Can you even get that without a prescription?
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The answer is "yes"… from online pharmacies that ship it from India. Whether you get the real product or a counterfeit version is anyone's guess.
It seems to legally retail at 0.25 USD per pill: https://www.1mg.com/drugs/modalert-100-tablet-19037
I assume online pharmacies sell at a heavy markup. It hardly seems like counterfeiting would be worth the effort.