Slashdot Mirror


Hacking the US Prescription System

An anonymous reader writes: It appears that most pharmacies in the US are interconnected, and a breach in one leads to access to the other ones. A security advisory released [Friday] shows how a vulnerability in an online pharmacy granted access to prescription history for any US person with just their name and date of birth. From the description linked above: During the signup process, PillPack.com prompts users for their identifying information. In the end of the signup rocess, the user is shown a list of their existing prescriptions in all other pharmacies in order to make the process of transferring them to PillPack.com easier. ... To replicate this issue, an attacker would be directed to the PillPack.com website and choose the signup option. As long as the full name and the date of birth entered during signup match the target, the attacker will gain access to the target's full prescription history.

6 of 78 comments (clear)

  1. Assumptions by dcollins117 · · Score: 4, Informative

    From TFA, regarding a persons prescription history, it says

    It is assumed that this information comes from the various backend systems that interlink the pharmacies as described above.

    I doubt it. I think it is far more likely that the pharmacy sells this information to insurance, pharmaceutical, and marketing companies. Big data is big business these days. So long patient confidentiality.

    That being said, it is unconscionable how lax PillPack.com security procedures were.

    1. Re:Assumptions by OverlordQ · · Score: 4, Interesting

      > I think it is far more likely that the pharmacy sells this information to insurance, pharmaceutical, and marketing companies.

      This. Pretty much every prescription the doctor writes effectively goes straight to the drug reps. If you stop prescribing, they'll know, and come in and bribe^H^H^H^Hinquire as to why you stopped prescribing their drug.

      --
      Your hair look like poop, Bob! - Wanker.
    2. Re:Assumptions by raburton · · Score: 4, Informative

      Very pleased we have a different system in the UK. Drug reps aren't even supposed to give us pens anymore. That said I've had plenty of free lunches from drug reps along with a presentation about their latest drug, but I'm not talking about fancy dinners just a light picnic type spread from the nearest supermarket. There isn't much point them doing it anyway, as a general rule we are only supposed to prescribe things that are approved by NICE (after proper cost/benefit analysis) and/or in our local formulary. If you are prescribing outside that they'll be coming to you for an explanation, not the drug companies. Drug companies are also not allowed to advertise prescription only drugs direct to the public, which I think is probably the most important difference.

  2. Re:Not exactly a hack by arth1 · · Score: 5, Informative

    This is just plain irresponsible behaviour by PillPack, nothing to do with hacking.

    No, this is just plain irresponsible behavior by those who share infomation to PillPack and others.

    Recently, I noticed that when I picked up a prescription for a (for me new) medication that's mostly used for one purpose, I suddenly got dozens of spam e-mails wanting to "help" me with a particular diagnosis I don't have. And that's the few that went through the double layer spam filter. It was way too pervasive to be a coincidence.

    It's clear that the US prescription system leaks like a sieve, and that even spammers have access to people's prescription history.
    Can we go back to paper prescriptions that don't enter a database, please?

  3. Re:Not exactly a hack by CrimsonAvenger · · Score: 4, Interesting

    They know about your medication (see above).
    What they may lack is the matching email address to your name?

    They know about my meds because I pretty much have to tell someone to get the prescription filled.

    They know my email address since the same people I go to to get the prescription filled have my email address so they can send me reminders that my refills are due.

    So, the pharmacy has my prescription history going way back (what, you think I change pharmacies every time I get a new prescription) and my email address. And I still have never gotten any spam advertising drugs.

    Note that drug advertising to me wouldn't actually do any good, since I'm not an MD, and am incapable of prescribing drugs to myself (or anyone else). That sort of thing is best aimed at doctors and hypochondriacs (the kind who will nag their doctors about the new drugs they see on TV that sound like they'd be PERFECT for their problems)....

    --

    "I do not agree with what you say, but I will defend to the death your right to say it"
  4. HIPPA by Registered+Coward+v2 · · Score: 5, Informative

    would seem that this would be a violation of HIPPA security rules, assume pharmacies are covered entities, which I think they are. Specifically, covered entities must maintain adequate:

    Administrative Safeguards

    Security Management Process. As explained in the previous section, a covered entity must identify and analyze potential risks to e-PHI, and it must implement security measures that reduce risks and vulnerabilities to a reasonable and appropriate level.

    Technical Safeguards

    Access Control. A covered entity must implement technical policies and procedures that allow only authorized persons to access electronic protected health information (e-PHI).

    It would seem simply allowing access via a name and birthdate is a violation of the above requirements.

    Source: http://www.hhs.gov/ocr/privacy...

    --
    I'm a consultant - I convert gibberish into cash-flow.