On September 30th, the Public Health Department of Santa Clara County, California updated a public health warning they had issued September 10th about deadly counterfeit 30mg oxycodone pills. The initial warning described “tablets visually appear to be the pharmaceutically manufactured version—they are circular in shape, light blue to light green in color, and have an ‘M’ inside a square stamped on one side and a ‘30’ stamped on the other side. Numerous fatal overdoses have been tied to these tablets, with a strong uptick in fatal overdoses in August 2019.”