found this, no idea how legit these merchant accounts are but they will apparently process anything:
securehost.com/offshore/offshore-merchant-account.html
google each one, see if there's any reviews some of them look legit. mostly based in panama. you can also configure virtuemart to take Ukash, Paysafecards, WMZ/Liberty Reserve, LiqPay, ect.
lot's of exchangers will work with epharmacies. if you have good sales, ask xmlgold.net to set something up for you like taking Ukash/Credit Cards from customers for payment. i noticed tons of hosting companies like 2x4.ru use xmlgold or wmbroker.eu