Here's Where to Buy Miebo (Evotears) that Ships to the USA

What Is Miebo, And Why Is It So Hard to Find in the U.S.?

Miebo is the U.S. brand name for perfluorohexyloctane, a unique, water-free, preservative-free eye drop designed specifically for evaporative dry eye.

It works a bit differently from traditional lubricating drops (like Hydrasense drops). Instead of adding moisture, it creates a protective layer that slows tear evaporation and stabilizes the tear film.

Outside the U.S., the same medication is sold as:

So why is Miebo challenging to find stateside?

There are a few reasons behind that particular challenge:

As Miebo can be hard to find for a variety of reasons or even a challenging combination thereof, many people find themselves looking at international and online Canada pharmacy sites to get consistent access to the medications they need to thrive.

Which can lead people to wonder:

Is that even possible?

Can You Buy Miebo (or EvoTears) From Canada?

Yes, you can buy Miebo or its international equivalents through licensed Canadian pharmacies or international drugstores that ship directly to the United States.

These pharmacies dispense the same active ingredient (perfluorohexyloctane), sourced from regulated manufacturers that meet strict quality and safety standards.

If you see the medication listed as EvoTears, NovaTears, or Hycosan Shield, rest assured:

Is Perfluorohexyloctane Safe to Order Internationally?

The concept of “ordering medication online” can be a tough one for many people.

That’s understandable. It can be scary! There are lots of less-than-upstanding companies out there who are interested in scamming you out of your money and selling you fake medications.

We want to validate that concern. Your health isn’t something to take lightly!

However, there is good news. Valid, reputable, and certified online Canadian pharmacy sites can be a perfectly safe, easy, and affordable place to buy Miebo.

International versions of perfluorohexyloctane must still adhere to the regulatory standards of their home countries (e.g., Canada, Australia, the EU), and these jurisdictions have strict manufacturing and quality regulations for ophthalmic products.

The key factor is not the specific brand of the medication itself, but where you buy it.

As a general rule of thumb, it’s always a good idea to avoid:

Good signs to look for include an ironclad prescription requirement, internet signs of legitimacy like the Norton Shopping Guarantee, and positive customer reviews.

The best sign to look for, though, is CIPA certification. CIPA, or the Canadian International Pharmacy Association, has unflinchingly high standards for all of the pharmacy websites on its safe list.

If a pharmacy website you’re considering ordering Miebo through has CIPA certification, you can rest assured that you’re in the right place.

Shipping Miebo (Evotears) to the U.S.: What to Expect

If you’re buying medication from an online pharmacy internationally and shipping your meds to the United States for the first time, there’s probably a handful of questions that you need answered immediately.

These questions likely include:

When you order from a licensed Canadian pharmacy or international one, the process typically looks like this:

First, Upload Your Prescription.

For Miebo itself (the U.S. brand), you’re always going to need a prescription.

A certified, legitimate pharmacy website should always make the prescription upload process easy to find and easy to manage. (Just make sure you have an updated, valid prescription from your healthcare provider, first.)

Let the Pharmacist Review Your Prescription.

At your chosen online pharmacy, there should be a licensed pharmacist who will confirm correct dosing, product selection, and safety considerations before your order is processed.

This is one of several safety steps to help you feel confident that you’re getting the medication you need to thrive!

Make Sure You Understand the Shipping Timeline.

In most cases, your international shipment should be ready to ship relatively quickly, within a week or two, but that can depend on the country of shipping origin for your order, customs timeframes, and local carriers.

Again, your chosen online pharmacy should post very clear information and updates about any shipping timelines.

Realize Your Cost Savings!

Since international and online Canadian pharmacies, like NorthWestPharmacy.com, often have access to lower-priced medication and may not have the same high overhead costs associated with running a brick-and-mortar pharmacy, your bill for your medication could be surprisingly affordable.

But that’s not a specific price range, of course.

So what is?

How Much Does Miebo Cost?

…And is it cheaper when you buy it online?

In the United States, patients can expect to pay as much as $830.00 for a 3mL supply of Miebo.

Here, through NorthWestPharmacy.com, you can buy that same 3mL supply of brand Miebo for about $29.00, or savings of up to 96%.

No matter where you’re looking, before you click “complete purchase,” it’s a good idea to double- or even triple-check:

All of the above could impact the cost of your order.

Here, at NorthWestPharmacy.com, we prioritize listing our prices transparently on each product page, with no hidden fees.

Most medications include free or low-cost shipping, and pharmacists are available to answer questions about product equivalence and dosing before you commit to a purchase.

Here’s Exactly What to Expect After You Place Your Order

After you place an order with NorthWestPharmacy.com or another reliable, affordable, CIPA-certified online Canadian pharmacy and international meds website that ships Miebo direct to USA, you should keep an eye out for:

Generally, you’ll find that your Miebo/Evotears gets shipped in protective packaging and does not require refrigeration. Keep the bottle stored at room temperature once it arrives.

If you’re switching from another dry eye drop, it can be helpful to mark the date you begin using Miebo so you can track symptom improvement.

Many patients start noticing meaningful relief within 1-3 weeks, especially if meibomian gland dysfunction is the underlying cause.

Using Your Miebo (Evotears): A Buyer’s Guide

Once your bottle arrives, the next step is making sure you get the most out of your treatment.

Perfluorohexyloctane drops like Miebo (or Evotears) work differently from traditional lubricants, so proper technique and realistic expectations can make a meaningful difference in your results.

Here’s what we’d recommend.

How to Use Miebo for Best Results

Because Miebo is a water-free, preservative-free drop, it spreads quickly and forms a stabilizing layer over the tear film.

That means you may notice a slightly different sensation than with typical “wet” artificial tears.

The first time you use your Miebo, follow this simple process:

If your eyes feel briefly “coated,” especially in the first week, that’s expected.

As your tear film stabilizes through consistent use of your new treatment, that sensation should go away (or, at least, become much more comfortable and normal!)

How Often Should You Use Miebo?

Most patients are prescribed one drop of Miebo in each eye, twice a day.

That’s most people, though. Your ophthalmologist or healthcare provider may tailor your schedule based on symptom severity, lifestyle, or other underlying conditions.

As far as when to take Miebo is concerned, know this:

Consistency matters far (far!) more than timing.

Here’s a pro tip:

Try placing your Miebo drops near habits you already do daily (think: brushing your teeth, or making your coffee) to make incorporating your eye drops into your daily routine effortless.

Here’s When You Can Expect Symptom Relief

So. You’ve started taking your Miebo, you’re committed to a consistent routine, you’re looking at your watch.

When are you going to start feeling better?

It will, likely, depend on the intensity of your symptoms and your unique health goals.

That said, many patients report early improvements in dryness, burning, or “gritty” sensations within one to three weeks after starting to take the medication. Benefits may continue to build from there over the subsequent two to three months of medication use, especially if you have significant meibomian gland dysfunction.

If you’ve been taking Miebo for about a month of consistent use and it doesn’t seem like your symptoms are changing, check in with your eye care provider.

They may assess your meibomian glands, check for inflammation, or evaluate whether a combination approach is needed (e.g., warm compresses, lid hygiene, or in-office treatments).

FAQ: Ordering and Using Miebo (Evotears)

Have any further questions about what buying Miebo from an online Canadian pharmacy and international drugstore might be?

Here are your answers.

Can I switch between Miebo and EvoTears?

As long as your doctor approves and issues you a valid prescription, yes, you can switch between Miebo and EvoTears. They contain the same active ingredient and work the same way.

Do I need a doctor’s visit every time I refill?

Likely not! Most patients only need an annual exam unless symptoms worsen or your clinician advises closer monitoring.

Can I use Miebo with other dry eye drops?

Ask your doctor just to make sure there’s nothing unique to your situation that could disqualify you from using Miebo with other dry eye drops, of course, but, yes, usually, you can.

One caveat: Your other drops should be spaced at least 15 minutes apart to avoid diluting the medication.

Avoid mixing Miebo with ointments, too (e.g., moisturizers or other similar OTC treatments) close to the same application time, which may interfere with tear-film spreading.

Does Miebo interact with any medications?

Because it’s applied topically and is not absorbed systemically at meaningful levels, drug-drug interactions involving Miebo are rare.

Can I travel with Miebo?

Yes! Miebo does not require refrigeration. Just keep the bottle away from heat and direct sunlight, and make sure the cap is tightly closed whenever you’re not using it.

Buying Miebo (Evotears) Through a Canadian Pharmacy Website

Dry eye is not a minor inconvenience. It can affect driving, reading, screens, mood, and sleep. People with dry eye challenges need relief, fast…but if they’re prescribed Miebo and can’t find it locally or can’t afford U.S. pricing, they often assume they’re out of options.

You’re not.

Licensed online and international Canadian pharmacy websites make it possible to access Miebo or equivalent international brands with the same perfluorohexyloctane formula at a more sustainable cost, with clear safety and prescription safeguards.

If your doctor has recommended Miebo, you deserve a way to get it reliably and affordably. NorthWestPharmacy.com can help bridge that gap and provide long-term access to the medication your eyes respond to best.

Our team looks forward to supporting you and your health!