Because both the supply and pricing of the real drugs are very tightly controlled. I've bought cheap Cialis in Asia and it was clearly fake (no holograms and washed out print colours) and when I returned it to the chemist and challenged him he was very sheepish and gave me a full refund.
I have also spoken with executives of Pfizer who are adamant the only way to get these "drugs" without prescription is if they are fake, (half the price of geniune and of dubious ingredients).
If you find a pharmacist who is willing to sell the real thing without a script, good luck, but they will not be cheap. AYOR.
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