WHO falsified medicine alerts: an oncology and specialty drug tracker

    This page tracks documented falsified batches of high-cost oncology and specialty medicines, compiled from official WHO Medical Product Alerts, EMA and FDA notices, and the ICIJ investigation. It lists the exact lot numbers, detection countries and reported defects for each incident, so clinicians, pharmacists and patients can check whether a specific batch has been publicly flagged.

    Last reviewed: 2026-07-28Reviewed by: Pharmacy Remedy Pharmacovigilance & Compliance Desk

    Falsified medicines reach patients through informal supply chains, stolen stock and mislabelled shipments. This tracker consolidates the publicly documented incidents involving oncology and specialty biologics so that a specific lot number can be checked against a verified record.

    What this tracker is and how to use it

    This tracker lists documented falsification events for high-cost oncology and specialty medicines, each one published by WHO, EMA or FDA, or reported by the ICIJ investigative consortium. Every entry names the specific lot or batch numbers involved, the countries where the falsified product was detected, and the physical or documentary defects that gave it away.

    A batch appearing here means that specific lot number was reported falsified by a regulator or manufacturer — it does not mean the genuine product is unsafe. Genuine stock of the same medicine, produced under valid batch numbers and moving through licensed distribution, is unaffected. Use this page to cross-check a lot number you have been given, not to judge a medicine as a whole.

    Which falsification alerts have been documented?

    DateProductWhat was reportedSource
    3 July 2026DarzalexLots MYS7381 and STV1K01 confirmed by Janssen as invalid batch numbers; detected in the Maldives and Mexico in May–June 2026. Lot STV1K01 showed visible particulate matter.WHO Medical Product Alert 3/2026
    16 June 2026JakaviA falsified version of Jakavi was reported and published by WHO as a medical product alert.WHO Medical Product Alert 2/2026
    15 December 2025IbranceA falsified version of Ibrance was reported and published by WHO as a medical product alert.WHO Medical Product Alert 7/2025
    14 May 2025ImfinziLots BAZR (genuine batch is India-only), BBEG (genuine batch is Egypt-only) and AVZT (unknown to AstraZeneca) detected in Iran and Türkiye.WHO Medical Product Alert 3/2025
    23 December 2024ImfinziLot BAVX detected in Lebanon, Armenia and Türkiye (unregulated market), later also India, Pakistan and Uzbekistan. Some vials contained no active ingredient. Tells: DataMatrix centred instead of upper-right, paler green strength rectangle, deformed crimp.WHO Medical Product Alert 5/2024
    18 August 2017Avastin and SutentFalsified versions were seized in Kampala, supplied as tablets although the genuine products are an injection (Avastin) and a capsule (Sutent).WHO Medical Product Alert 3/2017
    16 April 2014HerceptinVials stolen from Italian hospitals were tampered with and re-introduced into the supply chain. Batches: H4311B07, H4329B01, H4284B04, H4319B02, H4324B03, H4196B01, H4271B01, H4301B09, H4303B01. Signs: liquid found in powder vials, mismatched batch/expiry, disturbed stoppers.EMA press release
    7 February 2013AltuzanCounterfeit lots B6022B01 and B6024B01 identified; at least one batch was found to contain no active ingredient.FDA / Genentech notice
    February 2012AvastinCounterfeit Avastin circulated in the US containing no bevacizumab; FDA sent letters to 19 medical practices. Genuine labels say "Genentech", lot numbers are digits-only and all text is in English.FDA / Genentech DHCP letter
    2019–2024KeytrudaWHO has recorded 36 product reports of falsified Keytruda since 2019. In Mexico, Cofepris issued alerts in 2022 and September 2024, and a 2024 raid in Guadalajara recovered 12,500 doses of counterfeit medicines including Keytruda. In India and Nepal, 519 empty vials were recovered, and 8 of 9 samples tested by Merck contained no pembrolizumab.ICIJ investigation

    Why are Türkiye detections listed here?

    Two of the WHO alerts above — 5/2024 and 3/2025, both concerning Imfinzi — name Türkiye as one of the countries where a falsified batch was detected, and both alerts specify that the detection was in the unregulated market. That distinction matters and we will not gloss over it.

    Product moving through licensed Turkish pharmaceutical wholesalers (ecza depoları) under notification in the national İlaç Takip Sistemi (İTS, medicine tracking system) is a different supply chain entirely from the informal, unregulated channel those two alerts describe. İTS assigns and tracks a unique serial number for every pack that moves through the licensed system, which is exactly the record that lets a specific unit be distinguished from an unregulated one.

    Because of this, any buyer sourcing a medicine that has ever appeared in a WHO alert — regardless of country — should ask the supplier for İTS notification records covering the exact serial numbers being shipped, not just a general assurance that the product is licensed in Türkiye.

    What patterns repeat across these alerts?

    • Vials found to contain no active ingredient at all
    • Stolen genuine stock that was tampered with and re-introduced into the supply chain
    • The wrong dosage form entirely — for example tablets sold in place of an injection or capsule
    • Differences in artwork or DataMatrix code placement compared with the genuine pack
    • Invalid batch numbers, or batch numbers that belong to a different market than where the product was found
    • Visible particulate matter in the solution

    What should I do if I suspect a falsified product?

    1. Stop use and quarantine the product — do not discard it, as it may be needed as evidence
    2. Photograph the carton, the vial and the DataMatrix code clearly
    3. Contact the manufacturer's product quality or medical information line
    4. Report the suspected product to your national medicines regulator
    5. Email the World Health Organization at rapidalert@who.int
    6. Ask the supplier for full traceability records, including serial-level tracking, for the batch in question

    Frequently asked questions

    Sources

    Related pages

    This page is editorial information about pricing systems, regulation and product authenticity. It is not medical advice and not an offer of sale. All prescription medicines require a valid prescription and, where applicable, an import permit issued by your own national authority.

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