Street dealers don’t require appointments, waiting periods, or medical evaluations, making drug acquisition faster and more straightforward. This appeals to people who want immediate relief from symptoms or those who prefer to avoid medical scrutiny of their drug use patterns. The cost is typically between $1 to 15 per tablet, since it’s unlikely to cause effects typically sought by people who abuse prescription drugs, such as euphoria. 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.

Financial Barriers To Legitimate Access
Valium, the brand name for diazepam, is a benzodiazepine drug prescribed to treat anxiety and seizures. The average street price of Valium is $2 to $15 per tablet, depending on the strength. The street prices for benzos can vary depending on the type of benzodiazepine drug, the dosage/strength, and local availability.

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Many people fall into coverage gaps where they earn too much for assistance programs but not enough to afford prescription costs. Insurance formulary restrictions, prior authorization requirements, and coverage denials can create barriers that push people toward illegal drugs. Some people discover that street prices for certain medications are lower than their copays, especially for generic drugs sold in bulk on illegal markets. Different drugs follow distinct sales patterns; for example, opioids are frequently sold individually due to high value, while less expensive medications might be sold in larger quantities. Controlled substances with high abuse potential command high prices even in small amounts, while medications with lower recreational value require larger quantities to be profitable. Many prescription medications are resold on the street through illicit channels.
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Even with insurance coverage, copays for specialty medications can range from hundreds to thousands of dollars per month, making them financially inaccessible for many patients. People facing chronic conditions requiring long-term medication may find themselves choosing between prescription drugs and other essential expenses like housing, food, or utilities. When you think of people selling and buying prescription medications on the black market, illegal drugs may come to mind.
The cost of opiates bought on the street will depend on the type of opiate, the strength (dosage), and other factors. When patients purchase from an online pharmacy, it’s difficult to know if prepackaged unopened medications are authentic, especially if the pharmacy isn’t licensed to do business in the United States. “People engaging in broad distribution of medications or the sale of prescription medications would technically be violating federal and state policy (which varies from state to state),” Farley noted. “The cost of many common forms of insulin have tripled over the last decade.

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The street value of prescription drugs can vary according to the type of drug, dosage, and other factors. It is strongly advised to avoid engaging in illegal online drug transactions and to seek help from appropriate resources if struggling with substance abuse. Addiction treatment centers, mental health professionals, and support groups can provide assistance and support for individuals facing substance-related challenges. Cost and affordability are some of the major reasons people in the United States turn to the black market for prescription medications, according to some researchers.
All Addiction Resource content is medically reviewed or fact checked to ensure as much factual accuracy as possible. Zoloft, also known as sertraline, is a prescription antidepressant that belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs). Flexeril (cyclobenzaprine) is a muscle relaxant with a chemical structure similar to tricyclic antidepressants. Amphetamines are a class of prescription stimulants, or “uppers”, that are commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. Benzodiazepines, also known as “benzos”, are a class of central nervous system depressants commonly prescribed to treat anxiety, panic attacks, and insomnia.

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Underground market activity was traditionally conducted in cash to avoid creating a paper trail. With the rise of the internet, many underground market transactions are now done online, such as on the dark web using digital currencies. Policing online drug dealing is a formidable task for law enforcement agencies. The vastness of the internet, combined with encryption technologies and the dark web, creates a challenging environment to track and apprehend online drug dealers. Cryptocurrencies, like Bitcoin, have added another layer of complexity to online drug dealing.
- Those facing anxiety might seek benzodiazepines such as Xanax or Ativan when they cannot access mental health care, while people with untreated ADHD might purchase stimulants to help with focus and productivity.
- Gaps in health insurance for people with type 1 diabetes have been well-documented, but Mizokami-Stout said she suspects under-insurance plays a larger role.
- This year alone, more than 5 people have reportedly passed away after rationing insulin, Bailey added.
- When you think of people selling and buying prescription medications on the black market, illegal drugs may come to mind.
The Necessity Of Black Markets
The black market is estimated to constitute as much as 36% of the gross domestic product of developing nations and 13% of developed countries’ GDP. These include the association of the word black with shadows and darkness, with the markets that continued to sell slaves after abolition, and the association of the color black with anarchist groups. When you call the number listed on this ad, your call will be answered by Treatment X, a licensed addiction treatment provider and paid advertiser on AddictionResource.net.
Economic Desperation And Medical Needs
Fentanyl is a synthetic and highly potent opioid drug that can be prescribed or illegally manufactured to be sold on the street. At Recovery Guide, our mission is to connect as many individuals struggling with mental health and substance abuse disorders to reputable treatment facilities. Yes, online drug dealers use sophisticated tactics like fake profiles and cryptocurrencies, making them challenging for law enforcement to track. If you or someone you know is struggling with drug addiction, know that help is available. At California Prime Recovery, we offer compassionate and effective addiction treatment programs designed to support individuals on their journey to recovery. “We were surprised by the frequency in which the underground exchange activity was occurring and that individuals were purposely stockpiling medications and supplies for the purpose of donation,” Litchman noted.
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A report in Journal of Diabetes Science and Technology found that a lack of access and affordability — as well as altruism — are why people with chronic illnesses are using the black market. The first arrest and conviction of a person for dealing in drugs over Silk Road actually occurred in Australia, with the accused apprehended for trafficking in cocaine and MDMA. The founder of Silk Road, who was known as “Dread Pirate Roberts”, was charged, tried and convicted on charges that including money laundering, computer hacking and conspiracy to traffic narcotics.
But the black market also includes donating, selling, and purchasing prescription medications that people need to survive. It’s important to note that while online drug sales exist, law enforcement agencies around the world actively work to combat illegal online activities. Governments and international organizations collaborate to address the challenges posed by online drug trafficking, employing technological solutions and legal measures to counteract these activities. Engaging in illegal drug transactions online is against the law and poses significant risks to individuals involved. There are a variety of illegal markets, and all of them work in different ways.
These digital currencies offer a level of anonymity that traditional financial systems do not provide. As a result, online drug dealers often prefer to transact in cryptocurrencies. An example of an illegal or black market would be the human trafficking market that engages in the capture of people throughout the world and their sale into various areas, such as forced labor and prostitution. There is a big demand and a large market for these goods, despite strong laws designed to punish those who sell fake goods. The sale of counterfeit goods reduces the profits made by legitimate manufacturers and also undermines confidence in the market as a whole. Underground market transactions provide no recourse to the buyer in case the product is defective, and a buyer in an underground market can suffer penalties and jail times just as easily as a seller can.
Price fluctuations often indicate underlying problems such as inadequate access to legitimate medical care, insufficient addiction treatment resources, or ineffective prescription monitoring systems. 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. In today’s digital world, access to the black market has become easier than ever, allowing people across the country to shop for illegal drugs online as if they were any other product.
This means that a person can be deemed to have intended to sell or supply a drug, even when the amount they possessed was quite small but it was diluted in a large amount of other material. An underground market is often a place for the exchange of illicit, dangerous, or counterfeit goods. They are venues where highly controlled substances or products, such as drugs and firearms are illegally traded.