Sexual Health
Compounded HRT

Human Medicine

CareFirst Specialty Pharmacy is an independently owned and operated compounding pharmacy that has knowledge and training in the area of specialty compounding. Our professional certified pharmacists, technicians and assistants have extensive training and experience. As a PCCA member, we continually receive the most up to date training and education in the area of compounding. We dispense high quality compounded medications and extensively research and test our formulas for potency and stability. Our state-of-the-art pharmacy helps to ensure that you will receive high quality care. CareFirst Specialty Pharmacy adheres and complies with the USP Pharmacopoeia’s Chapter 795 for pharmaceutical compounding in non-sterile environments, which guide pharmacies in applying “good compounding practices in the preparation of non-sterile compounded formulations for dispensing and/or administration to humans or animals.” The safety of our patients is of most important to our practice and our computerized drug management system can detect hazardous drug interactions and dangerous side effects before they happen.


General Compounding

Compounding combines the ageless art with the latest medical knowledge allowing our pharmacy to prepare customized medications to meet each patient’s specific need. We offer countless therapeutic possibilities when medications can be customized. Our pharmacy uses the finest ingredients to formulate medications and contains equipment that is not found in most pharmacies, enabling us to compound each medication to the prescriber’s specifications.

Dosages forms we compound include:

  • Transdermal or Topical Formulations
  • Troches
  • Tablets and Capsules
  • Lozenges, Freezer Pops, Gummy Treats and Lollipops
  • Suppositories

Let us know how we can help you!

Hormone Therapy

We compound hormone replacement therapy for women and men. CareFirst will work with your doctor to compound a prescription that is right for you.

Pain Management

Pain is one of the most common reason people consult a physician, leading to enormous social cost in the form of lost productivity, suffering, and excessive healthcare costs. At CareFirst Specialty Pharmacy, we have advanced training in the preparation of customized dosage forms. We offer many unique options for pain management, regardless of pain origin and whether the pain is acute or chronic. By working together with healthcare providers and their patients, we can customize medications and make adjustments to optimize pain management.

Hair Loss

We recognize that hair loss is not only a complex medical condition, but one that affects every aspect of the hair loss sufferer's life. Androgenetic alopecia or common male pattern baldness (MPB) accounts for more than 95% of hair loss in men. By the age of thirty-five, two-thirds of American men will experience some degree of appreciable hair loss, and by the age of fifty approximately 85% of men have significantly thinning hair. Approximately twenty five percent of men who suffer with male pattern baldness begin the painful process before they reach the age of twenty-one. At CareFirst Specialty Pharmacy we compound a unique formula that may improve results. Many patients use topical treatment with 5% minoxidil in an alcoholic solution which many are not fond of using. The alcoholic solution drips and leaves an unpleasant alcoholic smell. As hair loss continues to progress most men seek alternative treatment options. Our formula is a combination of latanoprost and minoxidil. Each drug acts on a different prostaglandin and synergize to restore the prostaglandin balance. Our formula uses Espumil, which is a creamy, drip free foam formulation with a light skin feel that work very well on the scalp. It is very easy to apply and skin friendly maximizing patient comfort and for optimal treatment results. Latanoprost for the treatment of hair loss has shown positive results.

Wound Care

Wound care involves removal of dead tissue, cleansing, maintenance of a moist environment, prevention of infection and further injury, and the treatment to improve healing. At CareFirst Specialty Pharmacy we can compound a unique preparation or utilize a number of proprietary bases to optimize the treatment of:

  • Scars (old, new or surgical)
  • Keloids
  • Burns
  • Stretch Marks (secondary to weight loss or gain)
  • Athletic Injuries
  • Ulcerated Leg Wounds
  • Acne Scars
  • Any skin condition needing barrier protection


Dermatologists, physicians, healthcare professionals and patients encounter numerous problems that can be helped with custom medications that treat a wide range of conditions including:

  • Acne
  • Psoriasis
  • Eczema
  • Rosacea
  • Sunburn
  • Plantar Warts
  • Burns
  • Stretch Marks
  • Warts and Molluscum
  • Fungal and Viral Infections
  • Wrinkles
  • Pigmentation Abnormalities
  • Traumatized or Diseased Nails
  • Scarring and Keloids
  • Slow Healing Wounds

When you have a problem that is difficult to treat, we can work with your physican to customize formulations that contain the needed medications in the most appropriate vehicle to effectively deliver the drug to the affected area.

Dental Compounding

CareFirst work with dentists and patients to help solve specific problems in the area of dentistry in a variety of dosage forms. Many patients are uncomfortable and fearful with the prospect of traditional dental services due to painful past experiences. With our dental compounding medications that are administered in office prior to procedures, patients may benefit by being more at ease during procedures. Areas we compound for dentistry:

  • Topical Anesthetics and Analgesics
  • Therapy for TMJ Disorder
  • Suppressing Gag Reflex
  • Treatments for Dry Mouth and Mucositis
  • Periodontal Therapy
  • Transdermal Anti-Emetics
  • Miracle Mouthwashes


CareFirst Specialty Pharmacy works with podiatrists to solve their patients’ needs with compounded medications for many conditions including:

  • Arthritis
  • Athlete's Foot
  • Blisters
  • Diabetic Neuropathy
  • Dry Skin
  • Edema/Swelling
  • Inflammation
  • Muscle Spasms
  • Nail Removal
  • Neuralgias/Neuropathic Pain
  • Onychomycosis
  • Tendonitis
  • Warts

CareFirst Compounding Services

Many patients have unique health needs that off-the-shelf, manufactured medications cannot meet. For these patients, personalized compounded medications prescribed by licensed practitioners and prepared by trained, licensed pharmacists can be a way to better health.

Compounding is fundamental to the profession of pharmacy and was a standard means of providing prescription medications before drugs began to be produced in mass quantities by pharmaceutical manufacturers. The demand for professional compounding has increased as healthcare professionals and patients realize that the limited number of strengths and dosage forms that are commercially available do not meet the needs of many patients, and that these patients often have a better response to a customized dosage form that is "just what the doctor ordered".

Working with a physician, a compounding pharmacist can meet individual needs of children, adults and animals. Whether it’s an allergy to a dye or ingredient, a need for a different strength, or a preference for a different dosage form, compounding pharmacists provide patients with solutions to meet their medication needs.

Our Compounding Professionals Can Prepare

  • Unique dosage forms containing the best dose of medication for each individual.
  • Medications that have been discontinued or are backordered due to a drug shortage.
  • Medications free of problem-causing excipients such as dyes, sugar, lactose, or alcohol.
  • Combinations of various compatible medications into a single dosage form.
  • Special formulations or medications that are not commercially available.

Quality Compounding Maximizes Therapeutic Outcomes

The efficacy of any formulation is directly related to its preparation, which is why the selection of your compounding pharmacy is critical. Ongoing training for compounding pharmacists and technicians, state-of-the-art equipment, and high quality chemicals are essential. Experience and ingenuity are important factors as well. When tweaking a formula or developing a unique preparation, the compounding pharmacist must consider physical and chemical properties of both the active ingredient and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures should be in place, stability studies should be considered when compounding, and appropriate potency and sterility testing should be performed.

Our Featured Compounds

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  1. 4-Aminopyridine Capsules Compounded

    4-Aminopyridine Capsules Compounded

    4-Aminopyridine (4-AP) is a potent inhibitors of voltage gated potassium channels that is prescribed to people with multiple sclerosis to improve walking and other motor activities.

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  2. Albendazole Capsules Compounded

    Albendazole Capsules Compounded

    Albendazole is an antiparasitic medication that is used to treat a number of parasitic infections. At CareFirst Specialty Pharmacy, we can compound Albendazole that is lactose and corn free.

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  3. Betahistine

    Betahistine Compounded

    Betahistine dihydrochloride is used as a treatment for Ménière’s syndrome.

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    Betahistine Compounded
    As low as $44.95
  4. Biotin USP

    Biotin USP Compounded

    We compound high strength Biotin Capsules USP in our nationally accredited state of the art compounding facility.

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    Biotin USP Compounded
    As low as $59.95
  5. Cholestyramine Resin Compounded

    Cholestyramine Resin Compounded

    Cholestyramine acts by binding to and forming complexes with certain compounds in the gut. It binds to cholesterol, bile acids, and biotoxins in the intestine, preventing their absorption into the body and helping the body get rid of them. Cholestyramine resin can be given to treat high cholesterol, diarrhea due to improper absorption of bile acids, and illnesses caused by biotoxins.

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  6. Clomiphene Citrate Capsules Compounded

    Clomiphene Citrate Capsules Compounded

    Clomiphene is used to induce ovulation in women who do not produce eggs but wish to become pregnant. Clomiphene is in a class of medications called ovulatory stimulants.

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  7. Cromolyn Sodium Capsules Compounded

    Cromolyn Sodium Capsules Compounded

    Cromolyn sodium is an anti-inflammatory medication. It works by preventing the release of substances such as histamine from mast cells in the body that cause inflammation.

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  8. Dextromethorphan HBR Capsules Compounded

    Dextromethorphan HBR Capsues Compounded

    Dextromethorphan HBR is a cough suppressant.

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  9. DHEA (dehydroepiandrosterone) / Pregnenolone Compounded

    DHEA (dehydroepiandrosterone) / Pregnenolone Compounded

    Our expert compounding pharmacists compound pharmaceutical DHEA (dehydoepiandrosterone)/Pregnenolone Capsule.

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  10. DHEA (dehydroepiandrosterone) Compounded

    DHEA (dehydroepiandrosterone) Compounded

    Our expert compounding pharmacists compound pharmaceutical DHEA (dehydoepiandrosterone) capsule.

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  11. Dichloralphenazone/Isometheptene Mucate/Acetaminophen Capsules Compounded

    Dichloralphenazone/Isometheptene Mucate/Acetaminophen Capsules Compounded

    We can compound Dichloralphenazone/Isometheptene Mucate/Acetaminophen (the main ingredients in Midrin) in a capsule.

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  12. DMSA Dimercaptosuccinic Acid Compounded

    DMSA Dimercaptosuccinic Acid Compounded

    Our expert compounding pharmacists compound DMSA Dimercaptosuccinic Acid Compounded in an oral capsule form. Please contact us for additional information.

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  13. Doxycycline Hyclate Capsules

    Doxycycline Hyclate Capsules

    This medication is used to treat a wide variety of bacterial infections, including those that cause acne.

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  14. Estriol Compounded

    Estriol Compounded

    Our expert compounding pharmacists compound Estriol topical creams and capsules. It can be combined with Estradiol, Progesterone, and Testosterone. Read More
    Estriol Compounded
    As low as $69.95
  15. Estriol/Estradiol Compounded

    Estriol/Estradiol Compounded

    Our expert compounding pharmacists compound Estriol/Estradiol (Bi-Est) 80/20, 70/30, 50/50 into topical creams, troches and capsules. Can be combined with progesterone or testosterone.

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  16. Fexofenadine (Allergy Free) Compounded

    Fexofenadine (Allergy Free) Compounded

    Fexofenadine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching.

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  17. Ivermectin Compounded

    Ivermectin Compounded

    Ivermectin belongs to a class of drugs known as anthelmintics. This medication is used to treat certain parasitic roundworm infections.

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    Ivermectin Compounded
    As low as $44.95
  18. Ketotifen

    Ketotifen Compounded

    Our expert compounding pharmacists compound Ketotifen Fumarate in an oral capsule form. Please contact us for additional information.

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    Ketotifen Compounded
    As low as $73.95
  19. Levothyroxine (T4) / Liothyronine (T3) Compounded

    Levothyroxine (T4) / Liothyronine (T3) Compounded

    Our pharmacy can compound levothyroxine (T4) and liothyronine (T3) as an immediate and slow release (modified) capsule.

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  20. Liothyronine (T3) Compounded

    Liothyronine (T3) Compounded

    Our pharmacy can compound liothyronine (T3) as an immediate and slow release (modified) capsule.

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  21. Mebendazole Capsules Compounded

    Mebendazole Capsules Compounded

    Mebendazole is a broad-spectrum anthelmintic medication that is used to treat pinworm, whipworm and roundworm. At CareFirst Specialty Pharmacy, we can compound Mebendazole that is lactose and corn free.

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  22. Naltrexone (Low Dose) Capsules Compounded

    Naltrexone (Low Dose) Capsules Compounded

    Our expert compounding pharmacists compound immediate release low dose naltrexone.

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  23. Naltrexone (Ultra Low Dose) Capsules Compounded

    Naltrexone (Ultra Low Dose) Tablets and Capsules Compounded

    Our expert compounding pharmacists compound immediate release Ultra Low Dose Naltrexone in an oral capsule (picture not shown) and tablet form.

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  24. Nature Throid

    Nature Throid

    Nature Throid is a thyroid replacement medication.

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    Nature Throid
    As low as $63.95
  25. Nitazoxanide Capsules Compounded

    Nitazoxanide Capsules Compounded

    Nitazoxanide is an anti-parasitic medication that is used to treat parasite infection. At CareFirst Specialty Pharmacy, we can compound Nitazoxanide that is lactose and corn free.

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  26. Nystatin Capsules Compounded

    Nystatin Capsules Compounded

    Nystatin is both fungistatic and fungicidal in vitro against a wide variety of yeasts and yeast-like fungi.

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  27. Oxandrolone Capsules Compounded

    Oxandrolone Capsules Compounded

    Oxandrolone is a synthetic, anabolic steroid hormone analog of testosterone. This agent may be used for testosterone replacement therapy in hypogonadal men, in HIV-wasting syndrome, and in other conditions in order to increase nitrogen retention and fat-free muscle mass.

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  28. Paromomycin Sulfate Capsules Compounded

    Paromomycin Sulfate Capsules Compounded

    Paromomycin Sulfate is an anti-parasitic agent used to treat pinworm, roundworm, and other infections.

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  29. Praziquantel Capsules Compounded

    Praziquantel Capsules Compounded

    Praziquantel is an antiparasitic medication that is used to treat a number of parasitic infections. At CareFirst Specialty Pharmacy, we can compound Praziquantel that is lactose and corn free.

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  30. Pregnenolone Capsules Compounded

    Pregnenolone Capsules Compounded

    Pregnenolone is a precursor to other hormones like DHEA, estrogen, progesterone, and testosterone.

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  31. Progesterone Compounded

    Progesterone Compounded

    We compound progesterone in oral capsules, topical creams, oral troches/lozenges, sublingual suspensions and vaginal suppositories.

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    Progesterone Compounded
    As low as $34.95
  32. Pyrantel Pamoate Capsules Compounded

    Pyrantel Pamoate Capsules Compounded

    Pyrantel Pamoate is an anti-parasitic agent used to treat pinworm, roundworm, and other infections.

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