Pharmacies in Canada give you prescriptions in a stapled paper bag. Could be the same in the US.
As far as I can tell, it does seem to be a fuck-up by Spoony's pharmacy/insurer.
That's reductive. Internet fame is more than YT metrics. Spoony was influential enough to receive invites to conventions across North America and Europe and got nearly $6,000~/mo for the mere promise of content. Very few if any other YT channels with 100k~ subs get that level of support and opportunity. Discussion of his downfall is amazingly widespread. Fredrik Knudsen's video on him has over half a million views and thousands of comments from people who knew about him. BETRAYAL, the Ultima Retrospective and some of his Final Fantasy reviews were also well known disproportionate to his sub count.
Spoony also hosted his content on Blip for many years and started in the early days when the market was much smaller, which distorts his apparent popularity.
Noah is a minor internet celebrity, but he has what I'd call residual fame.