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I don't know what the laws are in terms of American companies selling these, but it's big business overseas and it's legal to have them imported at the fraction of the cost of getting them from an American DR.
In some cases it's illegal to buy them though, and customs will get them (and maybe you). You can't buy anything that is needed (like heart medication), but you can buy prescription skincare, depression, etc... And even then, you can only legally order a 2 months supply of it.
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