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RFID Labels On Prescription Drug Bottles

sonik1 writes "The New York Times is reporting that the Food and Drug Administration and several major drug makers are expected to announce an agreement Monday to put tiny radio antennas on the labels of millions of medicine bottles to combat counterfeiting and fraud. RFID labels provide a unique identifier that is almost impossible to copy. When pharmacists receive delivery, they should be able to pass a wand over the bottles and, through an online database, check the history of each. Each label costs 20 to 50 cents."

34 of 222 comments (clear)

  1. In the Money by stecoop · · Score: 3, Insightful

    1) charge 20 to 50 per RFID label
    2) Opt out
    3) ???
    4) Profit!!!

    So I can save 20 to 50 cents on my perscription by choosing not to purchase the RFID label? 5 or 6 perscription you woule have saved enough get a cheap bottle of wine.

    1. Re:In the Money by will_die · · Score: 4, Informative

      For the time being it is only going on the large bottles that percriptions are filled from. You will probably not see any increase unless you are purchasing a multiple year usage of viagra.

    2. Re:In the Money by BreadMan · · Score: 4, Insightful

      The expensive part when shipping scheduled drugs is having a pharmacist on hand to monitor the delivery. Before shipping scheduled drugs, a pharmacist must seal and sign off the shipment container and only a pharmacist can break the seal at delivery and count the drugs before they're locked away in inventory. Pharmacist labor is very expenisve ($50 - $70/hour) so being able to account for the contents of a sealed box would result in big cost savings.

      >> This will still not prevent the pharmacist from "diluting" the drug
      Tampering with a drug in this way would result the removal of your pharmacy license in a NY second. For injectable drugs, the pharmacy keeps very careful logs to prove how much medicine goes into each IV bag: who calculated the dose and how, who checked the calculations, who filled the order, who checked the order before filling (different than the person who does the filling) and who checked the bag before it went out. The system exists to minimize the possibility for error, an incorrect chemo dose could kill somebody. Besides, you couldn't get insurance for your pharmacy unless you kept these records.

  2. Paranoia fueling higher costs, yay! by garcia · · Score: 5, Interesting

    Initially, the expense of the system will be considerable. Each label costs 20 to 50 cents. The readers and scanners cost thousands of dollars. But because the medicines tend to be very expensive and the need to ensure their authenticity is great, officials said, the expense is justified.

    As if my three prescription drugs don't cost enough already (and my co-pays continue to increase) I am going to have to subsidize a possible invasion of my privacy as well? Are they going to insure that before I leave that pharmacy counter that the tag's information will be wiped?

    I certainly don't want to be heading towards the door with Oxy and have some hi-tech thief scan me and follow me home to rob me of the drugs I just purchased... Perhaps even someone could scan important/famous people and either blackmail them for their drug purchases (HIV/STDs) or just blatantly report it to the Fish Wrappers for cash.

    Costs are still far too high for individual consumer goods, like the amber bottles that pharmacies use to dispense pills to individuals. But prices are expected to plunge once radio labels become popular, so drug makers represent an important set of early adopters.

    Once it does become viable for individual consumer bottles there will be yet another excuse why the prices need to continue to go up. Everything needs to cost more especially in the pharmaceutical industry. I swear everyone is in on it. I am told I need three low dose drugs when I have a feeling that a higher dose of another would handle it just fine. I am told that I am being prescribed these particular drugs because my coverage is good enough to afford it... It all leads to more money for everyone.

    This still doesn't stop someone from switching the drugs once they arrive at the pharmacy.

    Counterfeit drugs are still comparatively rare in the United States, but federal officials say the problem is growing. Throughout the 1990's, the F.D.A. pursued about five cases of counterfeit drugs every year. In each of the last several years, the number of cases has averaged about 20, but law-enforcement officials say that figure does not reflect the extent of the problem.

    Then WTF are we doing this? 20 cases of counterfeit drugs yet we have to spend thousands and thousands and pass that on to the consumer. Ugh. Yeah, they are going to say that we need to protect against a possible outbreak of this. Personally, I don't see how a label can help when the medicine inside is what is important. Anyone can swap out the real meds inside for their counterfeit ones.

    1. Re:Paranoia fueling higher costs, yay! by danheskett · · Score: 5, Insightful

      I certainly don't want to be heading towards the door with Oxy and have some hi-tech thief scan me and follow me home to rob me of the drugs I just purchased... Perhaps even someone could scan important/famous people and either blackmail them for their drug purchases (HIV/STDs) or just blatantly report it to the Fish Wrappers for cash.
      This presumes that the thief would have access to the database of reference. The tag only contains a Unique ID, therefore, without the reference, the ID is useless. You or the famous person are at the type of risk you describe already if an untrustworthy person has access to your medical records or pharmacy records.

      Once it does become viable for individual consumer bottles there will be yet another excuse why the prices need to continue to go up. Everything needs to cost more especially in the pharmaceutical industry. I swear everyone is in on it. I am told I need three low dose drugs when I have a feeling that a higher dose of another would handle it just fine. I am told that I am being prescribed these particular drugs because my coverage is good enough to afford it... It all leads to more money for everyone.
      True. It is a corrupt system. But, on the other hand, millions of surgeries are avoided and lives preserved by the drugs every year.

      Then WTF are we doing this? 20 cases of counterfeit drugs yet we have to spend thousands and thousands and pass that on to the consumer. Ugh. Yeah, they are going to say that we need to protect against a possible outbreak of this. Personally, I don't see how a label can help when the medicine inside is what is important. Anyone can swap out the real meds inside for their counterfeit ones.
      The drugs that are reiceved are not usually in ready-to-distribute packages. The pharmacist takes from the big bottle and puts into your bottle. This is more dealing with the bottles that the pharmacist recieves. These are generally heavily tamper-resistant, especially for more dangerous drugs.

    2. Re:Paranoia fueling higher costs, yay! by will_die · · Score: 4, Interesting

      Try reading the article.
      For the time being they are only doing this on the large bottles that pharamacies get and then split up to form the indiv amounts.
      Besides thier are easier ways to find you have drugs then scanning you as you leave a drug store. if you are really so scared take your aluminum hat off and wrap the drugs in it.

    3. Re:Paranoia fueling higher costs, yay! by Ender_Stonebender · · Score: 4, Informative

      You need more coffee, man - your brain hasn't started to function yet.

      Even from the summary, it was obvious that these RFID tags are NOT going to be on the bottles you're carrying home. They're going to be on the bottles of prescription drugs that the pharmacies receive and will be used to authenticate that the drugs were not replaced during shipment. You'll still get the same amber bottle you've always gotten to carry your drugs home in.

      Your last couple of points, however, are totally valid. Unless opening the bottles destroys the RFID tag, there's no way to tell that the drugs inside the bottles haven't been replaced. And 20 cases per year? Given the huge number of prescriptions filled in the US per year, 20 cases of counterfeit drugs is so miniscule that the problem is essentially non-existent.

      --Ender

      --
      Loose things are easy to lose. You're getting your hair cut. They're going there to see their aunt.
    4. Re:Paranoia fueling higher costs, yay! by Trailer+Trash · · Score: 4, Funny

      if you are really so scared take your aluminum hat off and wrap the drugs in it.

      Tinfoil, dude, apparently why yours isn't working...

    5. Re:Paranoia fueling higher costs, yay! by mr.+methane · · Score: 4, Interesting

      I think it's actually the opposite - the commercial-size shipments of medications don't tend to have tamper-resistant caps and other features. What this allows is quick checking of shipments, so they know immediately that there's 600 units of some medication in the crate, and the computer can start auto-dialing people who are waiting to have prescriptions filled.

      Considering that it might save a pharmacist even a few minutes per day, it more than pays for itself immediately.

      As usual, it also should cause a nice bump in the sale of tin-foil hats for the black helicopter crowd.

  3. Impossible to copy? by Devar · · Score: 5, Interesting

    RFID labels provide a unique identifier that is almost impossible to copy.

    Really?

    --
    It's a Bagel.
  4. What does this have to do with my rights online? by Chess_the_cat · · Score: 4, Insightful

    Why does it seem that RFID stories are automatically posted under My Rights Online?

    --
    Support the First Amendment. Read at -1
  5. Humm by Ambient_Developer · · Score: 4, Insightful

    So now they can tell which stuff came from canada, ingenious!

  6. regionalism makes $ense. by twitter · · Score: 3, Insightful
    Then WTF are we doing this? 20 cases of counterfeit drugs yet we have to spend thousands and thousands and pass that on to the consumer.

    So that drug companies can keep people from importing drugs from Canada? Same drug, same label, different cost due to state controls. I'm sure the drug companies would consider their own pill a counterfeit under those circumstances. Drug companies could even demand special cash registers to deny sales, and I'm sure that's part of the thousands of dollars worth of cost and the "online" database. Welcome to entertainment style DRM for medicine.

    I think I'm going to be sick.

    --

    Friends don't help friends install M$ junk.

    1. Re:regionalism makes $ense. by poot_rootbeer · · Score: 3, Funny

      I think I'm going to be sick.

      Considering your paranoia concerning the pharmaceutical industry, I would recommend against you getting sick...

  7. The Label is on the pharmacy bottles by THESuperShawn · · Score: 5, Informative

    NOT the little brown bottles you bring home.

    This will save you MORE than money.This will potentially save you (or your family members) lives as it prevents fake drugs- or at least makes them a lot harder to produce.

    The number of fake pills out there is staggering. This is actually a 'good' implementation of RFID.

    The only thing this has to do with the little brown bottle you bring home is that it may vist a few cents more (the tag costs like 20 cents, the tagged bottle may fill 10-50 prescriptions). The benefit is that you can be pretty darn sure tha medicine you get is legit.

    I think it's worth it.

    --
    Repant. Thy end is sheer.
    1. Re:The Label is on the pharmacy bottles by calibanDNS · · Score: 3, Insightful

      What bothers me about this argument is that if I'm taking prescription drugs, I now have to eat the increased cost of making sure that I'm given legitimate drugs. Sorry, but I feel that the drug distributing industry should have to be responsible for this particular service on its own. Loopholes in their system have allowed counterfeit drugs to slip in, and they should be the ones paying to fix it, not consumers who are alredy bogged down with the (sometimes exteremly high) cost of prescription drugs. Also, we're not just seeing the price of the RFID tag passed on to consumers, but also the cost of the equipment to check those tags at delivery sites.

      I think it's worth it if the drug industry is paying for their own screw ups. In reality, the customers who are already the victims of counterfeit drugs are going to have to pay for this.

    2. Re:The Label is on the pharmacy bottles by THESuperShawn · · Score: 3, Insightful

      You make a very valid point. But, think of it this way.

      The cost is about 20 cents (or 250 canadian dollars...just teasing) per bottle. That same bottle will fill several prescriptions. The costs to you will be anywhere from less than one cent to 20 cents max.

      PLUS, your co-pay, if you are insured, is not going to change. Technically, you will not really pay anything.

      Now, I know a valid argument can be made to say that any cost will make premiums go up, etc, BUT, think of this. RFID will cost much less to implement than child proof caps did and we did not pay a lot for them.

      Seriously, I think it will be ok.

      Then again, I do take a lot of said medication.....

      --
      Repant. Thy end is sheer.
    3. Re:The Label is on the pharmacy bottles by calibanDNS · · Score: 4, Interesting

      Ok, here's another look at it. I'm not saying that you're wrong, and I hope that you aren't, but I just don't trust large corporations to not screw us over.

      Let's say it's $0.20/large bottle to tag and each large bottle on average fills 20 perscriptions. That SHOULD only raise the price about $0.01/perscription. Which is barely noticable.

      Now add in the cost of the RFID reader. I don't know how expensive these things are, but I'm sure they're more than a couple of dollars. Now install at least one reader in each pharmacy. Now train each pharmacy tech to use the equipment. See how fast the costs can increase? Companies will most likely want to make up for these costs ASAP, so they'll increase prices immediately instead of trying to spread the costs over a year with only slightly higher prices. Once the insurance companies are paying these prices, the pharmacies have no incentive to lower the prices (citing continued maintenence and training costs). This, of course, causes insurance premiums to go up and we won't even talk about what happens to the uninsured.

  8. Andd what *exactly* does this have to do with... by sepluv · · Score: 3, Funny

    Your Rights Online unless you're an online drug dealer or something...

    --
    Joe Llywelyn Griffith Blakesley
    [This post is in the public domain (copyright-free) unless otherwise stated]
  9. No more Canadian counterfit drugs by scattol · · Score: 3, Informative

    RFID tags on the boxes means that it will now be easy for customs to deny entry of cheaper canadian pharmacuticals into the US since their history can't be guaranteed authentic. Remember that the Bush battlecry has been safety and with this you will be able to track drugs Canadian hands which are unsafe by definition since they aren't subjet to US laws.

    Looks like the plan is unfolding as it should

    Or is it just tin foil hat time?

  10. RFID is a GOOD thing... by lavaforge · · Score: 4, Informative


    Or at least it is in this case.

    I recently co-oped at a large pharmaceutical company and it honestly looks like RFID is a good idea here.

    Counterfeit drugs are a serious problem. There are several large counterfeiting operations working out of areas like China that produce product that is so authentic looking that most people (even doctors) can't tell the difference. The only problem is that nobody has any idea as to whether the dosages are correct or if the product was manufactured under sterile conditions. There have already been a few deaths.

    I've read quite a few people complaining about how RFID is going to jack up the cost of prescriptions, but I would willingly pay %0.50-$1.00 to guarantee that I'm actually taking what I think I'm taking.

    It's your life, though. Feel free to gamble with it if you must.

  11. Actually. by NotJeff · · Score: 3, Informative

    As if my three prescription drugs don't cost enough already (and my co-pays continue to increase) I am going to have to subsidize a possible invasion of my privacy as well? Are they going to insure that before I leave that pharmacy counter that the tag's information will be wiped?

    The article says the tags are for the big bottles the pharmacy receives, not the amber bottles for the consumers. This doesn't seem to be a consumer rights issue at all, mostly.

  12. Re:RFID's easy to copy by will_die · · Score: 3, Informative

    It would not really matter if they were copied, since the system is used mainly as a tracker.
    So if one is copied then as it was scanned in it would show up that it was also purchased by some other end parmacies and that would be a great clue that it was bad.
    The problem would be if they generate a number that corresponds to a bottle that was in transit. It would take until the other bottle is delivered to find you have a possible forgery.

  13. Not for consumer bottles (for now) by Mr.+Cancelled · · Score: 3, Informative

    Some readers appear to be missing the fact that this only applies to the large jugs of pills that the pharmacists receive. Your individual pill bottle will not have this antenna.

    For now at least... I'd imagine that if this is succesful, that consumer bottles will be next on the list, where they'll likely meet the same kind of debate that RFID tags are now dealing with.

  14. Don't you know the party line by now? by imaginate · · Score: 5, Funny

    This will SAVE consumers money, of course!

    By preventing fraud (and cheaper imports), the pharmaceutical companies will protect their investment, which will naturally lead to LOWER COSTS! It's a win/win situation!!!

    You, the consumer, should embrace this, just as you should embrace DRM, because when companies don't have to enforce their IP, they pass those savings on to YOU!

    Hey, that sh!t's worked before...

  15. this is getting ridiculous by compro01 · · Score: 5, Informative

    RFID tags have a VERY limited range. a few feet at most. to scan someone, you would have to be nearly touching them. you couldn't wardrive for narcotics, like one poster mentioned.

    the tags are only on the large bottles that pharmicies get. the kind that has about 1000 or so pills in it. that is about 33 perscripions. so $0.50/33= $0.0001.

    --
    upon the advice of my lawyer, i have no sig at this time
  16. Re:FCC to install 'steal me' RFIDs by Kombat · · Score: 4, Insightful

    Nice troll. What the heck, I'll bite.

    1. RTFA. The RFIDs are on the bulk packaging received at the pharmacy, they are not on the small containers doled out to the customers.

    2. Why would a junkie, desperate for his next hit, be driving around in a vehicle, with expensive remote-RFID sensing equipment, looking for prescription drugs? Why wouldn't he just sell the laptop/van and buy the heroin he wants?

    3. Where would this highly-sophisticated, highly-educated, well-equipped drug addict get a copy of the confidential RFID tag database that he would need in order to make the connection that ID # 8736704385748932 is Penicillin? And if he is capable of hacking (oops, sorry, I mean "cracking") into Pfizer's mainframe and stealing databases, why wouldn't he instead just steal a credit card database?

    4. When did anyone invent an RFID reader capable of reading passive RFID tags at a range greater than 3 yards, let alone the 75 feet from the street to your medicine cabinet?

    5. Why wouldn't the junkie just skulk around a rich neighborhood, pick a big, dark house that looks empty, with no security alarm stickers in the window, break in, steal the jewelry, and pawn it for drugs? Why go through all the trouble/hassle of war-driving, reading a bunch of RFID tags for foot cremes, when the cheap, classic, time-tested methods still work just fine?

    In what world do drug addicts have the intelligence, financial means, and patience to do the ridiculous things you suggest?

    --
    Like woodworking? Build your own picture frames.
  17. Re:FCC to install 'steal me' RFIDs by keraneuology · · Score: 3, Insightful
    Great, and after a while you'll be able to wardrive around with a laptop and an antenna and see who has the really good narcotics in their cabinets. There will be more break-ins, since people will know where the 'good stuff' is located.

    If you're that worried then unhook the battery and antenna attached to your bottle of v14g4r4 that will be required to broadcast the RFID through not only the medicine cabinet, but through the walls of your house.

    RFID comes in both passive and active flavors and the passive kind that will unquestionably be used in pill bottles has a range that will - at best - be measured in inches. Not only that, but wardriving involves listening for signals that are already out there. To get a passive RFID read you need to transmit a signal - and cruising around the neighborhood broadcasting like that in the hopes that you can pick up the RFID tag on a bottle of p3ni5 pills that are still in the mailbox at the curb (which is as close as you'd have to be) is likely to attract a good deal of attention.

    --
    If the g'vt kept the data on you that google does you'd better believe you'd be calling it "doing evil"
  18. Re:FCC to install 'steal me' RFIDs by garcia · · Score: 4, Insightful

    I have a feeling that the junkies wouldn't be doing this themselves. The underground distributers would be the ones getting the drugs via the tags. The junkies would just buy the end product much later from a street dealer flunkie.

  19. Counterfeit drugs are a BIG problem! by Phronesis · · Score: 4, Informative
    20 cases of counterfeit drugs yet we have to spend thousands and thousands and pass that on to the consumer.

    According to a story in the Washington Post, the scale of the problem is much larger than "20 cases" might sound like. Each of these cases may involve tens of thousands or hundreds of thousands of doses of counterfeit drugs, many of which are resold back to the major pharma companies, so your local drug store can't tell that they came from a shady middleman rather than directly from Merck's factories.

    Phony medicines have surfaced in pharmacies from Florida to Hawaii, including tens of thousands of doses discovered in warehouses of the Big Three wholesalers.

    Last summer, nearly 200,000 tablets of Lipitor, the world's best-selling cholesterol-lowering medication, was found to be counterfeit and recalled by a small Missouri wholesaler. Some of the pills had already reached Rite Aid and CVS pharmacies.

    Part of the problem is that
    It can be harder to become licensed as a beautician than as a pharmaceutical distributor. With a $700 permit fee and a $200 bond, a pair of Florida manicurists got a license to sell intravenous drugs. An auto body shop owner in Miami got a license to sell drugs in Maryland. Nevada awarded a license to a 23-year-old former restaurant hostess to operate an Internet pharmacy that specialized in narcotics.
    Even worse,
    Florida gave licenses to at least a half-dozen felons, records show. Two states -- Georgia and Tennessee -- gave a wholesaler license to James R. Suozzo of Fort Lauderdale, Fla., a convicted cocaine user with a long history of heroin abuse, investigative records show. Suozzo's background surfaced when he was arrested in February on suspicion of attempting to sell adulterated Procrit, Epogen and Neupogen to another small wholesaler.
  20. Actual you are right by goatan · · Score: 3, Funny
    -- Liberalism is a mental disorder. --

    The more i think about the more i think your right. The supporters of Liberal Gun laws (NRA) are pretty mental.

    --
    Saying Apple is better than MS is like saying Botulism is better than rabies.

  21. RFID Scan==Illegal Search by ObsessiveMathsFreak · · Score: 3, Funny

    #include "CURRENT_POLITICAL_CLIMATE_DEFINITIONS.h"
    #includ e "iostream.h"
    bool JudgesRuling(double);
    bool CongressApproves();
    bool CoperationsArgueBetter();
    double MoneysInvolved(double);
    void Appeal();
    void GoAheadAnyWay();
    bool The_System_Works();

    int main(int argc,char* argv[]){
    bool RFID_tags_become_popular = CONSUMER_APATHY_INDICATOR;
    long number_of_consumers = NUMBER_OF_SUCKERS;
    long number_of_RFID_readers = CORPERATION_RUTHLESSNESS_INDICATOR;

    double massive_amount_of_personal_data_in_private_hands =
    RFID_tags_become_popular * number_of_consumers * number_of_RFID_readers * AVG_READS_PER_DAY * AVG_READ_COOKIE_SIZE;

    bool RFID_scanning_is_illegal_search =JudgesRuling(massive_amount_of_data_in_private_ha nds);

    if(RFID_scanning_is_illegal_search){ if(MoneysInvolved(massive_amount_of_data_in_privat e_hands) > A_LOT_OF_$$$) Appeal();
    else
    printf("You have no Privacy, get over it\n"); endl;
    return A_LOT_OF_$$$;
    }

    return OUTSCOURCED_RFID_PROFITS;
    }

    bool JudgesRuling(double possible_infraction){

    if(CongressApproves()) return false;
    else if(MoneysInvolved(possible_infraction) > A_LOT_OF_$$$) return false;
    else if(CorperationsArgueBetter()) return false;
    else return true; //should never get here
    }

    bool CongressApproves(){
    if(CorperationsArgueBetter())
    return true;
    else
    return false;
    }

    bool CorperationsArgueBetter(){

    if(A_LOT_OF_$$$ > PROTESTERS_FUNDS)//always true
    return true;
    else
    return false;
    }

    double MoneysInvolved(double data_recieved){
    return data_recieved * NUMBER_OF_SUCKERS * DOLLARS_PER_SUCKER;
    }

    void Appeal(){
    if(The_System_Works())
    return;
    else
    GoAheadAnyWay();
    }

    void GoAheadAnyWay(){
    printf("We will find other methods to make life better for consumers\n");
    exit(-1);
    }

    bool The_System_Works(){
    if(A_LOT_OF_$$$ > 0)
    return false;
    else
    return true;
    }

    --
    May the Maths Be with you!
  22. Non-Paranoia use for RFID + Drugs by dbitter1 · · Score: 3, Interesting
    The company I work for also does some RFID contracts. All paranoia aside, another use we saw (and $diety I wish we thought of it first) was to place RFID tags on pills that had the encoded consumption instructions on them. Then, sell certain consumers readers that allowed them to hold the bottle next to the reader, and it would synthesize the dosage, timing, etc. into something they could understand.

    Not all people (think the visually impared, illiterate, non-english speaking, etc) can read the bottles, and some computer assistance can certainly help with the medication...

    --
    For us carnivores, "Sucking the marrow out of life" isn't a transcendentalist philosophy but a practical instruction.
  23. Is universal health care ever cheaper? by Phronesis · · Score: 3, Interesting
    And don't forget to add to the cost of medicine the extra tax used to pay for the "universal health care" that guarantees these low medication costs in Canada and Europe. If you do that, is it ever really cheaper?

    Even including the "universal health care tax," Canada and Europe achieve better results (lower infant mortality, longer average lifespans) than the US and at lower cost than the US, regardless whether you measure in dollars per capita or as fraction of GDP.

    There is no question that the US system of medicine is quite inefficient compared to other industrial nations. However, drug costs are not a significant contributor to this inefficiency.

    The greatest source of inefficiency in the US is that Congress requires insurance companies to pay for state-of-the-art care even when a much cheaper, but inferior treatment would produce almost as good results at a fraction of the price.

    Even for the uninsured, physicians and hospitals often choose expensive courses of treatment because saving money with alternatives, which might be marginally inferior but much cheaper, would potentially expose them to lawsuits if things turned out badly.

    In Europe, the government will pay for therapy they consider cost-effective and often make you wait for it. If you want something fancier or want faster service, you're free to pay for it yourself. This gives people an incentive to ask whether they really want the state of the art, since it might cost them out of their own pocketbook.

    In the US, everyone with insurance is decoupled from market forces and feels entitled to spend unlimited amounts on medical care in exchange for a small annual premium. This is not the way to get a market to operate efficiently.