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We obtained hydrocodone from eight domestic Web sites on which we placed orders without submitting a prescription or undergoing an examination by a physician. Six purchases, each from different Web sites, were dispensed by a single pharmacy located in a Southeastern state. The two remaining purchases were ordered from two separate Web sites and were dispensed by separate pharmacies located in states in the Southeast and Southwest. We obtained the hydrocodone online by completing questionnaires on which a GAO staff member (the "customer") claimed that he had pain. In addition, he claimed that his doctor had prescribed hydrocodone for the pain, but that he had recently lost his health insurance and could not return to his doctor for a new prescription. Five Web sites sent the narcotic after receiving our order and credit card payment information. We received telephone calls from the three other suppliers before our order was completed. They asked questions about our purported need for the hydrocodone and prior use of the drug. In our attempt to determine the relationship between the Internet site and the pharmacy that dispensed the narcotic, and to find out what role a physician may have played in facilitating our purchase, we contacted one of the pharmacies that had sent us hydrocodone. We also contacted the physician who "prescribed" a 30-day supply of the narcotic without seeing or speaking to the customer and without any confirmation from a physician that the customer had previously been under a doctor's care or had received a prescription for pain relief. This specific purchase originated on February 26, 2004, when the customer, posing as a patient experiencing pain, used a pseudonym to place an order for hydrocodone. Customers are advised on the site that they are required to fill out an online questionnaire, receive a phone call from a medical professional to discuss the customer's medical condition to if he or she is approved for the drug, and (3) undergo a complete physical examination. If approved, the medication is billed to the customer's credit card. Despite the claims on the Web site that customers must satisfy these requirements, we obtained the hydrocodone without undergoing a physical examination or producing any tangible evidence showing treatment by a doctor in the past. Indeed, the customer simply completed the online questionnaire and spoke by telephone to the physician's representative, who offered the customer two options for satisfying the physical examination requirement: (1) for $199, the customer could visit a physician at one of two clinics in the area where the customer lived; or (2) for $49, the representative would fax or e-mail paperwork that the customer could take to his own physician to fill out and return to the pharmacy's physician. In addition, the representative told the customer that if he chose and paid for one of these two options with a credit card during their telephone conversation, the physician would immediately issue a 30-day prescription so that he could get his medication right away. The customer told the representative that he needed to think about both options. However, the representative reemphasized that if he chose either the $199 or the $49 option and paid for it immediately, he could get his 30- day supply of hydrocodone right away. The customer then chose the $49 option and gave the representative his credit card information. After the transaction was complete, the representative reviewed the information that the customer submitted online and said that he would receive e-mails from her and from the Web site containing paperwork and information on how to pay for the medication.

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Buy Hydrocodone Online USA Overnight Delivery Get upto 30% off | Topmeds Review

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