A Chicago, IL resident is accused of illegally selling drugs online under the name Ark Pharm Inc.
A dozen packages were seized from China addressed to Ark Pharm in
2013-2014 which led to an investigation. From 2016-2017, Ark Pharm made
nearly 29,000 shipments of their products including the synthetic opiate
fentanyl, fentanyl precursors, and "bath salts" through their website
which has been seized. A multi-jurisdictional task force with the Drug
Enforcement Administration (DEA) raided the warehouse and charged the
president of the company with conspiracy to knowingly and intentionally
possess controlled substances with intent to distribute. Ark Pharm is
believed to have employed 15-20 people at their warehouse.
Law enforcement seized another online drug marketplace based in Mundelein, IL. 1717 CheMall Corp.’s
website sold fentanyl, oxycodone, hydrocodone and other opiates. The
owner, believed to be working alone, has been charged with one count of
knowingly distributing a controlled substance. DEA agents say they
successfully made multiple purchases from both companies, which are
registered with the state as “domestic corporations.” Neither have
federal licenses to handle narcotics and both used FedEx to ship their
products. Before completing purchases, the companies required signatures
on a disclaimer that said the available drugs were for “laboratory use
only.” This is a common disclaimer “used by internet drug traffickers on
the mistaken belief that it absolves them of criminal liability for
distributing controlled substances” one agent testified.
Following
a major case in 2007, a San Diego grand jury handed down a 313-count
indictment against 18 people, charging them with operating an illegal
online pharmacy that netted >$126 million over two years. The charges
included everyone from doctors and druggists to credit card processors
and affiliated advertisers.
While there are
legitimate U.S. pharmaceutical companies online that follow all the laws
and regulations, many are operating illegally. Such businesses fill
orders without prescriptions and pay doctors to skim a brief medical
questionnaire. The drugs they sell may be past their expiration date,
counterfeit, mislabeled, adulterated, or contaminated. They could also
be made using raw materials from unregistered laboratories locally or
abroad not subjected to FDA regulations. Legitimate pharmacies require: 1) a prescription from a licensed doctor by mail or fax 2) a detailed medical history 3) clearly state their payment, privacy, and shipping fees 4) use secure or encrypted website connections for transactions.
Part of the issue is how to differentiate legitimate online pharmacies versus the illegal ones you’ve highlighted here. Part of the challenge is pharmacy benefit managers (PBMs) are controlled by 3 dominate players (CVS Caremark, ESI, and OptumRx control >76% of the total pharmacy market), so they have put in place anti-competitive practices to keep competition out and push more prescriptions (ie $$$ Via a non transparent rebate system) through their own mail order delivery services or traditional brick and mortar pharmacies. It will be interesting to see how Amazon, following its acquisition of Pillpack, will attack this sector and try to cut out the PBMs (or partner?) and bring more affordable and convenient prescriptions to patients.
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