of medical supplies. 

Check out our article on the benefits of using a freight forwarder and how it can help you organize your goods after you’ve packed them. 

Let USA Freight Forwarding Services Show You How To Ship Medical Supplies Overseas

USA Freight Forwarding Services can organize your shipment of medical supplies using a mode of transport that suits your needs. We also provide in-depth industry knowledge on organizing exports and imports. 

We offer a variety of freight forwarding services aimed at helping you ship your goods with ease. No matter what type of freight you’re shipping, we can offer the following services:

Ocean freight shipping is a reliable way to move goods across the world, but international air will help you transport them faster if you’re operating within tight time constraints. Our consulting services will allow you to learn more about the freight forwarding process and you’ll learn your responsibilities as a shipper.

Contact us to get started today or call us at (866) 941-8081 to get more information on our services.

Let USA Freight Forwarding Services be your parnter
Planning to ship cargo?
Let USA Freight Forwarding Services be your partner.

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