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Results: Large chain pharmacies (Farmacias Guadalajara, Farmacias del Ahorro): 0% counterfeit Established border-town pharmacies: 8% counterfeit (product contained incorrect dose or no active ingredient) Unlicensed vendors and street sales: 67% counterfeit The counterfeit products identified were sophisticated, with packaging nearly indistinguishable from authentic Novo Nordisk pens
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