I don't know if the situation is as dire as above... Yeah "bodybuilding.com" and "coffee.com" aren't available anymore but no one ever cared to register "facebook" or "yotube" or "twitter" before they became billion dollar successes. If you provide a valuable service or content people will come... you can make up any name "RxSpace.com" or whatever.
That said you can't legally sell prescription drugs so while you may very well make money on the sale of the drugs you'll never have a large, flourishing, community because the "trust" just isn't there. Maybe I'll find your site to buy some discreet Viagra one day but the last thing I'm going to do is stick around and post about it.
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