Formulary

For: Neuropathic Pain; Chronic Pain

Actives: Ketamine

Strengths: 0.5%–10%

Topical analgesic for localized pain relief; minimizes systemic side effects.

For: Neuropathic Pain; Osteoarthritis; Diabetic Neuropathy; Postherpetic Neuralgia; Fibromyalgia

Actives: Gabapentin, Ketoprofen, Lidocaine HCl

Strengths: Gabapentin 10%, Ketoprofen 20%, Lidocaine HCl 5%

Multi-modal topical combining neuropathic, NSAID, and anesthetic agents.

For: Chronic Pain; Post-Herpetic Neuralgia; Anal Fissures; Minor Skin Procedures

Actives: Lidocaine, Prilocaine, Tetracaine

Strengths: Lidocaine 3%, Prilocaine 3%, Tetracaine 4%

Triple anesthetic combination for procedural and chronic pain.

For: Neuropathic Pain

Actives: Baclofen, Amitriptyline, Ketamine

Strengths: Strengths vary by prescription

Pluronic Lecithin Organogel base; commonly used for neuropathic pain.

For: Neuropathic Pain; Chronic Pain

Actives: Gabapentin, Diclofenac, Lidocaine HCl

Strengths: Gabapentin 5%, Diclofenac 5%, Lidocaine HCl 2%

Multi-modal topical combining neuropathic, NSAID, and anesthetic agents.

For: Neuropathic Pain

Actives: Clonidine

Strengths: 0.1%

Alpha-2 agonist for neuropathic pain; topical application.

For: Musculoskeletal / Neuropathic Pain

Actives: Diclofenac, Baclofen, Cyclobenzaprine, Gabapentin

Strengths: Varies by prescription

Multi-modal topical analgesic.

For: Arthritis; Neuropathy

Actives: Capsaicin

Strengths: 0.025–0.1%

Counter-irritant for chronic pain.

For: Neuropathic Pain

Actives: Gabapentin

Strengths: 6%

Targeted nerve-pain gel.

For: Melasma; Hyperpigmentation; Acne; Photoaging

Actives: Hydroquinone, Kojic Acid, Tretinoin, Hydrocortisone (or Triamcinolone Acetonide)

Strengths: Hydroquinone 2–8%, Kojic Acid 4–8%, Tretinoin 0.025%, Hydrocortisone 0.025–1%

Multi-agent depigmenting cream; steroid reduces irritation.

For: Rosacea; Acne; Hyperpigmentation; Scabies; Eczema

Actives: Niacinamide, Ivermectin

Strengths: Niacinamide 4%, Ivermectin 1%

Anti-inflammatory and anti-parasitic combination for facial skin conditions.

For: Rosacea; Acne; Melasma; Seborrheic Dermatitis

Actives: Azelaic Acid, Niacinamide, Brimonidine Tartrate

Strengths: Azelaic Acid 18%, Niacinamide 4%, Brimonidine Tartrate 0.4%

Combines anti-inflammatory, brightening, and vasoconstriction for rosacea.

For: Psoriasis; Eczema

Actives: Clobetasol

Strengths: Strength tailored to patient needs

Super-potent corticosteroid; compounded for customized strengths or bases.

For: Anti-Aging; Photoaging

Actives: Tretinoin, Hyaluronic Acid, Niacinamide

Strengths: Tretinoin 0.025–0.1%; other strengths vary

Anti-aging combination with retinoid, hydration, and barrier support.

For: Hyperpigmentation; Complexion Evening

Actives: Tranexamic Acid, Niacinamide

Strengths: Strengths vary

Brightening combo targeting melanin production and skin barrier.

For: Androgenetic Alopecia

Actives: Minoxidil, Finasteride

Strengths: Minoxidil 5%, Finasteride 0.1%

Combination hair-loss therapy.

For: Acne

Actives: Tretinoin, Clindamycin

Strengths: Tretinoin 0.025%, Clindamycin 1%

Retinoid + antibiotic for acne.

For: Hyperpigmentation; Melasma

Actives: Hydroquinone

Strengths: 4%

Depigmenting agent; custom strengths.

For: Hormonal Acne

Actives: Spironolactone

Strengths: 5%

Topical anti-androgen for acne.

For: Eczema; Vitiligo

Actives: Tacrolimus

Strengths: 0.03–0.1%

Calcineurin inhibitor; steroid-sparing.

For: Acne

Actives: Dapsone

Strengths: 5%

Anti-inflammatory for inflammatory acne.

For: Warts; Molluscum

Actives: Cantharidin

Strengths: 0.7%

Office-applied vesicant for lesions.

For: Menopause (Fatigue, Low Libido); Hypogonadism

Actives: Testosterone (bioidentical)

Strengths: Women: 2 mg/gm; Men: 30–200 mg/gm

BHRT; dose customized by gender and clinical need.

For: Erectile Dysfunction; Pulmonary Hypertension

Actives: Sildenafil, Tadalafil

Strengths: Sildenafil 25–100 mg; Tadalafil 10–20 mg

Sublingual for faster onset; avoids first-pass metabolism.

For: Hypoactive Sexual Desire Disorder; Bonding; Anxiety

Actives: Oxytocin

Strengths: 20–32 IU/spray

Used for sexual dysfunction, bonding, and anxiety support.

For: Adrenal Insufficiency; Menopause; Aging

Actives: DHEA (Dehydroepiandrosterone)

Strengths: Capsules: 5–100 mg; Creams: varies

Precursor hormone; multiple routes available for individualized therapy.

For: Menopause; HRT

Actives: Estriol, Estradiol

Strengths: Customized ratios (e.g., 80:20 Estriol:Estradiol)

BHRT combination of two estrogens; ratio individualized.

For: Menopause; HRT; Luteal Phase Support

Actives: Progesterone (bioidentical)

Strengths: Patient-specific strengths

Customized dosing for hormone balance; oral or topical.

For: Vaginal Atrophy

Actives: Estradiol

Strengths: Varies by prescription

Local estrogen for genitourinary syndrome of menopause.

For: Female Sexual Arousal

Actives: Sildenafil, L-Arginine, Aminophylline

Strengths: Varies by prescription

Vasoactive topical for arousal.

For: Menopause; HRT

Actives: Estriol, Estradiol, Estrone

Strengths: Varies by prescription

Three-estrogen BHRT; ratio individualized.

For: Erectile Dysfunction

Actives: Tadalafil

Strengths: Varies by prescription

Long-acting PDE5 inhibitor lozenge.

For: Male Hypogonadism

Actives: Clomiphene citrate

Strengths: Varies by prescription

Off-label to raise endogenous testosterone.

For: Estrogen Management

Actives: Anastrozole

Strengths: Varies by prescription

Aromatase inhibitor; custom low doses.

For: Obesity; Weight Loss

Actives: Semaglutide, Vitamin B12 (Cyanocobalamin)

Strengths: Semaglutide starts 0.25 mg/wk titrated up; B12 ~1,000 mcg

GLP-1 agonist compounded with B12 for energy support during weight loss.

For: Obesity; Weight Loss

Actives: Tirzepatide

Strengths: Starts low dose, titrated per response

Dual GIP/GLP-1 agonist; compounded version.

For: Weight Loss; Fat Metabolism Support

Actives: Methionine, Inositol, Choline, L-Carnitine, B-Vitamins

Strengths: Typically 1 mL 1–2×/week; concentrations vary

Lipotropic injection supporting fat metabolism and energy.

For: Obesity; Appetite/Craving Suppression

Actives: Phentermine HCl, Naltrexone HCl, Caffeine, Methylcobalamin

Strengths: Phentermine 20–37.5 mg, Naltrexone 8 mg, Caffeine 100 mg, Methylcobalamin 1 mg

Multi-agent oral weight-loss capsule combining stimulant, opioid antagonist, and B12.

For: Type 2 Diabetes; Insulin Resistance; Off-label Weight Mgmt

Actives: Metformin HCl

Strengths: 500 mg, 750 mg, 1000 mg (max ~2000 mg/day)

Biguanide; sometimes compounded for custom ER dosing.

For: Obesity; Appetite Suppression

Actives: Phentermine HCl

Strengths: 21 mg, 30 mg, 37.5 mg, 45 mg

Sympathomimetic appetite suppressant; compounded for custom strengths.

For: Seizures; Altitude Sickness

Actives: Acetazolamide

Strengths: 25 mg/mL; 50 mg/mL

Compounded liquid for pediatric dosing flexibility.

For: Gout; High Uric Acid

Actives: Allopurinol

Strengths: 20 mg/mL

Liquid form for children who cannot swallow tablets.

For: Arrhythmias

Actives: Amiodarone

Strengths: 5 mg/mL

Antiarrhythmic in liquid form for pediatric use.

For: Apnea of Prematurity

Actives: Caffeine Citrate

Strengths: 5 mg/mL

Used in neonatal care for apnea management.

For: Hypertension; Heart Failure

Actives: Carvedilol

Strengths: 5 mg/3 mL

Beta-blocker in liquid form for pediatric patients.

For: Hypertension; ADHD

Actives: Clonidine

Strengths: 0.1 mg/mL

Alpha-2 agonist; liquid for flexible dosing in children.

For: Inflammation

Actives: Dexamethasone

Strengths: 1 mg/mL

Corticosteroid liquid for pediatric inflammatory conditions.

For: Arrhythmias

Actives: Flecainide

Strengths: 5 mg/mL

Antiarrhythmic in liquid for pediatric dosing.

For: Acid Reflux (GERD)

Actives: Lansoprazole

Strengths: 3 mg/mL

PPI liquid for infants/children with GERD.

For: Hypertension

Actives: Metoprolol

Strengths: 10 mg/mL

Beta-blocker liquid for pediatric hypertension.

For: Organ Transplant Rejection

Actives: Tacrolimus

Strengths: 0.05 mg/mL

Immunosuppressant liquid for transplant patients.

For: Gallstones; Liver Disease

Actives: Ursodiol

Strengths: 50 mg/mL

Bile acid therapy in liquid form for children.

For: Cough; Sore Throat

Actives: Dextromethorphan (cough); Tetracaine (numbing)

Strengths: Varies by prescription

Flavored dosage form to improve pediatric compliance.

For: GERD / Reflux

Actives: Omeprazole

Strengths: 2 mg/mL

Proton-pump inhibitor liquid for infants/children.

For: Hypertension; Heart Failure

Actives: Spironolactone

Strengths: 5 mg/mL

Aldosterone antagonist; pediatric dosing flexibility.

For: Hypertension; Heart Failure

Actives: Enalapril maleate

Strengths: 1 mg/mL

ACE inhibitor liquid for children.

For: Hypertension; Heart Failure

Actives: Captopril

Strengths: 1 mg/mL

Short-acting ACE inhibitor liquid.

For: Infantile Hemangioma

Actives: Propranolol HCl

Strengths: Varies by prescription

First-line for proliferating infantile hemangioma.

For: Pulmonary Hypertension

Actives: Sildenafil citrate

Strengths: 2.5 mg/mL

PDE5 inhibitor liquid for pediatric PAH.

For: Spasticity

Actives: Baclofen

Strengths: 5 mg/mL

Muscle relaxant liquid.

For: Sickle Cell Disease

Actives: Hydroxyurea

Strengths: 100 mg/mL

Hazardous; segregated compounding (USP <800>).

For: Congenital Hypothyroidism

Actives: Levothyroxine

Strengths: Varies by prescription

Narrow therapeutic index; stability-sensitive.

For: Hyperthyroidism

Actives: Methimazole

Strengths: Varies by prescription

Antithyroid liquid for children.

For: Seizures

Actives: Topiramate

Strengths: Varies by prescription

Anticonvulsant liquid.

For: GERD

Actives: Famotidine

Strengths: Varies by prescription

H2 blocker liquid.

For: Pain Management (Mouth/Gum)

Actives: Lidocaine, Ketoprofen

Strengths: Varies by prescription

Localized oral pain relief gel.

For: Burning Mouth Syndrome

Actives: Carbamazepine

Strengths: Varies by prescription

Anticonvulsant applied topically for oral neuropathic pain.

For: Dry Mouth (Xerostomia)

Actives: Pilocarpine

Strengths: Varies by prescription

Cholinergic to stimulate saliva production.

For: TMJ Disorders

Actives: Cyclobenzaprine, Lidocaine, Ketoprofen

Strengths: Varies by prescription

Muscle relaxant + analgesic for temporomandibular joint pain.

For: Dental Anxiety; Gag Reflex

Actives: Midazolam (anxiety); Tetracaine (gag reflex)

Strengths: Varies by prescription

Pre-procedural anxiolysis and gag suppression.

For: Oral Thrush (Candidiasis)

Actives: Nystatin

Strengths: Varies by prescription

Antifungal for oropharyngeal candidiasis.

For: Aphthous Ulcers; Stomatitis; Mucositis

Actives: Lidocaine, Diphenhydramine, Antacid ± Nystatin ± Steroid

Strengths: Varies by prescription

Multi-agent oral rinse for mucosal pain and inflammation.

For: Periodontitis

Actives: Metronidazole, Doxycycline

Strengths: Varies by prescription

Localized antibiotic therapy for periodontal disease.

For: Post-Operative Bleeding

Actives: Tranexamic Acid

Strengths: Varies by prescription

Antifibrinolytic rinse to control post-surgical oral bleeding.

For: Anal Fissures; Hemorrhoids

Actives: Lidocaine, Hydrocortisone, Nifedipine, Benzocaine

Strengths: Varies by prescription

Multi-agent suppository for anorectal pain and healing.

For: Anal Fissures

Actives: Nifedipine, Lidocaine

Strengths: Varies by prescription

Vasodilator + anesthetic for fissure healing.

For: Crohn's Disease; Ulcerative Colitis; Autoimmune

Actives: Naltrexone

Strengths: 1.5–4.5 mg

Off-label immunomodulatory use at low doses.

For: IBS; Crohn's; Colitis

Actives: Budesonide

Strengths: Varies by prescription

Localized anti-inflammatory for GI tract.

For: Nausea and Vomiting

Actives: Ondansetron or Promethazine

Strengths: Varies by prescription

Topical antiemetic for patients unable to take oral meds.

For: Decreased Bowel Motility

Actives: Bethanechol

Strengths: Varies by prescription

Cholinergic agent to promote GI motility.

For: Leaky Gut Syndrome; GI Support

Actives: Probiotics, Digestive Enzymes, Anti-inflammatories

Strengths: Varies by prescription

Multi-component formulation for gut barrier support.

For: Allergic Rhinitis; Asthma

Actives: Ketotifen

Strengths: Varies by prescription

Antihistamine and mast cell stabilizer.

For: Chronic Sinusitis; Nasal Polyps

Actives: Budesonide

Strengths: Varies by prescription

Topical steroid for chronic sinus inflammation.

For: Bacterial Sinusitis

Actives: Mupirocin, Gentamicin, or Levofloxacin

Strengths: Varies by prescription

Targeted nasal antibiotic for refractory bacterial sinusitis.

For: Fungal Sinusitis

Actives: Amphotericin B or Itraconazole

Strengths: Varies by prescription

Topical antifungal for chronic fungal sinusitis.

For: CIRS; Biofilm-Associated Sinusitis

Actives: EDTA, Xylitol, Argentyn 23 (Colloidal Silver)

Strengths: Varies by prescription

Disrupts biofilms in chronic sinusitis and CIRS.

For: General Sinus Congestion

Actives: Saline, Xylitol

Strengths: Varies by prescription

Improved saline rinse with xylitol for mucosal health.

For: Chronic Rhinosinusitis

Actives: Mupirocin (Bactroban), EDTA, Gentamicin

Strengths: Varies by prescription

Antibiotic/biofilm combo spray for chronic rhinosinusitis.

For: Mouth / Throat Mucositis

Actives: Sucralfate, Diphenhydramine, Antacid

Strengths: Varies by prescription

Coating + soothing rinse for mucositis.

For: Neuropathic Pain (Diabetic Neuropathy, Postherpetic Neuralgia)

Actives: Gabapentin, Ketamine, Lidocaine, Amitriptyline, Baclofen, Clonidine, Ketoprofen (various combos)

Strengths: E.g., Gabapentin 10%, Lidocaine 5%; varies

Multi-agent topical for neuropathic pain; ingredients selected per patient.

For: Multiple Sclerosis; Fibromyalgia; Neuroinflammation

Actives: Naltrexone

Strengths: 1.5–4.5 mg

Off-label immunomodulator for neuroinflammatory conditions.

For: Parkinson's Disease; MS (Symptom Management)

Actives: L-Dopa/Carbidopa, Baclofen, others

Strengths: Varies by prescription

Customized dosing for movement disorder symptoms.

For: Cognitive/Nerve Support

Actives: Methylcobalamin, Folate, L-Carnitine, CoQ10, Alpha-lipoic acid

Strengths: Varies by prescription

Nutritional/neuroprotective support.

For: Treatment-Resistant Depression (TRD)

Actives: Ketamine or Esketamine

Strengths: Varies by prescription

NOT FDA-approved for psychiatric use in compounded form; FDA safety warnings apply.

For: Anxiety; Depression; Medication Tapering

Actives: Paroxetine, Alprazolam, etc.

Strengths: Dose-specific titration schedules

Custom doses for precise titration or tapering schedules.

For: Insomnia; Sleep Disorders

Actives: Melatonin, Doxepin, Trazodone (various)

Strengths: Varies by prescription

Personalized sleep aids with tailored dose combinations.

For: Anxiety; Neuralgia

Actives: Taurine, GABA

Strengths: Varies by prescription

Amino-acid-based calming formulation.

For: Bacterial Keratitis

Actives: Vancomycin

Strengths: Varies by prescription

Fortified antibiotic for severe corneal infection.

For: Bacterial Keratitis

Actives: Tobramycin

Strengths: Varies by prescription

Fortified aminoglycoside drop.

For: Severe Dry Eye

Actives: Autologous serum

Strengths: 20%

Patient's own serum diluted in saline.

For: Dry Eye Disease

Actives: Cyclosporine

Strengths: 0.5–2%

Anti-inflammatory for chronic dry eye.

For: Pediatric Myopia Control

Actives: Atropine sulfate

Strengths: 0.01%

Slows myopia progression in children.

For: Feline Hyperthyroidism

Actives: Methimazole

Strengths: Varies by prescription

Ear-applied gel for cats that resist pills.

For: Canine Seizures

Actives: Potassium bromide

Strengths: Varies by prescription

Anticonvulsant for dogs.

For: Canine Cushing's Disease

Actives: Trilostane

Strengths: Varies by prescription

Custom strengths by body weight.

For: Feline Megacolon

Actives: Cisapride

Strengths: Varies by prescription

Pro-motility agent for cats.

For: Pet Pain / Anxiety

Actives: Gabapentin

Strengths: Varies by prescription

Palatable liquid (tuna/chicken flavor).

For: Feline Hypertension

Actives: Amlodipine

Strengths: Varies by prescription

Calcium-channel blocker liquid for cats.

For: Painful / Chronic Wounds

Actives: Phenytoin

Strengths: Varies by prescription

Promotes granulation in chronic wounds.

For: Malodorous Wounds

Actives: Metronidazole

Strengths: 0.75–1%

Controls anaerobic odor in fungating wounds.

For: Antioxidant Support

Actives: Glutathione

Strengths: Varies by prescription

Antioxidant; sterile compounding (USP <797>).

For: Cellular Energy / Wellness

Actives: Nicotinamide adenine dinucleotide

Strengths: Varies by prescription

Sterile compounded wellness therapy.

For: B12 Deficiency / Energy

Actives: Methylcobalamin

Strengths: 1 mg/mL

Sterile B12 injection.

For: Growth-Hormone Support

Actives: Sermorelin acetate

Strengths: Varies by prescription

GH-releasing peptide; sterile compounding.

For: Onychomycosis (Nail Fungus)

Actives: Itraconazole, Terbinafine

Strengths: Varies by prescription

Penetrating topical antifungal for nails.