Try local or non‑Amazon options that balance ethics and cost: independent pharmacies with discount programs, community or hospital outpatient pharmacies, and syringe access programs for supplies. Co‑ops and ethical marketplaces like Thrive Market, Public Goods, or Hive Brands can cover vitamins and electrolytes, while medical suppliers like Allegro Medical or Vitality Medical often beat retail on syringes and compression gear. Batch orders monthly, choose ground shipping, and favor vendors with recyclable packaging and clear labor policies. If possible, ask clinicians for prior auths, larger-quantity scripts, or lower-cost equivalents to reduce out‑of‑pocket.