Online Pharmacies: What to Know Before You Buy

When you buy medicine from an online pharmacy, a website that sells prescription and over-the-counter drugs over the internet. Also known as internet pharmacy, it can save time and money—but only if it’s legitimate. Too many people don’t realize that nearly 1 in 10 drugs sold online are fake, according to the WHO. These aren’t just ineffective—they can poison you. Counterfeit drugs have the wrong dose, no active ingredient, or even toxic chemicals mixed in. And they’re everywhere.

The rise of counterfeit drugs, fake or substandard medications sold as real is tied to how easy it is to set up a website that looks official. Many sites promise low prices on generic medications, pharmaceuticals that are chemically identical to brand-name drugs but cost far less, but skip the safety checks. Real generic drugs follow strict FDA rules. Fake ones don’t. And while the prescription drug prices, the cost of medications in the U.S., which are often three times higher than in other wealthy countries are crazy high, paying less online isn’t always the answer. Some sites sell expired, stolen, or tampered pills. Others don’t even require a prescription—something no legal pharmacy should do.

How do you tell the difference? Look for the VIPPS seal (Verified Internet Pharmacy Practice Sites). Check if the site requires a valid prescription and lists a U.S.-licensed pharmacist you can call. Avoid sites that send unsolicited emails, offer "miracle cures," or ship from overseas. The same online pharmacies that sell cheap Viagra might also be selling fake insulin or blood thinners. One wrong pill can land you in the hospital—or worse.

Below, you’ll find real stories and hard facts about what’s really happening in the world of online drug sales. From how fake medicines kill thousands yearly to why U.S. drug prices are so high and how generic versions can help—if you get them right. You’ll learn how to protect yourself, spot red flags, and make smarter choices without risking your health.