This is what I was told at Kaiser, then I went to a private pharmacy to double check. They aren’t allowed to give it, regardless of insurance or out of pocket.
If you lie and say you have an organ transplant or some equally serious immunological condition you can get it, and they aren’t allowed to ask for proof.
You will have to pay out of pocket though, and it will be awkward explaining why you don’t have insurance while having a bankrupting condition.