CDA §6004(c) · VERIFIED CORRIDOR · 6 OTC CATEGORIES

Export OTC Medicines to Cuba – CDA §6004(c), 6 FDA Categories

CDA §6004(c) (22 U.S.C. §6004(c)) authorizes the export of OTC medicines and medical articles from the U.S. to Cuba. Medicines do not require an individual OFAC license or advance payment – unlike food under TSRA §7207. With 460+ medicines in critical shortage (EMCOMED 2024), AquiCargo connects FDA-certified exporters with private pharmacies, hospitals, and Cuban NGOs across 6 active categories.

CAT-03 · CDA §6004(c) · 460+ medicines in shortage · 6 subcategories

OTC Medicines for Cuba

Tylenol, Advil, Centrum, Pedialyte, Robitussin and Visine. Cuba reports 460+ medicines in critical shortage (2024). FDA-certified suppliers for hospitals, private pharmacies and NGOs.

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Analgesics

Tylenol 500mg 500ct, Advil, aspirin 81mg, naproxen, Bengay. Acetaminophen is the #1 medicine in shortage in Cuba.

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Vitamins & Supplements

Centrum 200ct, Vitamin C 1000mg, Poly-Vi-Sol drops, ferrous sulfate, D3. Pediatric hospitals and NGOs.

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First Aid

Gauze 4x4yd, alcohol 70% gallon, Band-Aid 280ct, Pedialyte, nitrile gloves. Critical hospital shortage.

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Cold, Flu & Respiratory

DayQuil/NyQuil, Robitussin DM, cetirizine 365ct, Afrin. No access to flu medicines in Cuba.

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Antacids & Digestive

Tums 96ct, omeprazole 1000ct institutional, MiraLax, Imodium, Culturelle. Omeprazole in critical shortage.

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Eye & Ear Health

Visine, Systane, Bausch+Lomb contact lens solution, Debrox ear drops. Zero B2B competition. Maximum SEO blue ocean.

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Cuba's Pharmaceutical Crisis – 2026

Cuba has 460+ medicines in critical shortage according to the latest EMCOMED report (December 2024). This pharmaceutical crisis affects both the state system and the private sector. OTC medicines – analgesics, vitamins, cold medicines, antacids – are the highest-demand items in the private channel, which imports them directly under CDA §6004(c) (22 U.S.C. §6004(c)).

The legal framework is the Cuban Democracy Act of 1992, §6004(c) (22 U.S.C. §6004(c)), which authorizes the export of medicines and medical devices from the U.S. to Cuba. Unlike TSRA §7207 (for food), CDA §6004(c) does not require advance payment – terms are contractual. A BIS case-by-case license is required (AGR License Exception does not apply) along with standard export documentation (commercial invoice, COA, Certificate of Origin, FDA registration). Use of Cuban state banks is not permitted.

AquiCargo verifies that each exporter holds an active FDA facility registration, Drug Supply Chain Security Act (DSCSA) compliance, a laboratory COA per batch, and that products have a minimum 18-month shelf life at time of shipment. The Deal Room manages all documentation per transaction.

The 6 OTC categories on AquiCargo cover the most-demanded HS codes: analgesics (HS 3004.90), vitamins and supplements (HS 2106.90, 2936.29), first aid (HS 3005.90, 4015.19), cold and flu (HS 3004.90), antacids (HS 3004.90) and eye health (HS 3004.20). All eligible without an OFAC license. 100% success-fee model.

Authorized Cuban Buyers

  • ALIMPORT – Primary institutional importer of medicines for Cuba's state health system. Quarterly contracts by category.
  • Private pharmaceutical MiPYMEs – 4,000+ independent pharmacies and private clinics importing directly since 2021 under MINCEX resolution.
  • Medical and humanitarian NGOs – Cuban Red Cross, MSF, Medicos del Mundo, and organizations with primary medical assistance programs.
  • Medical cooperatives and specialized clinics – Groups of private physicians operating autonomously who need their own supplies and medicines.

Ready to export OTC medicines to Cuba

AquiCargo connects FDA-certified OTC medicine exporters with verified Cuban buyers – private pharmacies, hospitals, and humanitarian NGOs.

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