According to the National Survey on Drug Use and Health (NSDUH), more than 14 million people misused prescription medications in 2024. This includes prescription opioids, tranquilizers, or sedatives bought through legal and illicit channels. The average cost of prescription drugs resold on the street can vary, based on the type of drug, the strength, and market availability, among other factors.
The Necessity Of Black Markets

Paying a premium over the face value of a ticket to see a concert or sporting event is also an example of an illegal market transaction. Lifesaving medicines are often in short supply in certain developing nations and the only alternative to procure them may be the underground market. Illegal markets can take a toll on an economy because they are shadow markets where economic activity is not recorded and taxes are not paid. It is often assumed that a country’s gross domestic product (GDP) is not accurate because it doesn’t account for any business activity conducted in underground markets. Finding substance abuse can be stressful, but help is available if you contact your primary care provider or an addiction specialist. They can discuss your issues, provide a referral to a drug abuse treatment program that’s right for you.
Why Patients Should Keep Talking
Yes, addiction can be effectively treated through comprehensive and personalized treatment programs, like the ones offered at California Prime Recovery. Online drug dealing has become increasingly prevalent due to the anonymity and accessibility offered by mobile apps and cryptocurrencies. Online drug dealing has a devastating impact on individuals and communities. It fuels addiction, ruins lives, and fosters a dangerous environment where violence and crime thrive. “If people have extra of something that someone else needs to live, and that other person expresses a need, they are typically very willing to share,” Mizokami-Stout added.
Legal And Logistical Concerns
Five and ten-milligram tablets of Percocet are sold on the street at an average cost of $5 to $8, according to data from the Department of Justice. Demerol, the brand name for meperidine, is a prescription opioid with an abuse potential that’s similar to morphine. Mizokami-Stout agrees with the survey’s findings, and said that the altruism in the type 1 diabetes community is high. Many people aren’t looking to make money, but to pay it forward and help people without the resources.
Tools And Recovery Resources
Many people turn to black market prescription drugs as a form of self-medication for untreated mental health conditions, chronic pain, or sleep disorders. Those facing anxiety might seek benzodiazepines such as Xanax or Ativan when they cannot access mental health care, while people with untreated ADHD might purchase stimulants to help with focus and productivity. This self-medication approach often develops when healthcare is inaccessible due to cost, wait times, or geographic barriers.

Product Reviews
All Addiction Resource content is medically reviewed or fact checked to ensure as much factual accuracy as possible. Zoloft, also known as sertraline, is a prescription antidepressant that belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs). Flexeril (cyclobenzaprine) is a muscle relaxant with a chemical structure similar to tricyclic antidepressants. Amphetamines are a class of prescription stimulants, or “uppers”, that are commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. Benzodiazepines, also known as “benzos”, are a class of central nervous system depressants commonly prescribed to treat anxiety, panic attacks, and insomnia. Content clinically reviewed and medically verified by licensed experts to meet California Prime Recovery’s highest standards of trust, transparency, and evidence-based care.
Popular Apps Used By Online Drug Dealers
A black market can be a physical market where two individuals meet to exchange illegal goods—for example, a drug transaction on a street corner. A black market can also exist online, such as on the dark web, where individuals communicate to exchange goods and payments are made in digital currencies. The illegal prescription drug market has developed distribution patterns that maintain pharmaceutical authenticity while accommodating illegal sales. Even when buying prescription drugs for legitimate reasons, such as pain relief, using a medication without a prescription can come with risks, such as developing an addiction or drug overdose.
Economic Desperation And Medical Needs
“We were surprised by the frequency in which the underground exchange activity was occurring and that individuals were purposely stockpiling medications and supplies for the purpose of donation,” Litchman noted. The largest underground financial market exists for currencies in nations with strict currency controls. While most people may shun an underground market because they consider it sleazy, there may be rare occasions when they have no choice but to turn to this necessary evil. It moves people into forced labor, forced marriages, prostitution, child armies, and the market for human organs.

The average street price of fentanyl is $25 to $40 per tablet, lozenge, or patch. People who purchase the powdered form of fentanyl can expect to pay up to $200 per gram. The cost of opiates bought on the street will depend on the type of opiate, the strength (dosage), and other factors. When patients purchase from an online pharmacy, it’s difficult to know if prepackaged unopened medications are authentic, especially if the pharmacy isn’t licensed to do business in the United States. “People engaging in broad distribution of medications or the sale of prescription medications would technically be violating federal and state policy (which varies from state to state),” Farley noted.

Policing online drug dealing is a formidable task for law enforcement agencies. The vastness of the internet, combined with encryption technologies and the dark web, creates a challenging environment to track and apprehend online drug dealers. Cryptocurrencies, like Bitcoin, have added another layer of complexity to online drug dealing. These digital currencies offer a level of anonymity that traditional financial systems do not provide. As a result, online drug dealers often prefer to transact in cryptocurrencies. An example of an illegal or black market would be the human trafficking market that engages in the capture of people throughout the world and their sale into various areas, such as forced labor and prostitution.
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- Several of Bailey’s chapter leaders have helped others in need get insulin, but those efforts must be done separately from their dealings with the organization (as redistributing medication is a crime).
- While most people may shun an underground market because they consider it sleazy, there may be rare occasions when they have no choice but to turn to this necessary evil.
- The street prices for benzos can vary depending on the type of benzodiazepine drug, the dosage/strength, and local availability.
- People facing chronic conditions requiring long-term medication may find themselves choosing between prescription drugs and other essential expenses like housing, food, or utilities.
The dark web is used for a range of illicit activities, particularly the exchange of child exploitation material and illicit drugs. A black market is any market where the exchange of goods and services takes place in order to facilitate the transaction of illegal goods or to avoid government oversight and taxes, or both. Some people may have no other option but to use underground markets to get the goods they seek in certain situations.
- The average street price of Vyvanse runs anywhere between $3 to $30 a pill.
- Opioid medications like OxyContin or Vicodin can produce intense feelings of euphoria and relaxation that some people find appealing for recreational use.
- A report in Journal of Diabetes Science and Technology found that a lack of access and affordability — as well as altruism — are why people with chronic illnesses are using the black market.
- The largest underground financial market exists for currencies in nations with strict currency controls.
- People who purchase the powdered form of fentanyl can expect to pay up to $200 per gram.
- People with legitimate medical conditions may resort to street purchases when they cannot afford doctor visits, diagnostic tests, or ongoing medical monitoring required for prescription renewals.
Table Of Contents
The street price of Xanax is $2 to $20 per tablet, depending on the strength. Ativan, also known as lorazepam, is a benzodiazepine medication that is typically prescribed to treat insomnia, seizures, and anxiety disorders. The street price of tramadol (50mg) is $1 to $10 per tablet or approximately $0.10 to $0.14 per milligram (mg). Some estimates place the street cost of hydrocodone at $6 to $8 per tablet, depending on the formulation and strength.