Fusion Pharm, Inc. (FSPM)

[TraderGash]

Assuming you are talking about the trade about ten minutes ago, Marker Makers can trade OTC pink stocks in the pre market session. If you have a broker like SpeedTrader that let's you route directly to a specific MM, you can attempt to execute trades at their bid or ask during the premarket session. They are under no obligation to execute these trades until the regular session opens.