Every day, law enforcement officers throughout the United States are engaged in court authorized searches of persons, vehicles, homes and businesses. On occasion, during these searches, officers are surprised at what they uncover. For in some of the most unlikely places, their searches have disclosed the most advanced medicines – biologics, pharmaceuticals products critical to the health of seriously ill citizens. These discoveries are all the more important because they also represent fake, tainted, or diverted drugs that may be ineffective and harmful to patients who buy them. Law enforcement and policymakers must be attentive to this issue to ensure patient safety.