M30 Pill: Legitimate vs Counterfeit Blues

M30 Pill

Looking at the Latest Development in the Opioid Crisis

I don’t know many people who haven’t been affected by the opioid crisis in some way. It seems there are so many of us who have lost friends, old classmates, children, grandchildren, nieces and nephews, and parents to overdose.

Unfortunately, this comes as no surprise – with the numbers showing an increasing number of opioid overdose deaths each year. There were less than 20,000 opioid-related deaths in the United States in 1999 and more than 106,000 deaths in 2021, just over two decades later.

The main culprit? Fentanyl, which is a dangerous narcotic that the M30 pill, Xanax, and other counterfeit pills are commonly laced with.

When a person buys counterfeit pills or even heroin, most now even expect them to contain fentanyl. But fentanyl is extremely potent and it’s much easier to overdose on this synthetic opioid than prescription medications or heroin. If you take the same dosage you are used to and a drug is laced with too much fentanyl, that dose may be your last.

Keep reading to learn more about the reality of M30 pills, the ongoing opioid crisis, and how Purpose Healing Center can help you overcome a dependence on opioids.

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The Rise of M30s: Fake Prescription Pills

Fake prescription pills have been on the streets for decades. While they may look like Adderall, Xanax, Oxycontin, or Percocet, these counterfeit pills are a dangerous cocktail of different ingredients. They may contain a variety of prescription and street drugs including methamphetamine, heroin, and fentanyl.

Sometime in the last decade or two, “pain clinics” also started popping up in different states. At these clinics, practically anyone could walk in the doors and buy pain pills for cash. A minimal vetting process was all there was before getting a prescription for powerful narcotics from an actual doctor.

This set the stage for the current opioid crisis and has been well documented in movies and TV shows like “Painkiller” on Netflix, “Dopesick” on Hulu, and others.

More recently even travelers to foreign countries, Mexico in particular, have found there is also a risk that the pills at even licensed clinics are counterfeit.

These days, any pills obtained without a prescription from a doctor are likely counterfeit. There’s also a high risk that these fake pills are laced with fentanyl, a potent, dangerous substance responsible for the rapidly increasing number of overdose deaths in the United States.

Understanding the Blues Drug

One of the more common fake prescription pills on the street is Oxycodone M30. Referred to as Oxycodone, blues, thirties, Blues Brothers, blueberries, or roxies, these look like legit. However, these fake pills contain varying amounts of fentanyl.

Due to the inexpensive nature of these ‘blues’ pills on the street (often sold for less than $5 each) they have become a problem in every state of our great country.

The core function of opioids relieve pain and help you relax. Some people use the drug because they are trying to escape from life, while others become addicted to opioids because of pain. Opioids may be prescribed after surgery or for chronic pain.

When a person goes through withdrawals, they may turn to less legitimate sources to buy pills. This is where the real dangers enter the picture.

What Are Counterfeit Pills?

Counterfeit Pills

The Federal Drug Administration (FDA) monitors the manufacturing of actual medication prescribed by doctors in the United States. Counterfeit pills are made using unapproved substances and without quality control mechanisms in illicit labs found in mainly China, India, and Mexico. However, labs producing fake medications are also popping up across the United States and other countries.

After manufacturing, these fake pills are distributed using a variety of methods. Online sales, black market drug sales, and in-person dealing are all major sources of distribution.

Snapchat is one of the more commonly used apps for online sales. College students purchase Adderall, Xanax, and other fake medications, and all their messages are deleted. This makes it harder to trace the source of these counterfeit pills.

What is Fentanyl?

The reason fake pills are so dangerous is that they may be laced with enough fentanyl to cause a fatal overdose. But what is fentanyl? And why is it so dangerous?

Fentanyl is a synthetic opioid that is 50 times stronger than heroin and 100 times stronger than morphine. It is much stronger than the ingredients that a person is expecting when they take an Oxycodone m30 pill.

Doctors only prescribe it for people in extreme pain. With so little needed to produce relaxing, pain-relieving effects, it does not take a significant amount of fentanyl to overdose. According to the Drug Enforcement Administration (DEA), just 2 milligrams, or the amount of powder you can fit on the tip of a pencil, is a lethal dose of synthetic opioids.

This is the reason counterfeit pills laced with fentanyl are so dangerous. They depress the central nervous system, causing relaxation and pain relief. However, too many opioids can also lead to respiratory depression, low blood pressure, blacking out, seizures, and death due to overdose.

Can You Tell the Difference Between Counterfeit and Legitimate Prescription Pills?

Unfortunately, when fake pills are made well, it is impossible to tell whether they are counterfeit or real unless you know what to look for. They may be labeled incorrectly with a number or letter being different or the stamp may be slightly different.

And there is an increasing presence of these pills in the illegal drug market, whether in Maricopa County or anywhere in Arizona for that matter.

Even knowing what to look for, however, some manufacturers are so good at what they do that it’s almost impossible to tell if the pill is legit without a lab test. There is also no way to ensure dosing is accurate or that you will get the expected result when you decide to use one of these drugs and it can even be deadly.

Furthermore, teens and young adults don’t always care about the packaging – they care about what the fake pills are supposed to do. Drugs like Xanax and Adderall may be sold in bright colors to appeal to college students that might these drugs to focus (in the case of Adderall) or relax (as with Xanax).

The best way to know that a pill is legitimate is to obtain it using a prescription from a doctor. Any pill that you can pay for without a prescription, whether it comes from a clinic, online sales, or a street dealer, is likely counterfeit.

The Cartels and Dark Web Drug Markets

Cartels and Dark Web Drug Markets

M30 pills are made in illicit labs around the world, including the United States, China, Mexico, India, and other countries. A significant number of these fake pills are produced in substandard conditions using unapproved substances. While they look like legitimate prescription pills, they are often laced with different ingredients including opioids, methamphetamine, or heroin.

After manufacturing, these counterfeit pills laced with unknown substances are distributed using different methods. For example, college students purchase Adderall or Xanax using social media referrals like Snapchat or through other Internet marketplaces. They are often unaware of the pill’s ingredients, or they don’t care about the risks as long as the pills work.

Dealers also buy counterfeit Oxycodone M30, Oxycontin, Percocet, and other pills by way of dark web drug markets, online marketplaces, and cartels. Then they are sold on the streets, often marketed as actual medication.

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The Constant Battle Against Counterfeit Narcotics

Countless narcotic agencies exist across the United States to enforce drug policy and combat major sources of counterfeit pills. On a federal level, the Drug Enforcement Administration (DEA) works to collect information and uncover the complex networks that drugs go through before being sold on the streets.

Unfortunately, the ease with which drugs are sold online through social media referrals, the dark web, internet marketplaces, and other routes has made this difficult.

Additionally, even though counterfeit pills are being seized at unprecedented rates, more pills and distributors keep popping up around the globe. When one route goes down, another quickly pops up to take its place. According to lab tests, approximately 2 out of 5 pills seized are laced with enough fentanyl to cause a potentially deadly overdose in the average person.

M30 Pills Aren’t the Only Fight

Even though counterfeit Roxicodone M30 pills pose a problem, they aren’t the only illicit substance that the Drug Enforcement Administration (DEA) is fighting. While opioids pose a serious threat, cocaine, methamphetamine, opioids, and other powdered substances can also be laced with fentanyl.

Dark web drug markets have made selling and accessing these substances easier than ever and that poses a serious problem for the overworked DEA.

How M30 Pills Are Affecting the Arizona Community

Opioid epidemic in Arizona communities

Opioid deaths are a problem across the United States, but the opioid epidemic heavily impacts Arizona communities. According to a press release, the number of counterfeit Oxycodone and other pills seized increased by 1610% during this time.

Furthermore, tests show 26% of these counterfeit pills contained a lethal dose of fentanyl. This may be intentional, but it may also be caused by the lack of quality control mechanisms during manufacturing. A significant number of fake Oxycodone M30 pills are made in substandard conditions, with no guidelines to ensure dosing or safety.

Why Counterfeit Pills Are So Dangerous

It only takes a single pill from a bad batch of drugs for a deadly amount of fentanyl to cause death. Overdoses come on quickly and if you are alone, there may be nobody to call for help.

Furthermore, whether a pill is counterfeit or prescribed by a doctor, opioids are incredibly addictive. People consuming Oxycodone M30 pills and other opioids regularly are likely to go through withdrawal symptoms when they stop using them. These symptoms can be so uncomfortable that you’ll want to seek out pills or other substances to relieve them.

This is one of the ways that attending a rehab facility while you withdraw from opioids can help. It only takes one bad pill for a lethal fentanyl overdose – and the DEA has already seized millions of these pills in 2024.

Keep Yourself Safe from M30 Pills and Seek Support

Support for M30 Pills addiction

The rapidly rising overdose rate in Maricopa County shows just how much of a crisis the opioid epidemic really is. It has never been more dangerous to struggle with substance use disorder. With access to M30 pills on the rise, it’s important to remember that many of the pills that you can get without a doctor’s prescription are counterfeit.

Many of them contain varying degrees of fentanyl and it only takes one bad pill to lead to a lethal overdose.

This makes it more important than ever to actively seek effective addiction treatment services if you are struggling.

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Get Help at Purpose Healing Today to Overcome Opioids

Reach out to Purpose Healing Center about addiction treatment – any time, day or night, and even on the weekends. We offer medically assisted detox that makes withdrawal from m30s and other opioids safer and more comfortable in a dedicated, purpose-built facility – not just some clinic!

Furthermore, we are Joint-Commission Accredited and accept AHCCCS, public health insurance, and private health insurance, making it easier for our clients to access the help they need.

Don’t hesitate to contact Purpose for more information today… One of our addiction specialists is waiting to answer your questions and get you or your loved one proven support!


  1. https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates
  2. https://www.dea.gov/factsheets/fake-prescription-pills
  3. https://www.maricopacountyattorney.org/CivicAlerts.aspx?AID=844
  4. https://www.dea.gov/onepill
  5. https://www.dea.gov/sites/default/files/2021-05/Counterfeit%20Pills%20fact%20SHEET-5-13-21-FINAL.pdf