Publications

Prescription Drug Freight Fraud Report, November 2025 Our latest analysis of FDA import records shows a continuation of the troubling patterns we've been documenting since February. From September 1 to October 31, 2025, large-scale freight fraud involving GLP-1s, oncology drugs, and other high-demand pharmaceuticals continued unabated, and in several areas ...

INTELLIGENCE ALERT: Distribution of unregulated, uninspected, unsanitary and potentially unsafe diabetes and weight loss injectables through unlicensed med spas poses immediate threat to public safety Based on recent investigative reporting by the Partnership for Safe Medicines (PSM), patients inyour state may be receiving weight loss injectables from unlicensed sources that ...

Publication: Threats to HIV patients from criminals in the drug supply chain Since 2019, federal prosecutors, drug manufacturers, and patient safety organizations have uncovered extensive criminal schemes targeting HIV medicines at every point in the supply chain. These schemes undermine trust in the healthcare system, and they endanger patients. Read ...

Prescription drug freight fraud, October 2025 Our analysis of large-scale commercial imports of semaglutide, tirzepatide, apixaban, pembrolizumab, and antibiotics from March to August of 2025 showed cancer drugs masquerading as antibiotics, semaglutide supposedly manufactured at a home hardware store, and over 120 kilograms of tirzepatide from unregistered facilities marked for ...

Med spas need stronger regulation The medical spa industry is expanding so quickly that it's outstripping existing regulatory frameworks: Just thirteen states have issued med spa regulations or guidance and only four of those require med spas to be licensed or registered. Yet these businesses need firm oversight to ensure ...

Prescription Drug Freight Fraud Report, September 2025 Screenshot of a listing for bulk tirzepatide sales, September 2025 Our analysis of data from June and July revealed hundreds of pharmaceutical shipments that entered the U.S. from facilities no one would expect, including unregistered Chinese exporters and alternative medicine clinics abroad. We ...

Handout: The fake pill trade hasn't gone away It's been 10 years since deadly counterfeit prescription pills began killing Americans. News about fake pill deaths has become commonplace and advocates have made progress to protect lives, but many people still don't know about this threat or the pill presses that ...

What if your tirzepatide shipment came from a Brazilian beauty clinic? Or a vial of semaglutide was manufactured, supposedly, at a Costco in Toronto? In April and May 2025, dozens of shipments of semaglutide, tirzepatide, apixaban, and antibiotics entered the U.S. from facilities that aren't in the FDA's drug manufacturing ...

Policy people became generally aware of pill presses with the rise of the opioid crisis: selling illegal fentanyl in powder form to people was one thing, but making counterfeit oxycodone pills with a pill press was much deadlier. Illegal pill presses and molds continue to create the fake pills that ...

Prescription Drug Freight Fraud Report, May 2025 What if your diabetes medication was manufactured at a gas station? Or your blood thinners  were mislabeled and shipped in from an unverified address in Colombia? In March 2025, dozens of pharmaceutical shipments entered the U.S. that were manufactured in places no one ...