) released the Internet Drug Outlet Identification Program Progress Report for State and Federal Regulators: August 2017. The report discusses how rogue online pharmacies exploit the American perception that Canadian pharmacies provide safe medication at a lower cost. In a recent study, NABP reviewed more than 100 pharmacy websites that used “Canada” or “Canadian” in their name or URL, or posted a Canadian contact address, and found that 74% source drugs from countries outside of Canada. None of the 108 websites included in the study require a valid prescription, which can pose a serious health risk for patients. Half of the so-called “Canadian” websites source drugs from India or a combination of countries where counterfeit products are known to originate. Another 20% dispense drugs from unspecified foreign locations. Sourcing medications from countries without stringent regulation and oversight exposes patients to medications that are not approved by Food and Drug Administration or Health Canada. The most prevalent financial problem Americans face month in month out is the inability to afford their medicines. can cost up to twice as much as it does in other parts of the world, so many bargain hunters turn to the Web seeking discounted, name-brand prescription drugs from Canada or other countries. That’s according to a monthly national poll by Consumer Reports National Research Center. But recent analysis has found that buyers should beware: Only a fraction of online pharmacies are legitimate. Our medical consultants say that given such risks, ordering from foreign websites should be avoided altogether. More specifically, the NABP found: • 6,812 (nearly 85%) don’t require a valid prescription from the customer’s doctor • 3,687 offer foreign drugs or ones not approved by the FDA • 2,100 have a physical address outside of the U. • 2,878 have servers located in foreign countries The problem with websites selling medication from other countries is that there’s no way to ensure their safety or legitimacy. Of the more than 8,300 online pharmacies reviewed in July 2011 by the National Association of Boards of Pharmacy (NABP), which accredits online drugstores in addition to representing state pharmacy boards across the U. The FDA doesn’t have the authority to regulate foreign versions of medicine purchased by people over the Internet, so their ingredients might be unknown. Also, the drugs may not have been approved by the FDA (as in the case of generic versions of drugs not yet approved in the U. S.), or foreign regulatory agencies might not have approved the medication, either. 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