Is he not aware that every prescription written is reviewed? Probably first by AI looking for deviations from normal. Then by insurance. Believe me, anything odd will be flagged. A doctor prescribing something that’s illegal and outside his normal routine prescriptions is going to raise flags, sendoff rockets and blow horns.
My GP said as much when I asked for Retin-A, which would normally not be in his formulary of acceptable prescriptions. But the risk was minimal, so he did it. Although, he would not diagnose a skin condition as “I’m not a dermatologist.”
Doctors around here are hyper specialized. There’s a surgeon at Shands who treats only brain aneurisms. Nothing else. The local orthopedic surgeons apparently only do one type of surgery each. Imagine a thirty-year career as a proctologist. Not that I’m demeaning proctologists...but, DAMN!
A good proctologist is worth his/her weight in gold.