I’m in Canada, and while there are some options they’re usually more expensive or harder to find. I live nearly 50 km (30 miles) from the nearest city and the few local stores here have extremely limited selections which means I have to drive 100km (60 miles) round trip just to avoid giving nestle any of my money.
Usually it means a once a month road trip to stock up on stuff, but we still have to break down and bite the bullet every now and then when we run out unexpectedly.