It was clear that Canadian pharmacies were marketing prescription drugs to Americans at lower prices than U.S. based pharmacies, however, it became evident in April 2018 that the health risk of purchasing drugs from Canada could result in the sale of millions of counterfeit prescriptions being sold cross border. In one such case, one of the largest importers of counterfeit Cancer drugs was CanadaDrugs.com which was seized by the Department of Justice. Canada Drugs was founded in 2001 by Kristian Thorkelson and had earned more than $78 million selling drugs not just from Canada but, from all over the world. Medications were mislabeled and counterfeit versions of the cancer drugs Avastin and Altuzan (which had NO active ingredient), were being sold to unsuspecting cancer patients in the United States.