and then, if you scroll down to the post just after my purple post, there’s a post from Joel explaining more- I copied from Joel’s post: 3) There is also a survey/study set up with one of our biggest distributors in the US, FlavoRx, which allows them to sell CaraCream to pharmacies as long as they fill out a form explaining why they need to use CaraCream instead of using Zegerid. Any pharmacy can order from FlavoRx. They are a large pharmaceutical distributor that most pharmacies should already be familiar with. This is the only way that CaraCream is available commercially within the US, unless you have already been enrolled in the aforementioned study.