It requires constant vigilance against scam clinics, crooked providers, rogue labs, pill mills, vaporware vendors, and a scuzfest of health care bottom-feeders.

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At the very least this might shift dollars away from the Florida prescription pill mills and to doctors known for being an easy touch when it comes to a vacation Rx.

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Doctors are free to prescribe the drug to anyone, however, and there are concerns that physicians will open "pill mills" and prescribe Qsymia to people who just want to lose a few pounds.

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