In the United States, we're generally well protected from counterfeit pharmaceuticals by the Food and Drug Administration. However, some people purchase prescription drugs through online pharmacies, whose sources are problematic.
Of course, the root cause for this is the fact that drug prices in the United States are nearly four times higher than those of similar countries.
(Background, a Wikimedia Commons image by Pöllö.)
Serial numbers - Serial numbers were the first protection measure used for paper currency, and these added an additional step beyond just printing. Today, serialization can be much more complex with the use of multi-dimensional barcodes which can be imaged by a smartphone and checked on a manufacturer's website. Combined with GPS, it can be determined whether the point of sale is a logical point in the supply chain, and it can report the locale of probable counterfeit sales.These methods can be applied to pharmaceutical packaging, but what about their contents? While minimal printing can be applied to the surfaces of pills, tablets, and capsules, this isn't an effective anti-counterfeiting method. William H. Grover, an associate professor in the University of California, Riverside, Department of Bioengineering, found a novel method of coding these pharmaceutical items. He glues small, multicolored candy nonpareils to the pill or tablet surface to create a unique code for each, and the method can be used for packaging as well.[3-4] One advantage of this technique is that it labels the medication, itself, and not the packaging. Pharmacies often dispense medicines in generic containers, so a rogue pharmacist could dispense fraudulent medication in such containers.[3] His research is published in a recent issue of Science Reports.[3]
Holograms - Holograms affixed to packages are an effective deterrent to counterfeiting, since 3D holograms are difficult to manufacture.
Inks and Dyes - Fluorescent inks will emit light at specific wavelengths when exposed to ultraviolet light. Different inks can be used at different locations on the package. Alternatively, a luminescent topcoat can be applied to show colors and patterns under ultraviolet illumination.
RFID - Radio frequency identification devices (RFID) are slightly more expensive than the other listed anti-counterfeiting measures, but their computing capability gives access to cryptographic and blockchain techniques that cannot be duplicated.
Pharmaceutical caplets coated with candy nonpareils.
One problem with this method is the principle that you should never tell your children that drugs are "candy."
Pharmaceuticals processed this way should be contained in child-resistant containers.
(Portion of a University of California, Riverside, image by William H. Grover.[4])
"The inspiration for this came from the little colorful chocolate candies. Each candy has an average of 92 nonpareils attached randomly, and the nonpareils have eight different colors. I started wondering how many different patterns of colored nonpareils were possible on these candies... It turns out that the odds of a randomly generated candy pattern ever repeating itself are basically zero, so each of these candies is unique and will never be duplicated by chance."[4]Consumers could photograph a medication with a smartphone, upload the photograph to the manufacturer's website, and find whether the medication is genuine or fraudulent.[4] There has been prior research on using random physical patterns as unique identifiers. In one study, a laser transmitted through a transparent matrix containing small glass particles, randomly distributed, produces a unique optical speckle pattern.[5] Random patterns of molecules, nanotubes, nanoparticles, and other objects have also been proposed.[6] As for edible objects, fluorescent silk microparticles, produced by genetically-engineered silkworms, can be distributed randomly in a thin silk film that can be glued to a medication.[7] This technique, however, requires specialized equipment such as fluorescence microscopes that are not used by consumers. Nonpareils applied at random to a medication form a pattern with an extreme unlikelihood of ever being repeated.[3] In his experiments, Grover coated Tylenol® capsules with nonpareils and developed an algorithm that converts a photograph of a such a CandyCoded pill into a text string identifier that can be used for database query, and he verified that his process was robust against physical damage, such as what might occur in shipping.[4] The system would allow 1017 code combinations; or, 41 million for each person on Earth.[3-4] This technique can be applied also to bottle caps (see photo),[4] although glass or plastic beads would be a better choice for such an application.
A CandyCoded lid for a perfume bottle.
(University of California, Riverside image by William H. Grover, licensed under a Creative Commons Attribution 4.0 International License. Click for larger image.)