Actually the problem is that doctors won't prescribe racemic ketamine - unless it's taken intravenously and consequently require medical supervision - which comes with medical malpractice insurance.

I would hazard that this is the main reason why most doctors are comfortable prescribing IV ketamine rather than intranasal or subcutaneous (both of which are currently prescribed self administration methods for depression). Otherwise the risk is all on them.

My intranasal (ie - same as esketamine) ketamine prescription is $70 every six weeks.