Various Colored Pills on Top of Medical Test Results

Reports & Studies

This page is a repository of reports, studies and other data about the threat posed to U.S. consumers by illegal online drug sellers and measures being taken to combat this problem as well as reports related to prevalance of prescription medicine abuse, addiction and the opioid crisis in the United States.

AP-NORC Study: Americans Recognize the Growing Problem of Opioid Addiction

More Americans see opioid addiction as a significant issue for their community today than in 2016, according to a recent survey by The Associated Press-NORC Center for Public Affairs Research. Forty-three percent of Americans say the use of prescription pain drugs is a serious problem in their community, up from 33 percent two years ago. Additionally, 37 percent see heroin as a serious concern locally, up from 32 percent in 2016. Read More

Ending the opioid crisis: A practical guide for state policymakers

National Center on Addiction and Substance Abuse

In October 2017, the National Center on Addiction and Substance Abuse (CASA) published a guide to support State-level policymakers in identifying mechanisms for preventing opioid addiction, reducing deaths from overdoses, and improving treatment programs. It also presented research and guidance on improving addiction care in the criminal justice system. The rise in opioid addiction and death in the U.S. cannot be overstated, and the lack of coordinated federal efforts leaves the burden on State and local governments and partners. This guide provides key recommendations on a public health approach to managing the opioid epidemic.

Read the complete guide from CASA.

Infographic & HHS Resources for Addressing the Prescription Drug & Heroin Overdose Epidemic

HHS logo

Opioids are natural or synthetic chemicals that bind to receptors in your brain or body. Common opioids include heroin and prescription drugs such as oxycodone, hydrocodone, and fentanyl.

The United States is in the midst of a prescription opioid overdose epidemic. On October 26, 2017, HHS Acting Secretary declared a public health emergency to address the national opioid crisis. Each day, according to the Centers for Disease Control and Prevention, 140 Americans die from drug overdoses, 91 specifically due to opioids. 52,404 Americans died from opioid overdoses in 2015, and preliminary numbers indicate at least 64,000 died in 2016.  Read More

IPR Center Reports

The IPR Center stands as a focal point in the U.S. government’s fight against counterfeiting and the flow of counterfeit goods into the commerce of the United States. The center employs a true task force model to optimize the roles and enforcement efforts of member agencies, while enhancing government-industry partnerships to support ongoing IPR enforcement initiatives. Read more about National IPR Coordination Center activities.

View the IPR Center Threat Report and Survey

Mapping Health Communication and Education Strategies Addressing Dangers of Illicit Online Pharmacies

Upward Trend

A review article in the February 2016 issue of the Journal of Health Communication: International Perspectives identified 13 organizations working in the area of consumer education on illicit online pharmacies; 9 of which were engaged in a health promotion activity. CSIP was included in the study  – with emphasis placed on its social media efforts to raise awareness of the importance of purchasing medications from safe online sources.

Read the article.

NABP: Buying Medicine Online

“These days, buying prescription drugs from the Internet is easy, but finding a safe source for those medicines is not. More and more people are turning to the Internet for cheaper drugs that are easy to get, but medicines purchased from these Web sites often come with the risk of harming you or your family. Rogue Web sites are all over the Internet selling drugs that are not what they appear to be. These sites may be selling drugs that are counterfeit, contaminated, or otherwise unsafe. …”

Read the Full Report

Reducing the U.S. Demand for Illegal Drugs

A bipartisan report entitled Reducing the U.S. Demand for Illegal Drugs (June 2012) outlines strategies for Congress and the Obama Administration to reduce the massive U.S. demand for illegal drugs.

Drug abuse in the United States poses a major public health challenge while also costing our country $193 billion a year in preventable health care, law enforcement and addiction expenses. In 2010, about 22.6 million Americans aged 12 and older were current illegal drug users. This is the largest proportion in the past decade of people aged 12 and older identified as current illegal drug users.

Read the Full Report

The Internet Pharmacy Market in 2016: Trends, Challenges and Opportunities

CSIP / LegitScript logos with computer screen with pills

Prepared by LegitScript.com for the Center for Safe Internet Pharmacies

This report was commissioned by the Center for Safe Internet Pharmacies (CSIP) in order to give CSIP members and other stakeholders an understanding of the current trends and challenges in the Internet pharmacy market. This report also illustrates the impact of zero-tolerance policies on illegal activity, and how companies, like CSIP’s members, are protecting consumer health and safety through their work to block unsafe sites, collaborate with law enforcement, and educate consumers. Read More

The State of Opioid Sales on the Dark Web

CSIP - LegitScript logo with computer

A report prepared by LegitScript.com for the Center for Safe Internet Pharmacies

In 2016, LegitScript prepared a report for CSIP on the state of the internet pharmacy market, including market trends, challenges, and opportunities. That report found that about 96 percent of websites marketing pharmaceuticals on the open internet — somewhere between 30,000 and 35,000 — failed to adhere to applicable legal requirements. Of those, the vast majority (all but about five percent) were blatantly illegal and unsafe, selling prescription drugs without requiring a prescription.

However, our report also found that the voluntary efforts of internet and payment platforms such as Google, PayPal, and Bing, among other companies, to curb the online promotion of illicit products have disrupted these illicit businesses’ operations, specifically by removing the options of paid advertising and the most common payment methods.

These successes may have pushed illicit drug dealers to the “dark web.” This portion of the internet, which requires specialized software or configurations to access, is built for anonymity and privacy, and as such is the perfect haven for sellers of illicit products.

In response to that increasingly important question, this report provides an overview of the dark web, describes how it is used for illicit drug sales, and identifies key vulnerabilities.

View the report.