A neurologist can prescribe the pain cream. I can’t remember if you have a neurologist, but if you do, you should be able to call and ask for it. Be aware it is a compounded cream, from a compounding pharmacy, and usually isn’t covered by insurance. I pay $118 for two 8 oz pump bottles. Right now using it on my lower back/hip area allows me to do some yard work without stabbing muscular pain. There are many different “recipes”, but they are all similar.