A compounding pharmacy prepares medications that are not commercially available. These are custom-made for patients or animals who need a specific formulation, flavor, dosage, or ingredient profile not found in mass-produced, FDA-approved medications. Compounding was the standard until the 20th century, when mass drug manufacturing became common.

Compounding pharmacists use their expertise in chemistry and pharmaceutical science to create a medication that best fits the individual patient. They can leave out inactive ingredients that may cause reactions, alter flavors, or make medications in forms not commercially available, such as eye drops or topical gels.

You may need a compounded medication if:

• The required dosage or form isn’t available commercially.
• You have allergies or sensitivities to ingredients in standard medications.
• You need medication that’s currently unavailable or discontinued.
• You’re seeking a tailored solution for hormone therapy, pain management, pediatric care, or veterinary needs.

Our pharmacists are happy to speak directly with prescribers to explain the science and process of compounding a medication for their patients. Have your provider or their nurse call us for assistance.

You can expect a high-quality, pharmaceutically elegant preparation designed to meet your prescriber’s intent. As with any medication, results can vary. If you have concerns, contact one of our compounding pharmacists to discuss your experience.

Most compounds take 24-48 hours to prepare. If we have a standardized formulation already made, your wait could be as short as 15-30 minutes. We offer pickup, USPS First Class Mail, or FedEx overnight shipping (for an additional charge). We can also set up autofill and regular shipments or pickups for ongoing needs.

Compounded medications themselves are not reviewed or approved by the FDA, though the ingredients are sourced from FDA-registered or inspected facilities and are typically USP/NF grade. We follow strict federal and state regulations regarding what can be compounded. Most ingredients are found in FDA-approved medications, but some are on the FDA’s “compounding from bulk drug substances” list.

Typically, compounded medications are not classified as “brand” or “generic” because they are custom-made, often starting from pure active ingredients. In some cases, we may use a brand or generic medication as the base, but the final product is a compounded preparation.

Most likely, yes. We frequently help patients by formulating preparations that exclude allergens or problematic ingredients.

We do not bill insurance directly. Most insurance companies only reimburse for the active ingredient if a commercially available medication was used, not for the compounding process or specialized equipment. We provide a universal claim form with all required information so you can submit a manual claim to your insurance company. Check with your insurer about coverage or whether your claim can be applied to your deductible.

We specialize in custom solutions, using ISO-certified clean rooms and a team of experienced pharmacists. Our PCAB accreditation and over 60 years of expertise ensure high standards across a wide range of specialties, from hormone therapy to veterinary care.

Any licensed healthcare provider-including physicians, nurse practitioners, and veterinarians-can write a prescription for a compounded medication. We work closely with your provider to ensure the best fit for your needs.

We offer custom solutions for hormone therapy, weight management, hair growth, sexual wellness, pediatric needs, dermatology, pain relief, sleep and stress support, wound healing, and veterinary care.

If you have unique medication needs not met by standard products, compounding may be a good option.

The Beyond Use Date is the date after which your compounded medication should not be used. It is determined by our pharmacists based on stability and quality guidelines.

Sterile compounding involves preparing medications in a way that eliminates all microorganisms, typically for injections or eye drops. Non-sterile compounding includes forms like creams, capsules, or liquids.

We source our ingredients from FDA-registered and inspected suppliers, ensuring high quality and consistency.

We are open Monday through Friday, 9:00 am to 5:30 pm, and closed on major holidays, including New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas. We close early on Christmas Eve and New Year’s Eve.

We carry Naternal by Root Bioscience (a local RTP company) and Ananda Professional (a Kentucky-based company). We carefully review all CBD products for quality and provide recommendations for you, your family, and your pets. Ask a pharmacist for more information.

Compounding has a long history and was the standard way medications were made until the mid-20th century. Triangle Compounding Pharmacy has been serving the community since 1999, continuing this tradition of personalized care.

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If you have more questions, please contact us-our team is here to help you find the best solution for your health.