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Some of these pharmacies require prescriptions, while others do not.Of those that do not require prescriptions, some ask the customer to fill in a health questionnaire with their order.For example, the US FDA found the temperature in a mail box in the sun could reach 136 °F (58 °C) while the ambient air temperature was 101 °F (38 °C) Shipment by express mail and couriers reduces transit time and often involves delivery to the door, rather than a mail box.
While many internet pharmacies sell prescription drugs only with a prescription, some do not require a pre-written prescription.
In some countries, this is because prescriptions are not required.
The work of Roger Bate from the American Enterprise Institute, in which he has tested hundreds of prescription drug orders purchased over the Internet, shows that properly credentialed online pharmacies, ones selling domestically and internationally, only sell lawfully-manufactured medicines. Still more packages come from online pharmacies in Canada." Factors independently associated with importation by U. residents are age greater than 45 years, south or west region of residence, Hispanic ethnicity, college education, poor or near poor poverty status, lack of U. citizenship, travel to developing countries, lack of health insurance, high family out-of-pocket medical costs, trouble finding a healthcare provider, fair or poor self-reported health status, filling a prescription on the Internet, and using online chat groups to learn about health.
The Washington Post reported that "...millions of Americans have turned to Mexico and other countries in search of bargain drugs... A 2016 study suggested that providing health insurance coverage may significantly reduce personal prescription drug importation and the subsequent risk of exposure to counterfeit, adulterated, and substandard medications.
The shipment of drugs through the mail and parcel post is sometimes a concern for temperature-sensitive pharmaceuticals.
Uncontrolled shipping conditions can include high and low temperatures outside of the listed storage conditions for a drug.This practice has been criticized as potentially dangerous, especially by those who feel that only doctors can reliably assess contraindications, risk/benefit ratios, and the suitability of a medication for a specific individual.International consumers sometimes purchase drugs online from online pharmacies in their own countries, or those located in other countries.Legitimate mail-order pharmacies are somewhat similar to community pharmacies; one primary difference is the method by which the medications are requested and received.Some customers consider this to be more convenient than traveling to a community drugstore, in the same way as ordering goods online rather than going to a shop.Medicines obtained from rogue online pharmacies come with no guarantees with regard to their identity, history and source. citizens bring in medications at land borders each year.A study in three cities in the Netherlands found that over 60% of the consumed sildenafil was obtained from illegal sources. An additional 2 million packages of pharmaceuticals arrive annually by international mail from Thailand, India, South Africa and other points.Some customers order drugs from such pharmacies to avoid the cost and inconvenience of visiting a doctor or to obtain medications their doctors were unwilling to prescribe.People living in the United States and other countries where prescription medications are very expensive may turn to online pharmacies to save money.Independent research published by the National Bureau of Economic Research demonstrates that online pharmacies, U. and foreign, verified by certain credentialing entities, sell genuine medication and require a prescription.In that study, all tested prescription drug orders were found to be authentic when ordered from online pharmacies, international and U.