Allergies and Sensitivities: What Clinics Should Write on a Compounded Prescription

Why the allergy note belongs on the prescription

A commercially manufactured tablet or capsule arrives with its inactive ingredients already chosen. The dyes, binders and fillers are part of the product. A compounded preparation is made from a prescription for one patient, so those choices can be made around that patient. That only works when the information reaches the pharmacy.

For clinics and telehealth programs, the most reliable place for it is the prescription itself, with the same detail in your intake notes. Here is what to capture and how we use it.

What patients most often ask us to leave out

• Dyes. Capsules and other preparations can be made without added dyes when the prescriber orders them. Our page on dye-free compounded medications covers the details.
• Lactose. Lactose is a common filler in commercially manufactured tablets and capsules. A compounded preparation can be made without it.
• Other fillers and binders. Some patients react to one specific inactive ingredient. A preparation with fewer inactive ingredients can be ordered.
• Peanut oil. The commercially manufactured micronized progesterone capsule is made with peanut oil. Our compounded progesterone capsules are prepared in a cellulose base and contain no peanut oil.
• Ingredients in a cream base. Hormone creams can be prepared in a hypoallergenic base for patients whose skin reacts to other products.

What to write on the order

A short, specific note saves a phone call later. For each patient with a sensitivity, include:

1. The ingredient to leave out, named as specifically as you can: "no lactose" or "no added dyes" rather than "allergies".
2. Whether it is an allergy or an intolerance, so the pharmacist knows how strict the exclusion needs to be.
3. Any base or dosage form your prescriber prefers or has ruled out.
4. The person on your team to contact if the pharmacist has a question.

If you send orders through our API, e-prescribing or the provider portal, put the note where your prescribers already record directions or comments, so it travels with every refill.

What happens on our side

A pharmacist reviews every formulation before it is made, with the patient's sensitivities in mind, and confirms what is possible for that medication. If a request raises a question, we reach out to the contact on the order so your prescriber can decide the next step. We prepare what your prescriber orders; we do not prescribe.

We are licensed in all 50 states and the District of Columbia, and we have a 48-hour compounding time on most preparations. Shipping time is additional.

Plan for it before launch

If a sensitivity comes up often in your patient population, raise it during formulary planning. Our formula development team meets with your clinical team in scheduled planning sessions ahead of launch, and that is the right time to settle the bases and inactive ingredients for your standard preparations. Our launch checklist lists what else to share.

Common questions

Can any compounded medication be made without a specific ingredient?

Many can, but not all. The active ingredient has to be one a compounding pharmacy may use, and the pharmacist reviews every request. Call us at 423-975-0597 and we will tell you whether a preparation can be made without it.

Does the prescription need to change to leave an ingredient out?

If the current prescription does not note it, the prescriber will need to update the prescription. It is what we prepare from, so the exclusion should be written there.

Are your progesterone capsules made without peanut oil?

Yes. Our compounded progesterone capsules are prepared in a cellulose base and contain no peanut oil. Our post on progesterone capsules without peanut oil explains why patients ask about it.

Can hormone creams be made in a hypoallergenic base?

Yes. We prepare hormone creams in a hypoallergenic base for patients whose skin reacts to other products. Your prescriber chooses the base and the strength.

Which states can you ship to?

We are licensed in all 50 states and the District of Columbia, with a resident pharmacy license in Tennessee, where we are based, and a non-resident license in every other state and D.C.

Working with ProCompounding

Our page on compounding fulfillment for telehealth clinics walks through how we work with partners, from formulary planning to your first shipment. When your team is ready, start clinic onboarding and tell us about your program.

This article is general information for clinics and is not medical advice. Compounded preparations are not reviewed or approved by the FDA for safety or efficacy.