How do you gain access to quinacrine, and what has your recent experience been?   

It can be gotten from a few compounding pharmacies. The cost is high (around $400 a month) and usually not covered by insurance. One compounding pharmacy that often carries it is ChemistryRx in Philadelphia. 

Agree with @Victoria P. Werth. Some additional information: Some compounding pharmacists I spoke to were worried that some were getting quinacrine from non-FDA-approved sources (since the India factory was closed in 2019). So, I called ChemistryRX and spoke to Lars Brichta, PharmD PhDCSO...

I have not used quinacrine for years, partly due to available alternatives as well as difficulty accessing. Seeing the cost and factoring in the difficulty with prior authorization, I don’t think I will change my current practice.

Thank you Dr. @Werth for the answer. I have been using Brewerton pharmacy for compounding quinacrine, 100 mg/day, in Upstate New York.