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    Though KwikMed hopes to offer additional drugs in the future, these five drugs are the only ones that have been approved by regulators to date.
    The company has received mail order licenses from many other states, and it has shipped medications to 46 states so far.
    A preliminary study of KwikMed (led by an independent researcher but including a company employee as a coauthor), published recently in Mayo Clinic Proceedings, shows the system is just as safe as having in-the-flesh primary physicians examine patients and prescribe erectile drugs.
    Given concerns about rogue Internet pharmacies (online pharmacies that sell prescription drugs without requiring a prescription) and all the erectile dysfunction spam they generate, it might sound shady.
    We have to fight against the knee-jerk reaction that online pharmacies are unsafe.
    How much difficulty have you had getting an erection during the last 30 days?
    The company says the online assessment is designed to ferret out people trying to game the system—for example, a teen who intends to take Viagra in conjunction with ecstasy or as an attempt to enhance his virility.
    In certain situations, KwikMed may even run a background check on prospective buyers.

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    The company requires an adult signature upon delivery to safeguard against minors ordering drugs.
    Since erectile dysfunction is a problem that men and their doctors are often embarrassed to discuss, an online assessment tool might actually be more thorough and comprehensive, proponents of Internet pharmacies argue.
    Thus the rise of services like this one, an E-card company that allows people to alert others they may have exposed to an STD.)Still, the new system has some formidable critics.
    KwikMed had to fend off a number of bills in the Utah Legislature aimed at shutting it down.
    In 2007, the state of Arkansas threatened the company with a lawsuit for sending medicine there.
    KwikMed, says Ax, has stopped delivering medicine to Arkansas, and the suit has been dropped.
    The American Pharmacists Association, a trade group of professional pharmacists, maintains that doctors should examine their patients in person before prescribing drugs and considers companies that do not require that to be rogue online pharmacies, as this report explains.

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