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Pfizer’s Viagra Connect is now available over the counter, a fact cheekily celebrated in this TV ad, which is soundtracked by Steve Harley & Cockney Rebel’s Make Me Smile (Come up and See Me), which suddenly seems very appropriate. Song Title: Make Me Smile (Come Up and See Me). How the heck did Viagra and Botox make the list? The fastest growing drug class in the world is counterfeit medications and it isn't just Viagra. They found 77% of the samples were counterfeit and contained only between 30%-50% of the levels of active ingredient. It contains the active ingredient sildenafil, which is also available as unbranded sildenafil tablets and over-the-counter Viagra Connect. According to researchers at the World Meeting on Sexual Medicine, they reported an analysis of tablets purchased from 22 different websites. None of these phony websites required a prescription and 91% offered \"generic Viagra\" which the FDA has not yet authorized. 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