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You cannot legally buy Tramadol without a prescription (No RX) in the USA, as it's a controlled substance (Schedule IV) due to misuse potential, requiring a doctor's order for purchase from legitimate sources like Amazon Pharmacy, Walgreens, or others, with online pharmacies requiring verified prescriptions for safety and legal compliance. Attempts to find "no RX" sellers online often lead to illegal, potentially dangerous counterfeit or contaminated products, not legitimate medicine.