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Generic ambien discount card that was supposed to let its subscribers try it online for $10. was later withdrawn, he said. This week, authorities said Mr. Tisch sent a colleague photo of the pills that looked like Ambien "but was much, much worse than anything I would ever think of taking, and they were in plastic packaging. told him they had been delivered to work in a briefcase," Mr. Tisch said. "I couldn't imagine my staff getting them in a briefcase! We were devastated." This isn't the first time FDA tried to block the sale of non-standard drugs. This summer, the Obama administration shut down an online pharmacy in California called the Health Ranger, which specialized in counterfeit cough suppressants. The FDA warned that business posed an "imminent threat to the public health and well-being" cited safety concerns regarding the unregulated business's distribution of products. The FDA sent warning letters to 13 other websites promoting the use of non-standard drug, but the websites continue to operate. "The reason the FDA is doing this, of course, to stop the use of drugs from consumer," Jonathan Fielding, the chief executive and co-founder of PharmaCitizen, a pharmacy verification company that tests many online pharmacies. "They don't take the effort to educate customers about the safety of a particular drug; otherwise they wouldn't sell it." Mr. Fielding said that many online pharmacies selling pharmaceutical products that people shouldn't take tend to look similar legitimate drug stores. For example, he said, the FDA's warnings against non-standard drugs are based on a few generic drugs, but some of the products are not easily distinguishable. He said it is "farfetched," based on his experience working at these websites, for many online pharmacies to use the common-sense tests of FDA and others to detect illegal shipments. Many online pharmacies have been warned about the health risks associated with non-standard drugs, however. In 2011, the FDA announced plans to restrict some non-standard medications, like Ambien, as an effort to reduce the harmful side effects doctors have noticed associated with the pills. FDA warned doctors of these side effects, like the risk of heart attacks and Ambien drug prices strokes, because more than 1.2 million Americans are reportedly prescribed Ambien every year. But regulators in the U.S. have not consistently cracked down on online pharmacies, in part because the U.S. is one of largest foreign markets for drug companies, according to the International Organization of Medical Pharmacy. But the U.S. has now taken several steps, including closing down one online pharmacy named "Pharm" after the company failed a $1 billion federal drug oversight program. The Pharm store was selling over-the-counter cough, cold and allergy products, along with other drugs not used by doctors, according to drug monitoring organization U.S.PharmacyCompliance.com. In addition, the U.S. sent a strong message to online pharmacies that sell these drugs by revoking its overseas licenses. In December 2011, the DEA shut down website of its parent company, NDS Inc., after an investigation and complaint by the United Nations World Health Organization. FDA officials are calling the seizure, along with warnings letter, "an unprecedented federal effort to shut down the most-trafficked website in U.S." It says the drug company is a "particularly risky source of non-approved drugs." It says many of its products were approved for use in certain patients but were not registered with the FDA. Officials have said that they are taking stronger measures now to stop the sale of non-approved drugs in the U.S. last year, agency has sent warnings letters to dozens of websites suspected selling off-label drugs, though they all continue to operate. One of the websites has now returned drugs, saying in a statement that it would comply with the law, Financial Times reported. site has offered Ambien 100mg, 50mg, and 10 mg as well some generic medications and prescription drugs that may be used to ease alcohol withdrawal. While the websites that sell non-standard drugs are often unregulated or unclear about their ingredients, they are not going away. Instead, many online pharmacies work as a sort of filter, giving customers access to a wealth of drugs and health care services. Some even allow patients to order drugs on a subscription basis.
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