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states may implement their own laws regulating importation, possession, and trafficking in prescription drugs and/or controlled substances. For several years, the states of Nevada, Minnesota, Illinois and Wisconsin have run official state programs to help their residents order lower-cost drugs from abroad to save money.

Most online pharmacies worldwide will send consumers a free replacement order if their order is not received for any reason, including customs seizure (some do require the customer to submit a copy of the seizure letter they received from customs, in order to prevent fraudulent claims of non-receipt). Normally, consumers should wait about 30 days after placing their order before considering this option.

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When considering an order, a prospective customer should read the rules regarding reships on the pharmacy's website. Enforcement of the laws listed in the previous section can be difficult (and in some cases purposely lax), as evidenced by the many profitable online pharmacies worldwide.

Among other reasons, strict drug law enforcement is politically unpopular because many customers of online pharmacies are seniors and the uninsured who cannot afford to buy their prescription drugs in the United States. Any package containing prescription drugs may, in principle, be seized by customs.

The package may be held and eventually returned to the sender if the addressee does not respond and provide proof that they are allowed to receive these drugs (e.g.

, a valid prescription). (Sample package detention notification letter) In practice, the number of packages containing prescription drugs sent to United States on a daily basis far exceeds Customs' capabilities to inspect them.

[10] In the past, packages often passed through customs even if they were not sent from Canada or otherwise didn't meet the requirements of section 804 of 21 USC. Until recently, about 5 percent of prescription drug packages sent from Canada were being seized.

At the present time, U.S.

customs does not seize packages from Canada. Rarely, drug importation laws are enforced on the local level.

For example, in June 2005 in Baton Rouge, Louisiana, a number of customers of online pharmacies were arrested by local law enforcement officers and charged with possession of a controlled substance without prescription. In the UK, more than 2m people buy drugs regularly over the internet from legitimate online pharmacies.