In April 2021, The National Association of Drug Diversion Investigators and The Partnership for Safe Medicines released an update to Illegal Pill Presses: An Overlooked Threat To American Patients.

 Read it here.

Experts, Victims and Law Enforcement Officials to Join Virtual Roundtable Discussion on the Growing Threat Posed by Illegal Pill Presses

Former FBI Director Louis Freeh to Address Implications for Law Enforcement and Proposals to Legalize Drug Importation; New Study Highlights the  Prevalence and Availability of Pill Presses

The supply and demand of dangerous counterfeit and illegally-imported medications has created one of our country’s most serious health challenges. Counterfeit pills made with fentanyl have been found in 46 states, and the prevalence of illegal pill presses are contributing to this crisis.

The National Association of Boards of Pharmacy, National Association of Drug Diversion Investigators, and The Partnership for Safe Medicines have collaborated on new research that analyzes the availability of pill presses, how these illegal devices enable criminals to manufacture counterfeit medicines, potential solutions to deter use, decrease risks, provide effective tools for law enforcement, and improve patient information and resources.

On Tuesday, March 19, 2019,  a panel of experts and victims joined together to discuss the threat posed by pill presses and speak to the findings of the new study.

Watch highlights from the March 19, 2019 webinar release of the new research/white paper (or watch the entire event on YouTube):


  • Moderator: Samuel J. Louis, Member, Clark Hill and Strasburger as part of the Healthcare, Food and Drug Law and White Collar practice groups, former Assistant United States Attorney for the Southern District of Texas
  • Louis Freeh, Former FBI Director
  • George Karavetsos, former director of the U.S. Food and Drug Administration Office of Criminal Investigations and partner with the global law firm DLA Piper
  • Shabbir Safdar, executive director of the Partnership for Safe Medicines
  • Families who have been affected
  • Gregg Jones, National Association of Boards of Pharmacy

Additional event materials:

  • Video of the full event (YouTube)
  • Presentation slides
  • Video of a PSM staff member demonstrating the ease of using a $40 manual pill press:

Images from the report

"About Us" page for an international pill press vendor
Pill press machines sold on Alibaba, October 10, 2018.
Screenshot of search results listing assorted die molds on Alibaba, August 24, 2018.
Die molds listed on Alibaba, August 24, 2018.
Die molds advertised October 3, 2018.
Punch die molds sold openly online, October 3, 2018.
Images of a pill press that you can 3D print from a free, online CAD file
A pill press 3D-printed from a free, online CAD file.