 The result of self-certification ultimately gave rise to a large number of counterfeit drugs being exported from Canada into the United States.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.