Any item that is listed as Pharmacy grade is manufactured by a Pharmaceutical Grade company. Canadian Pharmacy Grade items are items that are manufactured by Canadian Pharmaceutical Grade Manufacturers. Any item that has its brand listed as "Canadian Pharmacy Grade" is an item that is made by a Canadian Pharmaceutical grade Manufacturer. Canada has multiple Pharmacutical Grade manufacturers, such as Actavis, Teva & Apotex. When you place an order for an item that has its brand listed as "Canadian Pharmacy Grade" then your item will be from one of Canada's Pharmacy Grade manufacturers. Our stock can vary from different manufacturers depending on availability and we CANNOT accept requests for one brand over another. But we guarantee that your product will be from a Canadian Pharmaceutical grade company. There is no difference in quality from one brand over another, as they are all Canadian Pharmaceutical grade manufacturers.