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I’m not accounting for State laws; which may in fact be stricter. I’m talking about Federal Laws which might not explicitly forbid such things; so long as they’re done in an actually safe manner by professionals.
But, as I said before, if the DEA believes it has the power to stop that none-the-less; that’s what they will do, without respect to if the law is actually legally unclear or borderline. Unfortunately many pharmaceutical places don’t care to invite the wrath of the DEA; even if what they’re doing could be considered permissible; so long as they do not synthesize an exact drug that the Feds specifically name as a controlled substance.
Again; IANAL either. But I do think there’s a lot of room for small compounding pharmacies to synthesize various drugs to meet a patient’s needs quickly while waiting for proper shipments to arrive. There’s lots of compounds that are life-sustaining that do not fall under the DEA banner of authority.
Can it? Maybe. It’s not impossible; but it isn’t practical and most ISPs limit their shenanigans to grabbing your unencrypted DNS requests.
Will it? Probably no; aside from the previously mentioned DNS redirections; they’re not interested in most people’s packets, only in how many they deliver.
Should you care? I won’t tell you not to take precaution, but I do urge you to consider your threat model carefully and consider the tradeoffs. When Security & Privacy goes up, Convenience and Functionality WILL go down. Balance your needs. Don’t put yourself in a state of Privacy fatigue.
Are there easy fixes? Maybe. I think a VPN or using Tor would solve your concerns here anyways; it’s not required that your modem be running OSS that you can control. If you can achieve it; that’s still good for you; but it’s not something to be sweating if your modem isn’t capable and your invasive ISP is the only effective option.