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    Additionally, there are many more websites that claim to have some nexus to Canada – slap a maple leaf on a website – to dupe U. Like the other “Canadian online pharmacy” websites described above, these sites also do not source drugs that are approved by Health Canada. These sites have no real connection to Canada at all – do not work with a pharmacy or pharmacist licensed by a Canadian province and do not have physical presence in Canada. Indeed, Legit Script has approved a few that are solely targeting Canadian residents and that are operating legally under Canadian laws. Sometimes some of the drugs are, but never all of them. When a pharmacy is physically located in the United States, there is a built-in disincentive against supplying sub-standard drugs to U. residents: the risk of civil or criminal enforcement action. S., if they violate safety rules, the FDA, DEA, or a State Board of Pharmacy can exercise regulatory, even prosecutorial, authority over the pharmacy operators. That’s not just because of the laws prohibiting Americans from buying Health Canada-approved medicines; it’s because we have never seen a case where the website is shipping all or even most drugs from the Canadian pharmacy. government cannot effectively exercise cross- border jurisdiction to ensure that the drugs shipped into the U. Adding more resources, authorities, and penalties won’t change the fact that international criminals can evade U. law enforcement simply by operating off-shore in jurisdictions that don’t prioritize internet pharmacy crime and/or don’t cooperate with U. Simply put, the FDA and other regulatory boards, including Canadian ones, are rendered impotent to protect the public health as they cannot ensure the medicines supplied from online sellers are actually legitimate. Take, for example, the with smuggling $78 million worth of mislabeled, unapproved and counterfeit cancer drugs into the U. If a Canadian (or UK, or Indian, etc.) foreign national does the same, the FDA has no power to execute search warrants or arrest individuals in other countries absent extraordinary circumstances. In some cases, foreign jurisdictions cooperate with the U. on enforcement actions but many internet pharmacy criminals remain at large internationally. pharmacy knowingly swaps out FDA-approved medicine for toxic counterfeits and someone dies, the FDA can execute a search warrant, arrest the offender and protect the public health. Government can and does take action against illegal online pharmacy operators , our government’s power stops at our borders. can you buy viagra in morocco An online pharmacy, Internet pharmacy, or mail-order pharmacy is a pharmacy that operates over the Internet and sends the orders to customers through the mail or shipping companies. Online pharmacies might include: Conventional stationary pharmacies usually have controlled drug distribution systems from the manufacturer. Validation and good distribution practices are followed. Home delivery of pharmaceuticals can be a desirable convenience but sometimes there can be problems with uncontrolled distribution. The shipment of drugs through the mail and parcel post is sometimes a concern for temperature-sensitive pharmaceuticals. Uncontrolled shipping conditions can include high and low temperatures outside of the listed storage conditions for a drug. For example, the US FDA found the temperature in a mail box in the sun could reach 136 °F (58 °C) while the ambient air temperature was 101 °F (38 °C) Shipment by express mail and couriers reduces transit time and often involves delivery to the door, rather than a mail box.

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    If the current discussion about fake news has taught us anything, it’s that things on the internet are often not what they seem. law enforcement cannot and should not be asked to do the impossible job of ensuring the safety of foreign-sourced medicines and offshore online pharmacies – and the Canadian government says it cannot ensure claims about onlineCanadian” medicines are accurate. All too easy to create and disseminate globally, fake news has invaded our homes and eroded our trust in the internet as a source of legitimate information and products — and yet, every day, fake news stories succeed in duping countless readers. Such prescription drug importation policy could further expose patients — consumers who lack the resources and expertise to distinguish real pharmacies from their fake, but often quite convincing, counterparts — to the very real dangers of illegal online pharmacies. Further, approximately 3,400 of these sites will sell controlled substances such as Percocet or Vicodin directly to consumers, bypassing state prescription drug monitoring programs and exacerbating the already devastating prescription drug abuse epidemic. law, penalty or government resource can fully protect U. consumers from foreign actors who blatantly disregard U. laws and hide in jurisdictions that will not extradite criminals. Even if proposed laws required consumers to buy only from U. government-certified safe foreign online pharmacy sites, consumers could still do a web search for “safe Canadian medicines online” and be lured in by tens of thousands of legitimate-looking but non-certified sites. The same dynamic is also at work when it comes to medicines sold online, and policymakers in Congress should consider the fake news phenomenon when advocating that U. At any one time, there are more than 35,000 online pharmacy websites offering prescription medicines to U. consumers and 96 percent of these sites are illegal — they sell prescription drugs without requiring a prescription, operate without a pharmacy license, and/or dispense counterfeit, adulterated or unapproved medicine from foreign sources to U. Illicit fentanyl sold online is the most recent example of this deadly threat. consumer, it sounds good — cheap, safe Canadian medicine delivered discreetly to your door. Food and Drug Administration found 85 percent of drugs ordered from so-called Canadian internet pharmacies actually came from 27 other countries, and a number of the drugs were counterfeit. But the global scope and anonymity of the internet make it all too easy (and too profitable) for foreign online pharmacies to make false claims. Lists tracking certified safe online pharmacy sites have been around since 1999, yet have proven ineffective. (For more, read the Government Accountability Office discussion of fake Canadian pharmacy sites). Thousands of online pharmacies claim to be Canadian or to be selling Health Canada-approved medicines. But, as with fake news, many of these outlets are imposters. In fact, drug safety experts report that there are no Canadian online pharmacies consistently selling Health Canada-approved medicines to U. The FDA has said it cannot certify the safety of medicines from foreign countries, and the U. government is simply incapable of inspecting the nearly one million packages shipped to the U. When I was in Congress representing the border state of California, I felt comfortable supporting prescription drug importation legislation, as I believed my constituents would get real medicine from brick and mortar pharmacies in Canada or Mexico. But the importation legislation of today is not what it was years ago; the internet is a game-changer. We know from fake news that consumers implicitly trust what they find online, often to their detriment and — in the case of medicines — potentially to their death. Representative for California’s 45th congressional district, serving from 1998 to 2013. Given all of this, it would be reckless for Congress to send the message to U. consumers that they can get Health Canada-approved medicines safely online. government must learn the lessons of fake news and protect patients online – and avoid espousing policies that could put them further at risk. Currently, Mary is a principal at Faegre Baker Daniels Consulting and also serves as a policy adviser to the Alliance for Safe Online Pharmacies (ASOP Global), an international nonprofit organization dedicated combatting illegal online pharmacies and counterfeit medicines to ensure the safety of patients worldwide. It is becoming easier and easier for Canadians to purchase drugs online. A quick internet search will turn up hundreds, if not thousands, of websites selling drugs. It may seem convenient and cheap, but purchasing drugs online may expose the patient to serious health risks. While there are some legitimate outlets online, an overwhelming number are operating illegally and may sell inappropriate or dangerous drugs. In Canada, the licensing of pharmacies—whether they have a traditional “brick and mortar” storefront only or a storefront with an online business—is primarily the jurisdiction of NAPRA’s members, the provincial and territorial pharmacy regulatory authorities. Some websites will claim to be licensed by a Canadian regulatory authority when in fact they are not. There are two ways to verify the legitimacy of an online pharmacy outlet. Any Canadian pharmacy business or organization seeking to obtain a .pharmacy domain name can apply through the . As this new program grows and gains recognition by the public, it will become an increasingly valuable means of identifying safe and legitimate online pharmacies and information sources for the public.

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