Another thing about Catalyst was that the amount of power it granted varied greatly. Two people could take the same pill, receive the same ability to breathe fire, yet one of them would burn a building with a cough while another would struggle to light a tire.
It might have earned the miracle drug name, but the randomness of the granted power and its potency made it too risky for individuals to use. However, that changed when it was used by groups.
A large organization with a lot of members could have a select group try it out. They would then pick those who obtained useful powers and make them regular users of the drug. Of course, with how expensive each blue capsule was, they were forced to limit themselves to desperate situations, but that alone granted the organization powerful weapons they could deploy when their regular forces failed.
