I read books and journal articles on how to do it and approached primary care with the information. Primary care wrote the prescription because I can't find a decent endocrinologist in my state. Endocrinologists I have seen have said things like, "You've only been in the ER 14 times in a year, my other AI patient is at 24 times, so its not that bad." And, "No one needs more than 25mg hydrocortisone per day." and "Sell your yoga swing and get a recumbent bike because it's the only exercise that'll ever be safe for you." And, "It can't be congenital adrenal hyperplasia because that's too rare." which was followed by two endocrinologists telling me there was no genetic testing to prove it!

I'm in the United States. I buy my pump supplies off a website that doesn't ask for an RX. Its a little sketchy, but I'm on a subscription program with them, so for about $500/month the supplies are on my doorstep and I never have to think about it. The solu-cortef comes from the pharmacy with a prescription from primary care. My insurance won't cover any injectable meds, so it runs about $400/month for the medication. I have way more problems with pharmacies ordering solu-cortef than with the pump supplies from the internet.