You can get more exotic prescription stims still from most places. E.g. Mydayis (adderall xr with three instead of two sets of granules), Azstarys (methylphenidate and a prodrug methylphenidate), and Adzenys (different type of slow release adderall). If they call any Bartells they will tell them what they have in stock. Have them do that before contacting the doc, then have them tell the doc what is available.