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That pretense faded seconds later, when she was asked for controlled medications — and got on her hands and knees to pop open a hidden panel under the counter. She rooted around for a minute and emerged with two sealed bottles. In pharmacy after pharmacy in this Mexican resort city, workers offered similar assurances, but time and again the pills proved to be fakes. There were oxycodone pills that tested positive for heroin and over-the-counter cough medicine, and Vicodin tablets that turned out to be fentanyl. Pills sold as Adderall were sometimes methamphetamine or caffeine, and sometimes simply an appetite suppressant. Others denied ever selling medications they had in fact sold just minutes or hours earlier. Last month, reporters visited dozens of drugstores in Mexico to interview pharmacy workers and piece together a fuller picture of the counterfeit medication problem The Times has been investigating for nearly a year. Despite pharmacy raids by Mexican authorities and a warning from the U. State Department, the latest round of testing found that fake medications appear even more plentiful at independent drugstores and regional chains in tourist hot spots and border towns now than earlier this year. Some of the counterfeits are now more sophisticated, and lab testing found a wider array of substances in them than previously documented. And the latest reporting in Puerto Vallarta and Cabo San Lucas found that workers at small chains and individual pharmacies alike often went to great lengths to convince potential customers of the safety and efficacy of their counterfeit wares. The Times is not naming independent pharmacies or workers due to safety concerns, including the threat of violence. After visiting 10 vacation spots and border towns across Mexico this year, reporters used drug-testing strips and later lab testingto show that travelers who shop at pharmacies there risk unwittingly buying pills tainted with powerful drugs, including fentanyl, heroin, meth and MDMA — also known as ecstasy. In February, The Times reported that some drugstores in Tijuana and the Los Cabos area were selling loose pills over the counter, passing off tablets containing fentanyl and meth as expensive brand-name medications, including Percocet and Adderall. A team of UCLA researchers, including Goodman-Meza, reported similar findings in four unnamed cities in northwestern Mexico around the same time. But U. Later, reporters showed that several stores and at least a few regional chains had begun selling tainted medications by the bottle, in elaborate packaging that was sometimes indistinguishable from the real thing. A few medications were consistently legitimate, including the opioid painkiller tramadol and the ADHD pill methylphenidate, best known as Ritalin. But some medications were almost always counterfeit. Testing showed that 9 in 10 pills sold as Adderall, six in 10 pills sold as oxycodone, and 7 in 10 pills sold as hydrocodone were fake. Overall, 26 samples contained methamphetamine and 29 contained fentanyl. In March, authorities in Mexico inspected more than pharmacies in Los Cabos and nearby La Paz, closing nine in Los Cabos for a variety of violations. In June, another series of pharmacy raids in Los Cabos resulted in four arrests and the seizure of cash and nearly 25, pills. But less than 24 hours earlier, the same store had sold three loose pills — purported to be Percocet, Vicodin and Adderall — and one bottle labeled as Adderall. Laboratory testing showed both painkillers were fentanyl, the tablet sold as Adderall was methamphetamine, and the bottle of supposed Adderall contained capsules of an appetite suppressant called clobenzorex. Finally, authorities shut down 31 pharmacies and seized more than 4, boxes of medication during recent raids in Ensenada, where officials said some of the pills probably contained fentanyl. At a Puerto Vallarta pharmacy near bustling Playa de los Muertos last month, a clerk said she had no controlled substances for sale before offering a warning. Others said they stopped offering controlled medications immediately after the sweeps, but soon resumed sales. The Times could not independently verify their claims, and officials did not respond to requests for comment. There were no opioid painkillers in stock, but reporters bought a bottle of supposed Adderall. Aside from the glut of willing sellers and suppliers, another roadblock to reining in the sale of counterfeit pills in Mexico is the constant demand — often from Americans looking for medications that may be cheaper or easier to get than in the U. He had recently been prescribed Adderall in the U. Shopping for narcotic medications in pharmacies in Mexico often means listening to workers explain that bottles stashed in hidden compartments and loose pills kept in unlabeled plastic bags contain legitimate medications. But the painkillers purchased from that pharmacy tested positive for fentanyl, and the supposed ADHD medications were made of methamphetamine. At a Puerto Vallarta outpost of a drugstore chain that sold reporters fake medications, Ed Sheeran was crooning through tinny speakers about having faith in what he sees. The clerk claimed the pharmacy did not stock counterfeit pills. On two separate trips to Puerto Vallarta, reporters visited several stores in that same regional chain, and repeatedly purchased pills sold as Adderall that tested positive for methamphetamine. Another was a bottle that a young worker pulled from a locked hiding spot. In addition to concealing illicit wares and offering empty assurances about safety, pharmacy workers seemed choosy about their customers. Several residents said the stores would sell narcotic medications over the counter only to foreign tourists. At one drugstore, when a reporter started speaking Spanish, the clerk grew suspicious. At a Puerto Vallarta location of the prominent national chain Farmacias Similares, a worker said only customers with prescriptions could buy controlled medications. Other pharmacies, she said, would sell them without a prescription — depending on who you are. Only to foreigners. Organized crime experts say that Mexican drug cartels are almost certainly involved in making the sophisticated counterfeit medications. But it is unclear exactly how the pills end up on pharmacy shelves or in hidden compartments behind the counter. Workers at other stores suggested their pills came from California, but also could not name a supplier. Most did not respond to repeated messages inquiring about the counterfeit goods or the suppliers who provided them. One worker who did respond said he knew the Cabo pharmacy where he worked did not sell opioid painkillers because he was one of only two people who worked there. When a reporter explained that the store had sold fentanyl-tainted pills weeks earlier, his tone shifted. Instead of denial, some responded with fear. Watch L. Times Today at 7 p. Before joining the Los Angeles Times in , she spent nearly seven years in Texas, first covering criminal justice for the Houston Chronicle and then covering prisons for the Marshall Project. Previously, she wrote narrative pieces with a strong emphasis on the Latino community and others that make up the diversity of L. She joined The Times in Connor Sheets is an investigative and enterprise reporter at the Los Angeles Times. De Los. Times Everywhere. For Subscribers. All Sections. About Us. B2B Publishing. Hot Property. Times Events. Times Store. Special Supplements. Share via Close extra sharing options. Many pharmacies in Puerto Vallarta and other tourist-friendly parts of Mexico continue to sell fake medications to unsuspecting foreigners. Reporters visited 10 vacation spots and border towns across Mexico this year and bought controlled prescription medications from pharmacies. Tests showed many pills were tainted with powerful drugs including fentanyl, heroin, meth and MDMA. Many pills purchased by reporters in Mexico this year were lab-tested to confirm the initial findings from testing strips. A pharmacy in Cabo San Lucas advertises its wares to English-speaking visitors. Many also sell controlled medications — or counterfeit versions of them — upon request. In Puerto Vallarta, several pharmacies were raided by Mexican authorities in recent months, drugstore employees say. Officials would not elaborate on or confirm their accounts. A Mexican pharmacy offers a wide array of powerful medications over the counter. Earlier in , drugstores in Mexico tended to sell counterfeits of controlled medications as loose pills — but the fakes are increasingly sold by the bottle in convincing packaging. VIDEO More to Read. Chinese chemical manufacturer is targeted by federal prosecutors trying to stop flow of fentanyl. Old newspaper boxes are being used to distribute the overdose reversal drug naxolone. An industrial chemical is showing up in fentanyl in the U. Keri Blakinger. Brittny Mejia. Connor Sheets. More From the Los Angeles Times. California Navy identifies two aviators killed in crash near Mt. Rainier as California natives.

Health Alert: Fentanyl, Illicit Narcotics Found in Pills from Mexican Pharmacies

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Credit: Los Angeles Times. Young men in plain T-shirts draw near and call out their wares: Pills. But if you wave them away and go just a few feet farther, you can walk into a pharmacy where you might get something just as dangerous. A Los Angeles Times investigation has found that pharmacies in several northwestern Mexican cities are selling counterfeit prescription pills laced with stronger and deadlier drugs and passing them off as legitimate pharmaceuticals. Hands in blue gloves pour liquid from a container into a tube. Testing on an Adderall pill came back positive for methamphetamine in Cabo San Lucas. Many are nearly indistinguishable from their legitimate counterparts. A team led by UCLA researchers recorded similar results in a study last week, but this phenomenon has otherwise gone largely unnoticed. The new findings could represent a dangerous shift in the fentanyl crisis. Until now, it was unclear that the powerful synthetic opioid had made its way into pharmacy supply chains. Even though Mexican drugstores are known for selling a wide range of medications over the counter — many of which require a prescription in the United States — experts generally believed those pills were at least what store owners said they were. But how often that happens is impossible to tell. A street with shops. While more than 91, people died of overdoses in the U. Fewer than two dozen of those, according to the data, were from opioids, compared with more than 68, opioid overdose deaths in the U. Carlos Briano, a spokesperson for the U. Multiple local and national government agencies in Mexico also ignored requests for comment. McKinsey, was found unresponsive at home in Buckeye. A small baggie containing blue pills and aluminum foil were found in his wallet. David Trone D-Md. State Sen. Fentanyl has been infiltrating the illicit drug supply for roughly a decade, since traffickers seized on the synthetic drug as a cheaper alternative to traditional opiates — and one with a higher profit margin. The U. Centers for Disease Control and Prevention has described fentanyl as up to 50 times stronger than heroin. A dose as small as 2 milligrams can be fatal. Light blue pills. Fentanyl-laced fake oxycodone pills. Then, it began appearing in counterfeit pills made to look like the real thing. Getting one of those pills still required a willingness to engage in illicit street deals. But to many users, the faux pharmaceuticals seemed safer than drugs that required shooting or snorting. Accordingly, street pills found a much larger market than powders. If those pills can now be purchased in legitimate pharmacies, that market becomes larger still. Were you or someone you know harmed by pills in Mexico? We want to hear from readers about their experience. Let us know by filling out this brief form. Stroll past the picturesque stores and yacht-lined docks of Cabo San Lucas. A harbor with yachts and buildings on hills in the background. Cabo San Lucas. Some have sandwich board signs on the sidewalk advertising pills. In Cabo San Lucas, one shop near a large dockside shopping mall featured a few racks of toys inches away from stacked boxes of medication. Illustration of three pills. They asked how strong the pills were. None of the pharmacists inquired further. Invariably, the tablets were kept in some hidden spot. Though bottles of less tightly controlled medications like Xanax or Viagra or Ultram were often on display in glass cases, more powerful and more closely regulated substances like oxycodone — whether real or fake — were secreted away. Pharmacies such as these accept payment in most any format — credit card, pesos or dollars. At one store in Tijuana, all the drugs turned out to be legitimate — or at least they did not contain fentanyl. A pill on a piece of paper. Testing on an Adderall pill came back positive for meth in Cabo San Lucas. Among the three cities, several stores declined to sell the pills individually, and two refused to sell them without a prescription. Though roughly a third of the 40 pharmacies targeted in the study would not sell high-powered prescription drugs over the counter, the majority did. With their more precise equipment, the researchers were able to get more granular results — and to determine that three of the oxycodone samples were positive for heroin. They, like The Times, also found that all of the counterfeit pills came from stores in areas frequented by tourists, in locations that often featured English-language medication advertisements. A silhouetted person walks by a pharmacy. A pharmacy in Cabo San Lucas. State Department, meanwhile, noted two drug-related deaths of Americans in Mexico that year. Cabo San Lucas is a major draw for American tourists. But cartels knew they could make more money by producing it themselves. In the years that followed, the amount of fentanyl seized by U. Customs and Border Protection more than tripled, from 4, pounds in to 14, pounds last year. But pharmacy owners are most likely not buying directly from the criminal organizations. When reporters visited last month, at least a few drugstore workers seemed aware their over-the-counter offerings were unusually potent. He was differentiating between two pills he presented when asked for oxycodone: the one he pointed out, which later tested positive for fentanyl, and one that came up negative. Given the shortcomings in Mexican death data, spotting those deaths could be difficult — which means cartels will have little reason to curb their pill trade. Over the course of a year, we recently lost , sons, daughters, moms, and dads to drug overdoses. Millions are suffering from mental illness, exacerbated by the pandemic. Together, we must take action to save lives. For more resources click here. February 02, Some pharmacies in Mexico passing off fentanyl, meth as legitimate pharmaceuticals. Are you, or someone you know, struggling with a mental health or substance use disorder? You are not alone.

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