Compounded Pain Management
Your prescriber has written for something that doesn't come off a shelf — a particular combination, a particular strength, in a cream, a gel, or a troche. That preparation has to be made, and making it is what we do.
We prepare topical and oral pain medications individually, as prescribed by your healthcare provider, in our own lab on Main Street in downtown Lititz. We are independent, we are licensed throughout Pennsylvania, and a pharmacist answers our phone.
What We Prepare for Pain
These are the categories prescribers most often send us, and the forms they are commonly written in — all prepared as prescribed by your healthcare provider.
| What prescribers request | Common forms |
|---|---|
| Local anesthetics (lidocaine, prilocaine, benzocaine, tetracaine) | Topical |
| NSAIDs | Cream · suppository |
| Nerve-pain medications | Topical gel · cream |
| Muscle relaxants | Topical |
| Ketamine | Transdermal gel · sublingual troche |
| Combination preparations | Multiple actives in one cream |
Combination preparations
Where your prescriber orders it, several actives can be prepared in one cream instead of two or three separate products. The practical difference is one application rather than several.
Prepared to the prescriber's specified strength
We compound each preparation to the strength written on the prescription. If your prescriber wants to talk a formulation through before writing it, a pharmacist here will take that call.
That list is representative rather than a catalog. If your prescription names something you don't see here, call (717) 626-2222 and ask about that specific formulation — we will tell you plainly whether we prepare it. The standard forms we work in are listed on the custom compounding page.
Our scope, plainly
We prepare non-sterile medications only: topicals, troches, capsules, and suppositories. No injectables, no infusions, no IV preparations of any kind.
Low Dose Naltrexone
We compound low dose naltrexone here in custom strengths and forms, and some prescribers write for it in a pain-management context. Everything about how it is prepared, the forms available, and how to get a prescription filled lives on our low dose naltrexone page.
For Pain-Management Prescribers
We work with pain clinics, physiatrists, orthopedic and sports-medicine practices, and palliative care teams across Pennsylvania. We prepare topical creams and gels, sublingual troches, oral capsules, and suppositories on your prescription — 503A patient-specific, non-sterile only.
A named pharmacist will discuss a formulation with you before you write it: the base, the vehicle, whether the combination holds together in the form you have in mind. Call (717) 626-2222 and ask for a pharmacist. Prescriptions come in by e-prescribe, phone, or fax 717-626-7920.
Controlled substances are handled to the letter here, including Schedule III preparations such as ketamine — correct documentation, correct refill and transfer handling, no shortcuts. What we prepare is what you write; we do not advise on therapy.
One boundary worth stating up front: we cannot supply office stock. 503A compounding is patient-specific by definition, so each preparation needs a prescription with a patient named on it. Account setup and how we work with practices are covered on our for prescribing practices page.
Our Pharmacists
Your preparation is compounded and checked by a named pharmacist, not an anonymous facility. Our compounding team is Chet Patel, PharmD, RPh; Vishesh Patel, PharmD, RPh; and Brian Bradshaw, RPh, who brings more than 30 years of compounding experience to the bench.
They are formulation experts rather than pain clinicians — what to prescribe is your prescriber's call, and we will talk the base and the strength through with them. What we can tell you is what is possible to prepare and how to use it.
Call (717) 626-2222 and ask for a pharmacist about a specific preparation. You will be talking to the person who makes it.
How to Get Your Prescription Filled
- 1
Your prescriber sends the prescription.
They can e-prescribe it, call it in at (717) 626-2222, or fax it to 717-626-7920. If the base, the form, or the combination needs discussing, a pharmacist here will talk it through with them first.
- 2
We confirm the details with you.
We will check the form and the directions with you, and contact your prescriber rather than guess if anything on the order needs clarifying.
- 3
We prepare it here.
Each preparation is compounded individually for one patient rather than pulled off a shelf, so there is preparation time involved. Call and we will tell you when to expect it.
- 4
Pick it up, or let us bring it.
Pick up at 100 East Main Street, use parking-lot pickup, or take free local delivery in the Lititz area. Prescriptions are Pennsylvania-only.
If your prescription is for a controlled substance
Some pain preparations — ketamine among them — are Schedule III controlled substances, and the rules around them work differently. Refills are not carried on the original order, so your prescriber sends a new prescription each time. Transfers between pharmacies are limited. Photo ID may be required at pickup.
None of that is a Lititz policy — it is federal and state law that applies at every pharmacy. We mention it here so it isn't a surprise at the counter.
What it will cost
Cost depends on the medication, the strength, and the form, so there is no single number we can post. Compounded topicals are frequently not covered by insurance. Call (717) 626-2222 and we will walk you through it.
We are at 100 East Main Street in downtown Lititz. Hours are Monday through Friday, 9:00 to 6:00, and Saturday, 9:00 to 1:00; closed Sunday. Call (717) 626-2222 or see our contact page for directions. We fill prescriptions for patients in Pennsylvania.
Common Questions
Do I need a prescription for a compounded pain medication?
Yes. Every preparation we make is compounded on a prescriber's order for a named patient. Your prescriber can e-prescribe it, call it in at (717) 626-2222, or fax it to 717-626-7920.
What forms do you prepare?
Creams, gels, sublingual troches, oral capsules, and suppositories — whichever form your prescriber specifies. Our full set of standard dosage forms is on the compounding services page.
My prescription includes a controlled substance. Is anything different?
Yes, and it is worth knowing before you get to the counter. Controlled prescriptions cannot be refilled off the original order — your prescriber has to send a new one. Transfers between pharmacies are limited, and photo ID may be required at pickup. These are federal and state rules that apply to every pharmacy, not a Lititz policy.
What does a compounded pain medication cost?
It depends on the medication, the strength, and the form your prescriber wrote for, so there is no single number we can post. Compounded topicals are also frequently not covered by insurance. Call us with the prescription details and we will walk you through it.
Do you make injectable or IV pain medications?
No. Those are sterile preparations and we do not prepare them. We prepare non-sterile medications: topicals, troches, capsules, and suppositories. If your prescriber ordered a sterile preparation, they can point you to a pharmacy that prepares them.
Call us — we'll tell you what we can make.
(717) 626-2222, Monday through Saturday. Have your prescriber send the prescription over, or if you're a practice, ask for a pharmacist directly.
Compounded medications are prepared to a licensed prescriber's order and are not reviewed or approved by the FDA for safety or effectiveness. Nothing on this page is medical advice.