Properly Verified International Online Pharmacies Sell Genuine and Safe Medication
Last month, Roger Bate, a scholar at the American Enterprise Institute and head of the Safe Medicines Coalition, published the results of a study which tested and compared the quality of drugs purchased from online pharmacies in the U.S. and abroad, including pharmacies verified by third-parties and those not verified. The findings were clear: PharmacyChecker-approved international online pharmacies sell medications of comparable quality to U.S. online pharmacies verified by the National Association of Boards of Pharmacy (NABP) and LegitScript.
In fact, overall, the results were better for PharmacyChecker-verified pharmacies than for those verified by NABP and LegitScript. Results were dramatically worse for pharmacies with no third-party verification. The drug testing focused on generic versions of Lipitor (atorvastatin) and of generic Cipro (ciprofloxacin), which were ordered from the online pharmacies by the researchers. (more…)
Tagged with: Atorvastatin, CIPA, Cipro, Ciprofloxacin, LegitScript, Lipitor, NABP, Roger Bate, testing
LegitScript is again disseminating misinformation to discredit PharmacyChecker.com and its mission to help consumers safely access affordable medication, and we can bet that the very powerful pharmaceutical company interests LegitScript allies with are enjoying its efforts.
This week, LegitScipt’s John Horton blogged with apparent glee about charges by the U.S Attorney’s Office for Western Pennsylvania implicating several Canadian individuals and their company, Quantum Solutions, for allegedly exporting wholesale quantities of medications manufactured for foreign markets to U.S. pharmacists between 2007 and 2011.
Horton makes the mistake of saying that the case involved charges against an internet pharmacy certified by PharmacyChecker, but this is not the case. No online pharmacy is charged in the case, let alone any online pharmacy verified by PharmacyChecker.
Horton also states that the case involved the shipment of “bad” medicine, but there is nothing in the court documents indicating a problem with the quality of any of medications. Their labeling was apparently for the countries where they were being sold, which makes them “misbranded” if sold in the U.S. but not “bad” medicine. The drugs involved were expensive brand name drugs like Abilify, Zyprexa, and Plavix, costing hundreds of dollars per month in the U.S. but normally 80-90% lower in price outside the U.S. — which is likely what motivated the U.S. pharmacists to allegedly purchase the medication from abroad.
John Horton’s blog shows that in the world of online pharmacies, one party you can’t trust for reliable information is John Horton.
A very strange thing about the government’s filing in this case is an attachment listing website domains, a few of which are for international online pharmacies verified in our program. There is no claim of wrongdoing by any of these sites. The filing explains that these website addresses are property which the U.S. government seeks to have forfeited by the defendants in the event of a conviction, as the addresses may have been purchased with proceeds of the alleged offense. Certainly there are other assets owned by the defendants that our government could seek, so why focus on these uninvolved websites? It would seem that if these websites were taken by the government, the public would lose access to several safe, low-cost pharmacies.
Not surprisingly, John Horton misrepresents at least one of these pharmacies as being “the subject of today’s criminal charges” (more lies). Horton goes further by posting this list of websites to his blog in what we see as an attempt to smear the reputations of these uninvolved sites and part of his ongoing tactics to scare Americans away from safe and affordable medication and keep us hostage to inflated drug prices at home.
Tagged with: affordable prescriptions, brand name drugs, LegitScript
Americans Can’t Afford It.
Last week, an article was published by Jeremy Malcolm, senior global policy analyst for the Electronic Frontier Foundation, under the appropriate title, “How Big Pharma’s Shadow Regulation Censors the Internet.” Basically, Jeremy explains that due to drug company money and political influence in the United States, there are activities going on both in plain view and behind the scenes that are meant to curtail and even end access by Americans to lower cost medications being sold on the Internet.
I’ve been writing about this – albeit in less Internet policy, theoretical terms – for years and testified before and warned Congress in 2013 on this issue. About a month ago, I published an article on Circle ID, a source of news and opinion about Internet policy and governance, describing the actions of drug companies to dominate the Internet. My hope was to reach people just like Jeremy Malcolm at organizations like the Electronic Frontier Foundation (EFF). EFF is a non-governmental organization, founded in 1990 to defend civil liberties in the digital world. They champion “user privacy, free expression, and innovation through impact litigation, policy analysis, grassroots activism, and technology development.” Read about its awesome work and history here. (more…)
Tagged with: Alliance for Safe Online Pharmacies, Center for Safe Internet Pharmacies, Electronic Frontier Foundation, jeremy malcolm, LegitScript, NABP, shadow regulation, voluntary agreements
While PharmacyChecker.com is not taking sides in the presidential election, last Saturday, the Huffington Post published an op-ed by presidential candidate Bernie Sanders entitled “High Drug Prices Are Killing Americans” that we agree with. Senator Sanders believes that the U.S. government should make it easier for Americans to import lower cost medications from other countries. He writes: “Americans should be able to do this online or by mail, provided they have the proper prescription from a physician.” Polls show that most Americans feel the same way.
In contrast, John Horton, the founder of LegitScript.com, was busy this week trying to achieve the opposite – keeping the U.S. a captive drug market by scaring Americans away from safe and affordable international online pharmacies. Mr. Horton appeared to gleefully report that a safe international online pharmacy operated from Canada, TotalCareMart.com, was “ordered to be shut down” by the College of Pharmacy in Manitoba. As usual, however, Mr. Horton misrepresented the facts, skipping details that are important to consumers.
TotalCareMart.com, as it notes on its website, “is not itself a pharmacy, but a prescription referral service.” It refers orders to licensed pharmacies in Canada and other countries, and helps Americans fill their prescriptions at lower cost. We know this is true because PharmacyChecker verifies the licenses of the pharmacies TotalCareMart.com uses. So what’s the current fuss about?
According to an article in CBC News, the College of Pharmacists in Manitoba recently sent TotalCareMart.com a letter to discontinue its marketing efforts, accusing the website of “suggesting” that – in its print advertising in the U.S. – it is a Canadian pharmacy, rather than a prescription referral service, through which orders placed online are filled in Canadian and other pharmacies. If that’s the case, we would agree that any such advertising should be clearer. As noted above, on its website, TotalCareMart.com appears to accurately describe itself. Another complaint is that the website advertises certain popular brand name medications (Zetia, Benicar, and Lexapro) using their U.S. names, when, in Canada, these medications are sold under different names, which may violate Canadian prescription drug marketing laws – even though TotalCareMart.com does not market those products to Canadians. From the perspective of an American consumer this would not seem to be a concern.
The regulatory and legal issues at hand are technical and involve the definition of a “pharmacy,” marketing laws, and potentially conflicting legal jurisdictions. But the bottom line is that TotalCareMart.com is a safe international online pharmacy and the regulatory actions described above do not remotely show otherwise.
In addition to the spin on the CBC news story, Mr. Horton took the opportunity to continue his incessant campaign of trying to embarrass and disparage PharmacyChecker.com, so I will address his “concerns.”
LegitScript published a screenshot of PharmacyChecker’s seal profile for TotalCareMart.com. Due to an administrative glitch (about which we are embarrassed, but have corrected) the profile read “last verified’ in 11/21/2011, but rest assured that our last regularly scheduled verification was on 8/12/2015. The pharmacy in Canada which TotalCareMart.com uses, Westview Pharmacy, continues to be licensed by the Manitoba College of Pharmacists — the same regulator that sent the letter to TotalCareMart.com: you can check the license yourself [type in “Westview” and hit search].
Mr. Horton also criticizes our policy of not always publishing the names of the bricks-and-mortar pharmacies through which international online pharmacies fill orders. We do this for a very good reason, one that benefits consumers: Pharmaceutical companies have a history of cutting supplies to pharmacies outside the U.S. that sell their products at lower prices to Americans! We don’t want drug companies to stop consumers from getting prescribed medications at lower cost. What’s funny, however, is that LegitScript has made a big deal about “outing” the name of a pharmacy we kept confidential only to discover that it’s a licensed pharmacy in Canada. Thanks!
We agree that online pharmacies (and big multinational pharmaceutical companies) should be truthful and as transparent as possible about what they do and how they portray themselves. That’s why, for over 10 years, PharmacyChecker.com has required Canadian online pharmacies to disclose the countries in which they partner with local pharmacies and they must identify the specific pharmacies to us. We then verify the licenses of these pharmacies before an online pharmacy can be a member of our Verification Program. If you look at our site, you’ll notice we list the countries to which an online pharmacy refers orders. We’re not sure what Mr. Horton is talking about when he writes that we “concede” that “other verified dispensing pharmacies” used by TotalDrugMart.com are in “New Zealand, Turkey, Singapore, Canada, United Kingdom and New Zealand” – referring to the information PharmacyChecker.com publishes in TotalDrugMart.com’s Seal Profile. Thank you, Mr. Horton, for finally saying what you know: we don’t help online pharmacies pretend their “Canadian” but provide information to consumers so that they know what’s up. For newcomers to this issue: we have a blog post that will be very instructive: “So you Want to Buy Cheap Medicine From an Actual Canadian Pharmacy?”
Mr. Horton loves to highlight that a very small number of mostly U.S. online pharmacies, which were once approved in our program, were found or accused of selling controlled drugs without valid prescriptions. What he fails to mention is that most were not in our program at the time that they were charged and none has been in our program for years (since 2010). Yes, licensed pharmacies and pharmacists (and big pharmaceutical companies) break the rules sometimes, on and offline – and they need to pay the consequences commensurate with the harm they have done. But which pharmacy seems to have the worst track record of fueling the addiction epidemic? I believe that award goes to none other than LegitScript-approved Walgreens! Walgreens had to pay $80 million in 2013 to make charges go away that it illegally sold controlled drugs, including opiate-based medications into the black market. [This is not to disparage the thousands of good people and pharmacists who work for Walgreens but to show LegitScript’s hypocrisy.]
Prescription drug abuse is a serious problem and no laughing matter. The sad truth is that of the of 41,340 annual deadly drug overdoses, 22,810 were caused by legal, often highly addictive opiate-based, pharmaceuticals. It’s a serious epidemic, and while vigilance and enforcement are critical, according to the U.S. Drug Enforcement Agency, the Internet causes a tiny fraction of the problem. Our program excludes international online pharmacies that sell controlled drugs into the U.S. at all.
Seriously and sadly, if the FDA and/or Canadian regulators decide to, they can probably figure out a way to shut down the safest international online pharmacies. Of course, that may lead Americans seeking affordable medication into a minefield of rogue online pharmacies (over 30,000 according to LegitScript). Is that really what Mr. Horton wants? But, as I have written before, and shared with elected leaders, shutting down safe international online pharmacies is bad for public health.
Our 12 years of publishing online pharmacy verification and pricing information, and my advocacy, has made PharmacyChecker.com a prime target of Pharma-front groups and their lobbyists. They have misled journalists to believe all kinds of misinformation. They also point out that PharmacyChecker.com is a business not a non-profit group — and about that they are correct: We are proud to have started and to run a small American business that, unlike LegitScript, doesn’t rely on taxpayer’s money ($5.2 million) or mislead Americans. PharmacyChecker helps Americans find information about the most affordable and safe online pharmacy options. As Senator Sanders says, “High Drug Prices Are Killing Americans” and we’re glad to be part of the solution, not the problem.
Tagged with: LegitScript, manitoba college of pharmacists, totalcaremart
Stay safe while shopping for affordable medications online
Americans sometimes want to know if rogue online pharmacies, especially foreign ones, REALLY sell bad medication or if it’s just one big conspiracy by the evil pharmaceutical industry to scare Americans away from saving a lot of money. Well, as critical of big pharma’s efforts to scare consumers away from lower cost and safe medication as I have been, the answer is, REALLY, yes. The dangers of buying a fake or otherwise harmful medication online from a foreign or domestic source, or even a real medication when you are not under the supervision of your healthcare provider, are real and serious.
What we know better than most is that consumers, empowered with the right information, can pay a lot less for medication by shopping online, internationally, and also avoid rogue online pharmacies. The right online pharmacy can save a person’s life and their finances because it sells safe medication at much lower cost than a local pharmacy – but the wrong online pharmacy could kill you.
We’ve updated our website’s content about rogue online pharmacies to better inform consumers, healthcare providers, and regulators who want to avoid such sites and teach others how to do so as well. We do give a list of rogue online pharmacies but it is far from comprehensive. Other companies and organizations spend a lot of effort compiling lists and identifying rogue online pharmacy sites (with tens of thousands of websites, many defunct): PharmacyChecker.com is in the business of verifying and identifying the safest and most affordable online pharmacies, not listing the thousands of rogue ones.
As we explain in the updated section of our website, when looking to buy meds online, the best way to avoid a rogue online pharmacy is to stick with websites approved by PharmacyChecker.com and other noted certification and verification organizations, specifically the National Association of Boards of Pharmacies (NABP), LegitScript, and the Canadian International Pharmacy Association (CIPA). NABP’s VIPPS and LegitScript’s verification program validate safe and legal online pharmacies, but in a variety of ways wrongly conflate rogue sites with safe international online pharmacies, which can actually mislead consumers (see Rx Rights’ report on NABP and Techdirt’s description of LegitScript’s practices). That’s where the pharmaceutical industry conspiracy stuff comes in! CIPA’s online pharmacy standards are similar to, but not the same as, PharmacyChecker.com’s, and many of their members are also approved in our program – but we can’t vouch for those that are not. Regardless of the differences, all of us want to see consumers avoid dangerous drug-selling websites – often referred to as rogue online pharmacies – and some of us also want to maximize your online access to safe and affordable medication!
Photo Credit: © Peterhermesfurian | Dreamstime.com – Poison Pill Package Skull Photo
Tagged with: Big Pharma, CIPA, LegitScript, NABP, VIPPS