Drug counterfeiters can acquire a pill press and a counterfeit pill mold to churn out counterfeit medications for less than $500. Unfortunately, “garage manufacturers” are not careful about manufacturing controls, and their products often contain fatal doses of fentanyl or other drugs. Since 2015, bootleg prescription drugs made with machines like these have killed unsuspecting Americans in 37 states.
The Partnership for Safe Medicines has more information about Pill Presses on their web site.