Pharmacy compounding is the creation of a personalized medication, prepared by a pharmacist to a prescriber's exact specification. When a manufactured drug doesn't fit — the wrong dose, the wrong form, an allergy, a shortage, a discontinued medication — a compounding pharmacy can make what the patient actually needs.
Manufactured drugs come in standardized strengths and forms. We can prepare any dose your prescriber specifies — half of a tablet's strength, double, or anywhere in between — and in the form that works best for the patient: a liquid for a child, a cream for absorption through skin, a lozenge for the elderly.
Mass-produced drugs include dyes, fillers, gluten, lactose, and preservatives that some patients react to. We compound from the active pharmaceutical ingredient up, so we can leave out what doesn't agree with the patient and use bases compatible with allergies and sensitivities.
Drugs get discontinued. Manufacturers leave the market. Shortages happen. For many of those medications, we can reproduce the formula from the active pharmaceutical ingredient — so the patient who relied on it for years doesn't have to switch to something that doesn't work as well.
Pediatrician prescribed omeprazole for reflux, but the only tablet available is the wrong dose and too large to swallow.
Patient developed a rash from the commercial estradiol patch within a week. Doctor switched her to compounded therapy.
The brand his neurologist prescribed for 12 years was discontinued. The replacements don't control his tremor as well.
Hyperthyroid cat needs methimazole twice daily. Owner can't pill her. Vet asked for a transdermal preparation.
Custom-strength capsules in any milligram dose. Vegetarian, dye-free, gluten-free, and slow-release shells available.
OralLiquid medication, dose-titratable by the milliliter. Flavored bubblegum, cherry, grape, or unflavored. Dye- and sugar-free options.
OralDissolve under the tongue or on the cheek. Useful when GI absorption is poor or for hormones that bypass the liver.
SublingualAnhydrous, Lipoderm, HRT-Heaven, and PLO bases for transdermal absorption. Common for HRT, pain compounds, and pediatric medications.
TopicalFor topical pain compounds, hormone therapies, dermatology preparations, and vaginal applications.
TopicalRectal or vaginal delivery for patients who can't take medication orally — nausea, post-surgical, or for localized treatment.
Rectal / VaginalFor children who won't take medication any other way, or for cats and dogs. Flavored to mask bitter actives.
Pediatric / VetPrepared in our USP <797> cleanroom. Hormones, peptides, vitamin infusions, and other parenteral preparations.
Injectable · USP 797For sinus, anti-inflammatory, allergy, and migraine therapies. Compounded with preservative-free vehicles for sensitive patients.
Intranasal"Magic mouthwash" combinations for chemotherapy mucositis, dental procedures, and oral pain — compounded to prescriber specification.
Oral rinseSterile preparations for ophthalmic and otic use. Useful for preservative-sensitive patients and discontinued formulations.
Ophthalmic · OticChicken-, tuna-, or peanut butter-flavored soft chews for dogs and cats. Custom strengths and combinations.
VeterinaryThe standard for non-sterile preparations — creams, capsules, oral suspensions, troches, gels.
The standard for sterile preparations — injectables, IV admixtures, ophthalmic drops.
The standard for handling NIOSH-listed hazardous drugs — chemotherapy adjuvants, certain hormones, antivirals.
Professional Compounding Centers of America. Access to 8,000+ peer-reviewed formulas, bases, and compounding technology.
The Pharmacy Compounding Accreditation Board. Triennial audits of our facility, procedures, and recordkeeping.
California State Board of Pharmacy. Biennial inspection; sterile compounding license endorsement on file.
National professional association for compounding pharmacists. Continuing education, advocacy, and standards.
Most compounds are prepared within 24 – 72 hours. We'll text you when it's ready.