FMEDS

Understanding fake medicines

Fake medicines take many forms and now affect all therapeutic categories, from essential medicines to lifestyle products.

They are proliferating and can affect patients and consumers alike, in every country.

Present in every region of the world, they circulate on informal markets — street markets, itinerant sales, illegal online sales — but can also infiltrate legitimate supply chains and distribution channels, including healthcare facilities, pharmacies and hospitals.

They can be sold at low prices, at the same price as authentic products or sometimes at a higher price to reinforce their appearance of legitimacy and buyer confidence.

A medicine is considered fake when its identity, composition or source are deliberately and misleadingly presented. It may contain an incorrect amount of active ingredient, substances different from those declared or no active ingredient at all.

Fake medicines are a global challenge at the intersection of health, security and economic issues.

Key points

10.5%

According to WHO, up to 10.5% of medical products in low- and middle-income countries may be substandard or falsified.

95%

About 95% of online pharmacies selling prescription medicines operate illegally or outside applicable regulations.

40,000+

More than 40,000 non-compliant websites identified by the National Association of Boards of Pharmacy (USA).

USD 100–350 bn

Estimated annual value of the global fake medicines market.

400,000–600,000

Deaths per year attributable to fake medicines.

All types of medicines are affected

Essential and lifestyle alike: anticancer drugs, antibiotics, cardiovascular treatments, diabetes medicines, pain treatments, vaccines, weight-loss drugs… or medical devices.

All continents are affected

Cases of fake medicines have been identified in every region of the world.

Why does it matter?

Public health

Fake medicines can compromise treatment effectiveness, delay medical care and expose patients to serious health risks.

Economic risks

Fake medicines cause financial losses, reputational damage, operational disruptions and additional costs for companies, health systems and states.

Crime

Fake medicines fuel a global criminal market involving organised networks, international financial flows and supply-chain infiltration mechanisms.

Health system vulnerabilities

Fake medicines thrive where vulnerabilities increase: shortages, difficulties accessing treatment, price pressures, grey markets, online purchasing and lack of visibility over supply chains.

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