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Men who are bashful about needing help in the bedroom no longer have to go to the drugstore to buy that little blue pill. In a first for the drug industry, Pfizer Inc. Men still will need a prescription to buy the blue, diamond-shaped pill on viagra.
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Pfizer's bold move blows up the drug industry's distribution model. Drugmakers don't sell medicines directly to patients. Instead, they sell in bulk to wholesalers, who then distribute the drugs to pharmacies, hospitals and doctors' offices.
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But the world's second-largest drugmaker is trying a new strategy to tackle a problem that plagues the industry. Unscrupulous online pharmacies increasingly offer patients counterfeit versions of Viagra and other brand-name drugs for up to 95 percent off with no prescription needed.
Patients don't realize the drugs are fake or that legitimate pharmacies require a prescription.
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Other major drugmakers likely will watch Pfizer's move closely. If it works, drugmakers could begin selling other medicines that are rampantly counterfeited and sold online, particularly treatments for non-urgent conditions seen as embarrassing.
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Think: diet drugs, medicines for baldness and birth control pills. The online Viagra sales are Pfizer's latest effort to combat a problem that has grown with the popularity of the Internet.
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In recent years, Americans have become more comfortable with online shopping, with many even buying prescription drugs online. That's particularly true for those who don't have insurance, are bargain hunters or want to keep their medicine purchases private. The Internet is filled with illegitimate websites that lure customers with spam emails and professional-looking websites that run hour call centers.
A January study by the National Association of Boards of Pharmacy, which accredits online pharmacies, found that only of 10, online pharmacy sites it examined appeared legitimate.
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Experts say the fake drugs such websites sell can be dangerous. That's because they don't include the right amount of the active ingredient, if any, or contain toxic substances such as heavy metals, lead paint and printer ink. Online buyers are "playing Russian roulette," says Matthew Bassiur, vice president of global security at New York-based Pfizer.
I've seen photographs of these places," he says. Pfizer, which invented the term "erectile dysfunction," has long been aggressive in fighting counterfeiters.
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It conducts undercover investigations and works with authorities around the globe, with good reason. Counterfeit versions of Viagra and dozens of other Pfizer medicines rob the company of billions in annual sales.
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And it's the most counterfeited drug in the U. A study, in which Pfizer bought "Viagra" from 22 popular Internet pharmacies and tested the pills, found 77 percent were counterfeit. Most had half or less of the promised level of the active ingredient.
Viagra is appealing to counterfeiters because it carries a double whammy: It's expensive and it treats a condition with an "embarrassment" factor. Generics are copycat versions of brand-name prescription drugs.
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They can legally be made after a drugmaker's patent, or exclusive right to sell a drug, ends. But there is no such thing as generic Viagra.
Pfizer has patents giving it the exclusive right to sell Viagra until in the U. David Dershewitz, an assistant urology professor at New Jersey Medical School who treats patients at Newark's University Hospital, says erectile dysfunction is common in men with enlarged prostates, diabetes and other conditions, but most men are too embarrassed to discuss it.
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He says well over half of his patients who do broach the issue complain about Viagra's price. Some tell Dershewitz that they go online looking for bargains because they can't afford Viagra. For Pfizer, that's a big problem.
People who buy fake drugs online that don't work, or worse, harm them, may blame the company's product. That's because it's virtually impossible to distinguish fakes from real Viagra.
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The reason? Competition from rival products, mainly Eli Lilly and Co. Judson Clark, an Edward Jones analyst, forecasts that Viagra sales will decline even further, about 5 percent each year for the next five years, unusual "for a drug in its prime.
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Clark says he thinks Pfizer's strategy will prevent sales from declining, but he's unsure how well it will work.
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