Illegal pharmacies are defined as those that operate without certification, prescribe drugs without adhering to legal guidelines, or knowingly distribute counterfeit medicines. In recent years, increased interest in e-commerce and the anonymity offered by the internet has led to illegal online pharmacies taking hold. According to The Alliance for Safe Online Pharmacies (ASOP) 100% of online searches for the phrase “buy medicine online” return links for illegal online pharmacies.  A report from The Centre for Safe Internet Pharmacies claims that each month, 600 new illegal online pharmacies are launched; taking advantage of this ever-increasing market that has generated a staggering $11bn.

Not all online pharmacies are illegal; many adhere to the regulations for the selling and distribution of prescription drugs. However, a random sampling of 10,000 online pharmacies by the FDA found 97% of them to be illegal or not conforming to the regulations. Despite this, it was also found that one in four American consumers buy their prescription medicines online. For the consumer, differentiating between the illegal and legal online pharmacies can be difficult due to a lack of awareness about the issue, and the similarity in appearance between legal and illegal outlets.