Is it Legal to Buy Prescription Drugs Online?

legal online pharmacies

The short answer is it depends.  Forms and message boards might tell you “buying drugs online is easy but illegal” and that simply is not true.  It is legal to buy prescription drugs online depending on what medication, how it’s distributed, your state law, etc.   Let’s take a look at some common questions that customer have about the legality of buying pharmaceuticals online.

Is it legal to buy prescription drugs online without a prescription? 
No. The only medications that you do not need an existing prescription for is herbal supplements or over the counter medication.   To avoid dangerous “self-diagnosis” situations, most online pharmacies specialize in repeat prescriptions online.

Can I get a prescription online?
Possibly, if you have been prescribed this medication before. You can only get refill or repeat prescriptions online if you have been prescribed this medication in person by your doctor at least once before.   If you are in need of a repeat prescription, you can get a prescription online from online pharmacies in the USA that has a contracts with a US licensed doctor.   You will need to fill out a medical questionnaire that the doctor will review and decide if they are willing to write you a repeat prescription.   If the doctor approves it, then your online pharmacy will fill and mail your prescription to you.

Is it legal to buy federal controlled substances online?
Yes, in theory. However, most safe online pharmacies will shy away from selling federal controlled substances and narcotics because it is very difficult to make sure that all US rules and regulations for distribution are met properly. This includes prescription drugs like Vicodin,  Xanax, Hydrocodone, Valium, Klonopim, Ambien, Phentermine and other highly abused substances. There are only a handful of legal operations that will sell these on line pharmaceuticals and A LOT of fake operations that are trying to scam you. My advice is don’t risk it, get federal controlled substances prescriptions filled at your local pharmacy.

Is it legal buy pharmaceuticals online from on line Canadian pharmacies?
Yes, for now. But there are limitations; you can have a three month supply at any time and the type of medications you can get is restricted so it’s very important that you fully research what you are buying and from where before your order from any on line Canadian pharmacies.   Legal issues aside, its can also be very dangerous to order from online overseas pharmacies. Read my blog post here about the dangers of ordering from an offshore pharmacy.

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Are generics really the same as brand name medications?

Most generics work the same as brand name medications and can be a more cost-effective than brand name medications.  Although generics can be a great alternative to costly brand name medications, there are a few things to research before making any purchases. 

- Is the generic legal? A generic drug has the same active ingredient but is labeled under its scientific name, not brand name. A generic version of the drug can be manufactured and sold only when the patent of a brand name medication expires.   For example,generic Latisse does not exits because the manufacturing companies still have an active patent on these medications, whereas generic Soma can be sold as Carisoprodol since the original patent has expired.   Do some simple research before you buy to make sure that you generic is even legal in the USA before you buy.

-Is the generic bio-equivalent? The FDA required that a generic version of a drug must use the same active ingredients as the brand name drug and meet the same standards for quality and safety including dosage strength, the way it works, the way it is taken, the way it’s intende

are generics the same as brand name?

Generic Medications

d to be used and the health conditions that it treats.  A pharmaceutical manufacturer that wants to sell their generic drug must offer proof of bio-equivalency to the FDA. To be considered bio-equivalent, the active ingredients in a generic drug must be absorbed at a similar rate and in a similar amount as the brand name equivalent.  Many companies will offer “generic” versions of medications that are actually herbal treatments, not an bio-equivalent of the brand name medication they claim to be.  Check to make sure that the medication you are ordering is FDA approved before you buy.

-Can you tolerate the inactive ingredients? Although generic drugs must have the same active ingredients as the brand name versions, the inactive ingredients may be different and some people may have allergic reactions to inactive ingredients. Inactive ingredients can include colors, preservatives, and fillers.  The generic version doesn’t have to act exactly the same but it does have to meet specific criteria set by the FDA.  Make  sure that the generics you are buying does not have any allergens that you will react to, such as fish, gluten or pollens.

-Which company produces the generic? Just like brand name, the FDA puts all generic drugs through a review process to assure quality, safety, and efficacy. The FDA requires that generic manufacturing plants meet the same standards as brand name plants. The FDA conducts approximately 3,500 on-site inspections each year to ensure compliance. In fact, did you know that  approximately 50% of all generic drugs are made by the same brand name companies? Before you buy, check for information to make sure your generic was produced here in the USA with a reputable company.

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What is VIPPS Accrediation?

VIPPS is a accreditation program set up by the National Association of Boards of Pharmacy, (NABP), which is an committee created to enforce uniform standards across pharmacies here in the USA and abroad. NABP decided there was a need to regulate online pharmacies so they created the Verified Internet Pharmacy Practice Sites (VIPPS) program. It is quite difficult to become VIPPS accredited- according to the NABP website, they have reviewed nearly 6,000 sites — only 4% of those online sites appear to be in compliance with VIPPS procedures. Currently, there is only 21 VIPPS accredited online pharmacies. 

In order to become a VIPPS accredited online pharmacy, the online pharmacy must be able to document that they meet all 19 points of evaluation for the program, as well as provide a $8000 application fee and a yearly renewal fee of $4,000-$7,000.   According to the VIPPS website, the most common reason that sites are not able to get VIPPS accreditation is below:

  • 83% do not require a valid prescription
  • 42% offer foreign or non-FDA-approved drugs
  • 55% do not provide a physical address
  • 1,411 sites are located outside of the United States and selling drugs illegally to patients in the US

If you read my posts about how to tell if a pharmacy is fraudulent and how to tell if they are legitimate, you know that I would never recommend buying from a pharmacy that participates in any of the four activities mentioned above.  So why is my recommended sites not VIPPS accredited?  Part of it is it the initial cost and yearly renewal fee.  Although it would not break a company, it is something that needs to be planned for.  In addition to the cost, the 19 point evaluation is very rigorous, including a inspection of the dispensing pharmacy by a NABP representative.  If you read my post how online pharmacies work, you know that that one company might be working with a number of pharmacies across the USA, which make inspection difficult.  There are a number of other reasons that make it hard to get VIPPS accreditation so as of now, the online pharmacies that I am recommending have not been able to obtain this.  However, I do know that the companies I am recommending want to become VIPPS accredited and have been working closely with NABP so I believe it’s simply a matter of time until they do become VIPPS accredited.    If you have any questions or comments about the VIPPS program, please leave them below.

VIPPS information retrieved on 7/31/2010 from the NABP website at  http://www.nabp.net/programs/accreditation/vipps/

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Should you buy your medication online?

Here’s my most recent video on who should be buying medication online and who should not.

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