I wonder if some sort of coalition of compounding pharmacists might be up for making and retaining a repository. They at least make some money by helping would-be patients take these drugs, right? So even if it's nothing like Big Pharma money, I can't really think of anybody who'd have a better chance to benefit from promoting off-label use cases for out of patent drugs than them.
Yes, but why be the one to set it up? Why not be the pharmacist who waits for others to do it, and then sell it anyway?
...sell ads on it? Maybe for the docs who are willing to prescribe off-label? Maybe for other pharmacies?
I don't know. Maybe it's not a viable business model, but there are certainly weirder things that make money.