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    First there were organized bus trips across the border to fill prescriptions. However, federal officials have decided to exercise "enforcement discretion" in dealing with prescription drugs brought across the border, provided the drugs are not narcotics or other controlled substances. citizens have discovered that one way to beat the high cost of prescription drugs is to buy them from Canada, where the government controls drug prices. Under the Prescription Drug Marketing Act of 1987, it is illegal for anyone other than the original manufacturer to bring prescription drugs into the country. Now, licensed Internet pharmacies with names like Canada and Canada have sprung up across Canada to fill orders from American consumers. A 30 tablet supply of the drug Abilify costs $199.70 from an online Canadian drugstore, but $711.83 if ordered at Walgreens. (Note: these are 2013 prices.) But is it legal to buy medications from Canadian pharmacies? This means that as long as a person brings back no more than a three-month supply for personal use, border officials generally look the other way, Thomas Mc Ginnis, director of pharmacy affairs for the U. Food and Drug Administration (FDA), told the in March 2001. One 10 capsule dose of Tamiflu sells for $112.20 in the U. Patients generally may order refills in amounts up to a three-month supply without interference. Prescription drugs cannot be legally mailed into the United States by foreign "e-pharmacies." But here again officials are employing "enforcement discretion," preferring to use limited resources to crack down on large commercial drug supplies and narcotics, not prescription-drug shipments for personal consumption. Thus, customs officials allow the companies to mail up to 90-day supplies of medications. While it is relatively easy to buy prescription drugs from Canada over the Internet, it may be dangerous. According to the National Association of Boards of Pharmacy (NABP), which accredits online drugstores in addition to representing state pharmacy boards across the U. Men with erectile dysfunction (ED) can now buy Viagra online directly from Pfizer, the drug’s manufacturer. Pfizer has partnered with CVS/pharmacy to launch Viagra.com, which allows patients to purchase the drug online from a trusted source, said the company in a recent news release. By providing a safe and legitimate alternative for buying Viagra, Pfizer hopes to rein in the sale of counterfeit products from fake online pharmacies that prey on unsuspecting patients. In 2011, the company evaluated 22 websites appearing in the top search results for the phrase “buy Viagra” and conducted chemical analysis of the drugs advertised as Viagra. Pfizer found that 80% of the drugs were counterfeit and contained only 30% to 50% of sildenafil citrate, Viagra’s active ingredient. In addition to containing the wrong active ingredient or incorrect amounts of that ingredient, counterfeits are often “manufactured in filthy and deplorable conditions” and may include “potentially dangerous contaminants” said Matthew Bassiur, Vice President of Pfizer Global Security, in a news release. “Samples of counterfeit Viagra tested by our labs have contained pesticides, wallboard, commercial paint, and printer ink,” Bassiur continued. Fake online pharmacies and the products they sell are an escalating public health threat.

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