1. What Do U.S. Residents Get When They Search for a “Canadian Online Pharmacy”?
U.S. residents will find hundreds of websites that initially, but incorrectly, appear to sell them drugs supplied by licensed pharmacies located in Canada. But in fact:
- The Canadian pharmacy owns and operates, or receives a commission from the owner and operators of, the online pharmacy website. It may display a genuine Canadian pharmacy license, leading U.S. residents to believe that the Canadian pharmacy is the source of the medicines.
- But often, the drugs are actually sourced from shippers (often not licensed as a pharmacy anywhere) outside of Canada, typically in India, Turkey, Southeast Asia or elsewhere. These foreign sources simply put the Canadian pharmacy’s brand on the label to make U.S. consumers believe they are from Canada.
- Or, the drugs are shipped from such places as India, Turkey, or Southeast Asia to a midway point where a licensed pharmacy in the UK or a similar country perceived as “safe” by U.S. residents will slap a label on the on the drugs.
- None of this is legal, and the online pharmacy websites lack legally required licenses and drug safety regulatory approvals.
- In short, the drugs U.S. residents get from a site that claims to be a Canadian online pharmacy are not Health Canada-approved and are not the same quality drugs that a Canadian resident would receive either from the same Canadian online or brick and mortar pharmacy.
Additionally, there are many more websites that claim to have some nexus to Canada – slap a maple leaf on a website – to dupe U.S. consumers. 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. Like the other “Canadian online pharmacy” websites described above, these sites also do not source drugs that are approved by Health Canada.
2. Are There ANY Legitimate Canadian Online Pharmacies that Supply Medicines to Canadians?
Yes. There are legitimate Canadian online pharmacies. Indeed, LegitScript has approved a few that are solely targeting Canadian residents and that are operating legally under Canadian laws. (Of note, these pharmacies do not ship to U.S. residents in response to internet-based orders.) But from the perspective of a U.S. resident there are no legitimate Canadian online pharmacies. 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. Sometimes some of the drugs are, but never all of them.
This is the risk to U.S. residents: while the website might be safe if you’re in Canada, it does not consistently sell Americans the same safe, Health Canada approved medicines.
3. Why Can’t Congress Just Make It Legal for U.S. Residents to Buy From Only Websites Supplying from Actual Canadian Pharmacies?
It’s fundamentally a problem of jurisdiction. When a pharmacy is physically located in the United States, there is a built-in disincentive against supplying sub-standard drugs to U.S. residents: the risk of civil or criminal enforcement action. For pharmacies in the U.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. When a pharmacy is based in Canada, the U.S. government cannot effectively exercise cross- border jurisdiction to ensure that the drugs shipped into the U.S. really come from the actual Canadian pharmacy.
Put bluntly, if a U.S. 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. 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. 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.
4. Can the U.S. Increase FDA/DOJ Enforcement Authority and Penalties for Illegal Actors?
Canadian Pharmacy World supplies a range of prescription and over-the-counter Canadian drugs. Whether you are looking for brand name or generic, we can help you find a product to suit your needs. We find the best deals on trusted brands from a range of suppliers, and pass our savings on to you. From generic Viagra to birth control pills and more, you’ll see that Canadian Pharmacy World is the right choice for your pocketbook. While the U.S. Government can and does take action against illegal online pharmacy operators in the U.S., our government’s power stops at our borders. In some cases, foreign jurisdictions cooperate with the U.S. on enforcement actions but many internet pharmacy criminals remain at large internationally.
Take, for example, the Canadadrugs.com case of 2015. In this case, the U.S. DOJ charged fourteen companies and individuals associated with canadadrugs.com with smuggling $78 million worth of mislabeled, unapproved and counterfeit cancer drugs into the U.S. to sell to doctors. Of the fourteen defendants, only one was U.S.-based. He appeared in court, entered into a deferred prosecution agreement, and the charges were dropped. U.S. officials sought assistance through extradition treaties to detain the other thirteen defendants in their various foreign locations. The defendants remain at-large.
5. What Are the Risks to U.S. Residents Who Buy From a “Canadian” Online Pharmacy?
- Patients who buy medications online from unapproved foreign sources online do not know where the drugs are coming from or if they are safe or effective.
- Medicines sold online come from places where there isn’t even safe drinking water.
- A “bait and switch” is used by some licensed Canadian online pharmacies, substituting ineffective non-Canadian drugs when the buyer is a U.S.
- Medicines sold on these sites may have changed hands many times along the way, creating multiple opportunities for falsified and substandard drugs to enter the supply chain and be shipped to the patients.
- There is no way for a consumer to know the conditions under which the medicines were manufactured, stored, and transported, creating opportunities for the product to become degraded, ineffective or unsafe.
- The products may contain either too much, too little or no active pharmaceutical ingredients, or have the wrong dosage. Medical devices may be faulty or even hazardous.
- The drugs may come from manufacturers in third-world countries that are not approved for use by Health Canada or U.S. FDA for use in Canada or the United States.
- There isn’t a website around that can help you order your medications as quickly and securely as Canadian Pharmacy World. Our website is easy to navigate: choose your product, log in, and enter your prescription to complete the order. Your medications will be promptly delivered to your door. Rest assured we adhere to the highest security standards for protecting your personal information. Check your browser bar for ‘https’ to verify the security of your login and online shopping.
6. What Do Regulators Think About the Risks?
- U.S. FDA, Dr. Robert Califf recently stated: “FDA evaluation of non-FDA-approved imported drugs revealed that while nearly half of imported drugs claimed to be Canadian or from Canadian pharmacies, 85 percent of such drugs were actually from different countries.
- Canadian Pharmacy World is a licensed pharmacy and member of CIPA (Canadian International Pharmacy Association), showing our commitment to upholding regulatory requirements and maintaining high quality standards. We are also verified by PharmacyChecker, a trusted independent company that reviews providers of online pharmaceuticals.
7. What Has Law Enforcement Done?
- CanadaDrugs, approved by both CIPA and PharmacyChecker, and its partners and affiliates were involved in selling counterfeit cancer medicine to U.S. patients via the company’s wholesaler business, as detailed in the indictment available HERE.
- In the case of Andrew Strempler and Mediplan Health Consulting/RxNorth a Canadian online pharmacy owner was indicted in U.S. Federal court for selling counterfeit drugs to U.S. citizens.
8. How Can So Many “Canadian” Online Pharmacies Be Fake?
The anonymous nature of the internet makes it easy for criminals to falsely claim to be:
- Located in Canada and affiliated with a licensed Canadian pharmacy, but actually supplying drugs from a foreign jurisdiction outside of Canada;
- A licensed pharmacy with licensed doctors and pharmacists on staff, but actually operating without professional licenses, as required by law;
- The personable customer service agents at Canadian Pharmacy World are happy to answer questions at any stage of the ordering process, making sure you feel 100% comfortable with your purchase. From Monday to Friday, 5:30 am to 6:00 pm (Pacific Standard Time), Saturday and Sunday, 7:00 am to 3:30 pm, feel free to call our convenient toll-free number: 1-866-485-7979.
- Approved but actually using fake certification organizations and/or using forged seals of approval. (Unfortunately, the pharmacy licensing boards do not have the resources or the legal pathways to prosecute or require the illegal Canadian online pharmacy sites to be removed from the internet. Many of the Canadian online pharmacy websites are blocked within Canada and cannot be viewed by the authorities in Canada, or “geo-target” content, displaying only legitimate content when accessed from a Canadian IP )