Hormone therapy · Creams · capsules · troches

Compounded hormone therapy for patient-specific prescriptions

When a prescriber needs a hormone in a strength, combination or form that isn’t sold, we compound it: creams, capsules and troches, prepared for each patient as prescribed.

Often prescribed

Hormone therapy preparations

A sample of what prescribers send us. We compound many preparations that aren’t listed: ask a pharmacist.

Full formulary

8 preparations

Strengths, bases and quantities are set by each prescription. Compounded medications are prepared for an individual patient pursuant to a valid prescription. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

What we prepare

Prescribers send us hormone prescriptions for women and men, including estradiol and estriol (often written as Bi-Est), progesterone, testosterone and DHEA. We prepare them in the strength, base and dosage form the prescription calls for.

  • Topical creams in a measured dispenser, for prescribers who prefer a transdermal route.
  • Capsules in strengths that aren’t sold commercially, or without a dye or filler a patient can’t take.
  • Troches, which dissolve between the cheek and gum.

Why prescribers choose compounding

A prescriber may order a compounded hormone when no FDA-approved product fits the patient: a strength in between those sold, a combination in one preparation, a different base, or a form the patient can use more easily. The prescriber decides on the hormone, the dose and the form, and follows up on how it’s working.

Compounded hormone preparations are not FDA-approved. Some hormone products are, and they may be the right choice for many patients. We encourage every patient to talk through the options with their prescriber.

How we compound

Hormone creams, capsules and troches are non-sterile preparations, made under USP <795>. A pharmacist reviews every prescription before we compound it and checks every preparation before it ships, labeled with its beyond-use date and storage directions. How we compound.

How it works

Three steps, one pharmacy.

For patients
  1. Your provider sends us a prescription for you

    By e-prescription, fax or LifeFile, with the strength and dosage form you need.

  2. A pharmacist compounds it

    We review the prescription, prepare it for you and check it before it leaves.

  3. We ship it to you

    Labeled with your directions and beyond-use date, cold-packed if it needs to be.

Made pursuant to a patient-specific prescription.

Made for each patient
Each preparation is compounded for the patient named on the prescription, and dated the day it’s made.
Traceable
Every label carries a lot number and a beyond-use date.
A pharmacist you can call
Questions about the preparation, its label or its storage go to a pharmacist, Mon–Fri, 8 AM–5 PM ET.
How we compound
How it arrives

Ready to use, in a padded mailer.

  • Padded mailer. Bubble-lined to cushion it on the way, with nothing on the outside about what’s inside.
  • Your medication. Labeled with your directions, lot number and beyond-use date.
  • Pharmacist card. A note from our pharmacists offering to counsel you, with the number to call about your prescription.

Hormone therapy, answered.

Still have a question? Call us to speak with a member of our team.

Call (859) 276-3905
Is compounded hormone therapy FDA-approved?

No. Compounded hormone preparations are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Some hormone products are FDA-approved; your prescriber decides which fits you.

Can my prescriber change my dose?

Yes. Each preparation is compounded pursuant to a patient-specific prescription, so a new prescription with a new strength or form is all it takes. Call us if you have questions about switching.

How should I store a hormone cream?

Follow the storage directions and beyond-use date on your label. Most creams are kept at room temperature, away from heat. Ask a pharmacist if you’re unsure.