Today, hopefully after a minor jaunt is complete, the international market will provide critical medication alternatives which our national pharma industry has decided are "not profitable **enough**". The "enough" part is unfortunate for the patients.
They're not happy with regular profit, it must be super-profit, and if it isn't then maybe they create a situation where the supply chain dries up from insufficient shipments. Besides, there's not really _that many_ people who need this, right? 😲
So, other countries may still carry the Rx, and the FDA still approves the Rx, and I can get a Rx written for it, but the manipulated supply chain requires acquisition via the international market.
I'll say one thing that remains true over the years: I've had much better health outcomes from engaging with the grey market than dealing with the insurance companies who dominate the provider matrix. Mexico, Canada, Costa Rica, SE Asian countries, oooh where would I be without your wares!?