A Compounding Pharmacy for Dermatology Practices
We prepare topical dermatology preparations for practices, one patient at a time, with the actives and base each prescriber writes, and ship them directly to patients in all 50 states and the District of Columbia.
What We Prepare for Dermatology
Retinoid creams
Tretinoin creams on their own, or combined with niacinamide and ascorbic acid in a single preparation.
Hydroquinone creams
Hydroquinone creams, including combinations with tretinoin and hydrocortisone in one base.
Topical hair solutions
Minoxidil solutions and suspensions, combined with the other actives your prescriber selects.
Topical acid gels
Gels that combine lactic, salicylic and glycolic acids in the proportions a prescriber writes.
Creams with estriol
Tretinoin and niacinamide creams with estriol added, when a prescriber writes for it.
Custom combinations
Several actives in one base can simplify a patient's routine. Custom formulas are developed on request.
Why Dermatology Practices Compound
Commercial topical products come in set strengths, set combinations and set bases. Compounding lets a prescriber put several actives into one cream or solution, choose a base that suits the patient's skin, and adjust a formulation when a patient needs something the shelf does not offer.
Each formulation starts from a clinical reason the prescriber identifies, which is how a 503A pharmacy works. Patients can read about topical preparations on our aesthetics page, and practices treating hair loss can see our hair loss fulfillment overview.
How We Work With Your Practice
A pharmacist reviews every formulation
Before anything is made, a pharmacist checks that the actives and base you have chosen work together.
Made to order
Each preparation is made for a named patient, with a 48-hour compounding time on most preparations. Shipping time is additional.
One pharmacy, every state
Licensed in all 50 states and the District of Columbia, so one relationship covers every patient your practice sees.
PCAB accredited
Our Johnson City, Tennessee pharmacy is PCAB accredited and follows USP <795> for non-sterile compounding.
Selling a skin care line under your own name? See our white-label pharmacy fulfillment.
Getting Started
Tell us about your practice
Share the preparations your providers prescribe most often and your expected volume, so we can plan before onboarding begins.
Complete practice onboarding
We set up your account, introduce your account manager and review your prescribing workflow.
Credentialing and e-prescribing setup
We coordinate state license verification and set up e-prescribing or our provider portal so prescriptions reach us cleanly.
Start sending prescriptions
We compound each prescription and ship it directly to your patient, with shipment tracking.
See also our pages for ENT and allergy practices, functional medicine practices, and prescriber partnership details.
Frequently Asked Questions
What dermatology preparations do you compound?
Topical creams, gels, solutions and suspensions, including tretinoin, hydroquinone, niacinamide, minoxidil and topical acid preparations. Custom formulas are developed on request.
Can you combine several actives in one preparation?
Yes. Your prescriber specifies the actives and the base, and our pharmacist reviews the formulation to confirm the ingredients work together before it is made.
Can you leave out an ingredient a patient is sensitive to?
Often, yes. Tell us what the patient reacts to and our pharmacist will review whether the formulation allows it to be left out.
Do you require a patient-specific prescription?
Yes. As a 503A pharmacy we prepare each prescription for a named patient, at the strength and in the base your provider writes.
How do prescriptions reach you?
Through e-prescribing or our provider portal. We set up whichever suits your practice during onboarding.
Do you ship to patients in every state?
Yes. We are licensed in all 50 states and the District of Columbia, and we ship directly to patients from our pharmacy in Johnson City, Tennessee.
Compounded preparations are not reviewed or approved by the FDA for safety or efficacy. Nothing on this page is a recommendation for any individual patient; prescribing decisions rest with your providers.