Her spouse has type 1 diabetes, so she always asks patients if they have enough supplies and medication at home. Gaps in health insurance for people with type 1 diabetes have been well-documented, but Mizokami-Stout said she suspects under-insurance plays a larger role. Physicians have a role in helping to make sure patients have what they need to manage their diabetes — and therefore don’t turn to the black market.
Why Patients Should Keep Talking

Several of Bailey’s chapter leaders have helped others in need get insulin, but those efforts must be done separately from their dealings with the organization (as redistributing medication is a crime). This year alone, more than 5 people have reportedly passed away after rationing insulin, Bailey added.

Drug Purchasing Sizes: How Are Prescription Drugs Sold On The Street?
Policing online drug dealing is a formidable task for law enforcement agencies. The vastness of the internet, combined with encryption technologies and the dark web, creates a challenging environment to track and apprehend online drug dealers. Cryptocurrencies, like Bitcoin, have added another layer of complexity to online drug dealing. These digital currencies offer a level of anonymity that traditional financial systems do not provide.
- Some people may have no other option but to use underground markets to get the goods they seek in certain situations.
- In some jurisdictions, a person can be declared a drug trafficker by a court, if the quantities seized exceed a particular amount.
- The sale of counterfeit goods reduces the profits made by legitimate manufacturers and also undermines confidence in the market as a whole.
- Different drugs follow distinct sales patterns; for example, opioids are frequently sold individually due to high value, while less expensive medications might be sold in larger quantities.
- This was a digital market that used Bitcoin to launder money and to conduct illegal drug transactions and weapons sales.
Popular Apps Used By Online Drug Dealers
These activities attracted the FBI’s attention and it shut down Silk Road and suppressed a later attempt to revive the illegal marketplace. People who begin with legitimate prescriptions may develop tolerance over time, requiring higher doses than doctors are willing to prescribe. When medical providers reduce dosages or discontinue prescriptions due to safety concerns, people may turn to illegal sources to maintain their dosing levels. This is common with opioid medications, where physical dependence can develop even when medications are used as prescribed, leading to withdrawal symptoms when prescriptions are reduced or stopped. One of the reasons why online drug dealing through apps has become popular is the anonymity it provides to both buyers and sellers.
More People Are Turning To The Black Market For Life-Saving Medications

People who purchase the powdered form of fentanyl can expect to pay up to $200 per gram. The cost of opiates bought on the street will depend on the type of opiate, the strength (dosage), and other factors. When patients purchase from an online pharmacy, it’s difficult to know if prepackaged unopened medications are authentic, especially if the pharmacy isn’t licensed to do business in the United States. “People engaging in broad distribution of medications or the sale of prescription medications would technically be violating federal and state policy (which varies from state to state),” Farley noted. “The cost of many common forms of insulin have tripled over the last decade. When buying drugs on the dark web, customers often buy in bulk, at significantly reduced prices for purchases over a certain quantity.
- Underground market transactions provide no recourse to the buyer in case the product is defective, and a buyer in an underground market can suffer penalties and jail times just as easily as a seller can.
- “The cost of many common forms of insulin have tripled over the last decade.
- Gabapentin is a non-opioid pain reliever that can produce mild euphoric and sedative effects.
- Those facing anxiety might seek benzodiazepines such as Xanax or Ativan when they cannot access mental health care, while people with untreated ADHD might purchase stimulants to help with focus and productivity.
Why Do People Buy Prescription Drugs Through The Black Market?

Even with insurance coverage, copays for specialty medications can range from hundreds to thousands of dollars per month, making them financially inaccessible for many patients. People facing chronic conditions requiring long-term medication may find themselves choosing between prescription drugs and other essential expenses like housing, food, or utilities. When you think of people selling and buying prescription medications on the black market, illegal drugs may come to mind. But the black market also includes donating, selling, and purchasing prescription medications that people need to survive. It’s important to note that while online drug sales exist, law enforcement agencies around the world actively work to combat illegal online activities. Governments and international organizations collaborate to address the challenges posed by online drug trafficking, employing technological solutions and legal measures to counteract these activities.

“We were surprised by the frequency in which the underground exchange activity was occurring and that individuals were purposely stockpiling medications and supplies for the purpose of donation,” Litchman noted. The largest underground financial market exists for currencies in nations with strict currency controls. While most people may shun an underground market because they consider it sleazy, there may be rare occasions when they have no choice but to turn to this necessary evil. It moves people into forced labor, forced marriages, prostitution, child armies, and the market for human organs. Roughly 50 million people were trapped in modern slavery across the world in 2021, with women and children being the most vulnerable. Experts estimate that sex trafficking and forced labor generate as much as $150 billion a year in profits.
Tools And Recovery Resources
The street price of Xanax is $2 to $20 per tablet, depending on the strength. Ativan, also known as lorazepam, is a benzodiazepine medication that is typically prescribed to treat insomnia, seizures, and anxiety disorders. The street price of tramadol (50mg) is $1 to $10 per tablet or approximately $0.10 to $0.14 per milligram (mg). Some estimates place the street cost of hydrocodone at $6 to $8 per tablet, depending on the formulation and strength.
The founder of Silk Road, who was known as “Dread Pirate Roberts”, was charged, tried and convicted on charges that including money laundering, computer hacking and conspiracy to traffic narcotics. The US District Court in Manhattan sentenced the man to life imprisonment without the possibility of parole and ordered him to forfeit 183 million dollars in proceeds of crime. He was finally captured, the illegal market was shut down, and he was serving life in prison. Zopiclone, also sold as Imovane, is a sedative-hypnotic similar to Ambien (zolpidem).
Lifesaving medicines are often in short supply in certain developing nations and the only alternative to procure them may be the underground market. Illegal markets can take a toll on an economy because they are shadow markets where economic activity is not recorded and taxes are not paid. It is often assumed that a country’s gross domestic product (GDP) is not accurate because it doesn’t account for any business activity conducted in underground markets.
This includes prescription opioids, tranquilizers, or sedatives bought through legal and illicit channels. The average cost of prescription drugs resold on the street can vary, based on the type of drug, the strength, and market availability, among other factors. In today’s digital world, access to the black market has become easier than ever, allowing people across the country to shop for illegal drugs online as if they were any other product. With just a few smooth steps, users can search, place an order, agree to the terms, and pay using cash or cryptocurrency — all without leaving home.
Drug Purchasing Sizes: How Are Prescription Drugs Sold On The Street?
The illegal prescription drug market operates much like any economic system, with prices fluctuating based on complex interactions between supply, demand, and external pressures. Much like prescription drugs acquired through a pharmacy, the street value of drugs can rise and fall over time depending on a wide range of factors. Understanding these market dynamics provides insight into how prescription drug diversion affects communities and helps explain why certain medications become more prevalent in illegal markets than others. Many people fall into coverage gaps where they earn too much for assistance programs but not enough to afford prescription costs. Insurance formulary restrictions, prior authorization requirements, and coverage denials can create barriers that push people toward illegal drugs.
As a result, online drug dealers often prefer to transact in cryptocurrencies. An example of an illegal or black market would be the human trafficking market that engages in the capture of people throughout the world and their sale into various areas, such as forced labor and prostitution. There is a big demand and a large market for these goods, despite strong laws designed to punish those who sell fake goods. The sale of counterfeit goods reduces the profits made by legitimate manufacturers and also undermines confidence in the market as a whole. Underground market transactions provide no recourse to the buyer in case the product is defective, and a buyer in an underground market can suffer penalties and jail times just as easily as a seller can. Paying a premium over the face value of a ticket to see a concert or sporting event is also an example of an illegal market transaction.
These transactions often bypass quality control, reviews, and receipts, creating a risky process fueled by personal data exposure, high costs, and zero customer service. As more people use these platforms each day, the black market continues to grow, turning illegal drug sales into a global trade that operates beyond traditional regulation. Many people turn to black market prescription drugs as a form of self-medication for untreated mental health conditions, chronic pain, or sleep disorders.