Drug counterfeiters can acquire a pill press and a counterfeit pill mold to churn out counterfeit medications for less than $500. Unfortunately, "garage manufacturers" are not careful about manufacturing controls, and their products often contain fatal doses of fentanyl or other drugs. Since 2015, bootleg prescription drugs made with machines like these have killed unsuspecting Americans in 37 states.

"Pill Presses and the New, Decentralized Counterfeit Trade," explains more about this terrible trend. For more information, read Illegal Pill Presses: An Overlooked Threat to American Patients, a March 2019 report by the National Association of Boards of Pharmacy, National Association of Drug Diversion Investigators, and The Partnership for Safe Medicines.