Gray-market operations usually use crypto for transactions, e.g. distributors of estradiol for trans HRT. Gray market is cheap and doesn't depend on the political climate. Quality control is a problem, though.
I realize the morality of such a thing is subjective, so I'll just say that I've known a number of individuals, especially minors, who have relied on gray market sources.
I realize the morality of such a thing is subjective, so I'll just say that I've known a number of individuals, especially minors, who have relied on gray market sources.