Canada, now experiencing a prescription drug shortage, isn't allowing prescriptions in high demand to be sent across the border.
Staff at Sanford Health is calling the ban a big barrier to getting cheaper prescription drugs.
Sanford said it was cautiously looking at the opportunity of importing drugs from Canada, but it has been waiting for more clarity on the importing process before buying.
Because those cheap drugs aren't yet available to people in North Dakota, Canada's new export ban won't make any drug prices higher.
Sanford staff also says drug shortages are a common problem for both the US and Canada. It says if the US was facing a shortage, it would make the same choice to ban exports.
"We are scrambling to find out what opportunities are real and what maybe needs some more time to get the guidance we need. One thing that we don't want to do is rush into something without guidance, only to realize that we have ot pull it back," said David Leedahl, director of the pharmacy with Sanford Health.
There is no timeline for lifting the Canadian ban, or for Sanford taking another look at buying imported prescription drugs.
For now, people can expect drug prices to remain the same.