The sale of illegal drugs, weapons, human trafficking, and the illegal wildlife trade is common in black markets. They can negatively impact the economy because there is no reporting or tax collection. But, they can create jobs for people who can’t find employment in traditional markets and provide healthcare to people who can’t access it. The rising demand for prescription drugs on the black market has fueled a deadly business that poses a significant threat to public health and safety.
Drug Purchasing Sizes: How Are Prescription Drugs Sold On The Street?
In the treacherous world of black market pharmaceuticals, law enforcement agencies around the globe find themselves engaged in a perpetual battle. As the demand for prescription drugs continues to rise, so does the illicit trade that thrives on supplying these substances outside the bounds of legal channels. From counterfeit medications to stolen prescriptions, the black market pharmaceutical industry poses a significant threat to public health and safety. In this section, we will delve into the relentless efforts undertaken by law enforcement to combat this deadly business, examining the various perspectives and strategies employed to dismantle the black market networks.

Many organized crime groups took advantage of the lucrative opportunities in the black market in banned alcohol production and sales. There are several variables that affect the cost of drugs sold on the street. The price is mainly affected by supply and demand, the purity of the substance, and where the product is being sold. Others have pointed out the need to take into account bulk purchasing when modeling prices of illicitly manufactured drugs 44. To address this, StreetRx site users were asked to note if the price they were reporting was a bulk purchase of more than 10 units.
Others argue that trade in items available on the black market should be illegal due to their moral ambiguity or downright offensiveness. In most (or perhaps all) cases, a black market develops to supply rationed goods at exorbitant prices. Thus, the rationing and price controls enforced in many countries during World War II encouraged widespread black market activity.
However, the anonymity of the internet has also given rise to countless rogue online pharmacies that sell counterfeit and substandard drugs. The tragic story of Matthew, a young man who lost his life due to counterfeit Xanax purchased from an online vendor, illustrates the perilous world of black market pharmaceuticals online. The rising demand for prescription drugs on the black market represents a deadly business that poses significant risks to public health. Understanding the factors driving this demand, recognizing the consequences, and implementing effective solutions are crucial steps in combating this dangerous trade. In 2017, an estimated 1.7 million people in the United States suffered from substance use disorders related to prescription opioids and more than 47,000 Americans died as a result of opioid overdose (1).
- The main types of prescription drugs purchased illegally are opioids, benzos, amphetamines, and antidepressants.
- Opioids are some of the most widely abused prescription drugs, owing to their euphoric effects and high dependence rate.
- Vyvanse is a brand name for lisdexamfetamine, a prescription stimulant prescribed for ADHD and weight loss.
- Analysis of other opioids and opioid treatments was outside the scope of this study.
- Americans reportedly spend more on prescription drugs than any other country in the world.
What Is The Black Market? Examples Of Products And Services
Online pharmacies have become a haven for the illicit drug trade, posing a significant threat to public health and safety. The rise of the internet has undoubtedly revolutionized the way we access information and goods, including pharmaceuticals. This section delves into the dark underbelly of online pharmacies, shedding light on the dangers they present and the urgent need for action to combat this deadly business. Given the interest but lack of scientific efforts to collect street price information, we sought to evaluate whether online crowdsourcing could be used to measure black market street prices.

Treating Addiction
When compared to published clinical conversion guides, the predicted relative potency from crowdsourced data were similar. Oxymorphone and oxycodone had predicted potencies that were statistically indistinguishable from clinical conversion factors. Hydromorphone, hydrocodone, and methadone were valued higher on the street per milligram than in the clinic, while tramadol was valued lower on the street.
Health Conditions
Rural locations may feature cheaper prices for street drugs as the demand is lower and the risks for sellers are not as serious. The street price of gabapentin ranges between $1 and $3 per 100 milligram (mg) pill. People using this medication to get high may need to ingest between 300 and 3,000 mg to produce a euphoric effect. The drug price of prescriptions sold on the street is typically much higher than what they would cost when sold legally through a pharmacy. The average price of meth on the street varies based on where it’s sold and the quality of the drug. Though she doesn’t believe it’s okay to get some items on the black market, she believes it’s understandable why people go to great lengths to get the medications and supplies they need.
Full Text Sources
- The street price of oxycodone can range from $5 to $80, depending on the formulation and dosage/strength.
- The street price of prescription drugs as well as illicit drugs is captured through a publicly-accessible website The site allows for anonymous submission of street prices paid for specific prescription and illicit drugs.
- Visitors to the site can also view submissions of other street prices paid for a range of these drugs.
- One notorious example is the theft of over $75 million worth of prescription medications from a pharmaceutical distributor’s warehouse in Connecticut.
- The predicted potency was calculated by dividing the mean price per milligrams for each opioid by that of morphine.
While such efforts are commendable, the battle against black market pharmaceuticals remains an ongoing struggle. Pharmaceuticals often traverse borders, making the supply chain even more intricate. The global pharmaceutical market has become vulnerable to counterfeit drugs originating from various parts of the world. A prime example is the illicit trade in antiretroviral drugs for HIV/AIDS in sub-Saharan Africa. Counterfeit medications have found their way into this region, endangering the lives of countless patients who depend on these drugs for their survival. This clandestine world of black market pharmaceuticals is a multifaceted issue, impacting individuals, communities, and nations in various ways.
Source Of Product
Unlike illicit stimulants, the street cost for prescription stimulants tends to be much cheaper. For instance, the cost of a gram of cocaine is on average $120 in the US, compared to $3 for an Adderall pill. “Asking for help saves lives in our community,” said Douds, who was traveling in India in March 2020 when pandemic travel restrictions slammed into place. The decision was partly because it was easier for him to access insulin in India than in the U.S.
According to the National Survey on Drug Use and Health (NSDUH), more than 14 million people misused prescription medications in 2024. 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.

People with legitimate medical conditions may resort to street purchases when they cannot afford doctor visits, diagnostic tests, or ongoing medical monitoring required for prescription renewals. Street prices for opioids will generally be cheaper than prescription drug prices without insurance, although this may depend on the formulation, type of drug, and strength. Americans reportedly spend more on prescription drugs than any other country in the world.
The Street Cost Of Meth: Price Breakdown And Impact
Monthly transactions on Silk Road have been estimated at US$1.9 million 40, and drugs, fireworks, and stolen goods are routinely listed. Calls from US senators to shut down the sites have resulted in broad social attention 53, but the sites continue to operate. Using these sites for academic research has been limited 40, but they offer benefits. Online black market data have less opportunity for recall bias because it is possible to quantify actual transactions instead of reports of prices. However, given the moderate difficulty in accessing hidden sites relative to the open Internet, there is likely to be selection bias in terms of who uses these sites. In addition, online black markets are under pressure from authorities and may blink in and out of existence without warning, adding additional difficulty for data collection.