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It's available from a few mexican pharmacies. I know of one in particular that keeps a little of everything in stock, and you just call the pharmacist (english speaking) and tell him what you want, and pay by credit card. The prices are really high though. I was once quoted $600 for 30 dilaudid. Cant say about some of the overseas OPs you read about. Then, there is the risk of customs, but most of it makes it thru.