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Healthcare providers called the shift “very concerning,” and drug market experts said the sophistication of the faux bottles points to the involvement of large criminal organizations.

A new round of testing found that counterfeiters are now passing off a wider array of substances as attention deficit/hyperactivity disorder medications and selling the pills not only as Adderall but sometimes as a similar medication called Vyvanse.

As the United States struggles amid an Adderall shortage, pharmacies in Mexico sell fake ADHD meds by the bottle

The Food and Drug Administration on Monday announced it had approved generic versions of Vyvanse, an increasingly popular alternative to Adderall.