A Compounding Pharmacy for ENT and Allergy Practices
We prepare compounded nasal sprays and sinus irrigation preparations for ENT, allergy and sinus practices, made to each prescription and shipped directly to patients in all 50 states and the District of Columbia.
What We Prepare for ENT and Allergy
Combination nasal sprays
Nasal sprays that combine actives such as azelastine and mometasone, or olopatadine, mometasone and montelukast, in a single spray.
Sinus irrigation capsules
Capsules prepared in a xylitol base for patients to add to a sinus rinse, including budesonide and levocetirizine preparations.
Combination irrigations
Irrigation preparations that combine antibiotic and antifungal actives, when a prescriber writes for them.
Custom combinations
Putting several actives into one spray or rinse can mean fewer products for a patient to manage. Custom formulas are developed on request.
Why ENT Practices Compound
Many of the actives used for sinus and allergy care are sold commercially as separate products. A compounded spray or rinse can bring the actives a prescriber chooses together in one preparation, so a patient has fewer bottles to keep track of each day.
Every preparation is made for a named patient from a prescription, which is how a 503A pharmacy works. The directions on the label come from your practice, so patients know exactly how to use their spray or add their capsule to a rinse. If a patient already has a prescription elsewhere, they can transfer it to us.
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.
Running a sinus or allergy program that reaches patients online? See our fulfillment for telehealth clinics.
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 dermatology practices, functional medicine practices, and prescriber partnership details.
Frequently Asked Questions
What ENT and allergy preparations do you compound?
Combination nasal sprays and sinus irrigation preparations, including azelastine, mometasone, olopatadine, montelukast, budesonide and levocetirizine preparations. Custom formulas are developed on request.
How do patients use sinus irrigation capsules?
The directions on the prescription label, which your practice sets, tell the patient how to add the preparation to their sinus rinse.
What standards do you compound to?
We are a PCAB-accredited pharmacy practicing non-sterile compounding under USP <795>, and a pharmacist reviews every formulation before it is made.
Do you require a patient-specific prescription?
Yes. As a 503A pharmacy we prepare each prescription for a named patient, with the actives and strengths 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.