In the ongoing counterfeit Avastin scandal, it has become clear that this was not a case of products so closely mimicking legitimate product that buyers were fooled. FDA, which published photos of the fake product, noted that it has the wrong manufacturer displayed, and has obviously bogus lot numbers. Rather, the fake product simply went via a non-standard distribution chain, from (apparently) a specialty distributor into clinics and doctors’ offices. (Some doctors, especially oncologists, purchase and dispense products directly rather than sending patients to a pharmacy, as do most hospitals; the completely legal practice is known as “buy and bill.”) If the doctors buying the fake product are not profoundly negligent, then they must be extremely naïve.
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