Med Spa & Aesthetic Prescriptions
Patient-specific skin formulas, compounded to the prescriber's order
We work with med-spa and aesthetic prescribers on patient-specific prescriptions. Every order is written for one named patient, and we compound it for that patient.
Common requests include tretinoin creams, brightening formulas and post-procedure skin care. The prescriber chooses the ingredients, strengths and directions.
Retinoids & Skin Care
Tretinoin is a prescription retinoid used for photoaging (sun-damaged skin) and acne. A prescriber may order it with other ingredients, such as niacinamide or hyaluronic acid.
Your prescriber may also add a copper peptide (GHK-Cu). Your prescriber and pharmacist give directions with the prescription.
Hydrocortisone + Hyaluronic Acid Cream
Active Ingredients:
Hydrocortisone with hyaluronic acid, vitamin E and ceramides, compounded to the prescriber's order.
Available Forms:
Arnica + Bromelain Capsules
Active Ingredients:
Arnica and bromelain capsules, compounded to the prescriber's order.
Available Forms:
Silicone Scar Gel
Active Ingredients:
Silicone gel with vitamin E, allantoin and onion extract, compounded to the prescriber's order.
Available Forms:
GHK-Cu Serum
Active Ingredients:
Copper peptide serum, compounded to your prescriber's order.
Available Forms:
Hyperpigmentation
Hyperpigmentation means darker patches of skin, from sun damage, melasma or past inflammation. Prescribers sometimes use compounded creams that combine several ingredients.
One common combination is hydroquinone with tretinoin and a mild corticosteroid. Hydroquinone-free formulas may use kojic acid, niacinamide or tranexamic acid. Daily sun protection matters with any of these.
Hydroquinone + Tretinoin + Fluocinolone Cream
Active Ingredients:
Hydroquinone, tretinoin and fluocinolone in one cream, compounded to the prescriber's order.
Available Forms:
Tranexamic Acid + Niacinamide Serum
Active Ingredients:
Tranexamic acid, niacinamide, vitamin C and kojic acid in one serum, compounded to the prescriber's order.
Available Forms:
Glutathione + Vitamin C + Niacinamide Gel
Active Ingredients:
Glutathione, vitamin C and niacinamide in one topical gel, compounded to the prescriber's order.
Available Forms:
Before and After a Procedure
Post-procedure formulas your prescriber may order include gentle anti-inflammatory and moisturizing creams. Your prescriber decides when to stop a retinoid before a procedure and when to restart it.
Skin under the eyes is thin. Some prescribers order an under-eye serum with caffeine, niacinamide, vitamin C and hyaluronic acid.
Important Safety Information
Tretinoin: Do not use during pregnancy. Use daily sun protection. Redness and peeling are common; tell your prescriber if they bother you.
Hydroquinone: Your prescriber limits how long you use it. Long use can rarely cause darkening of the skin (ochronosis).
Corticosteroids: Long use on the face can thin the skin. Use only as prescribed.
Questions: Call a pharmacist about how to use your prescription.
From the formulary
Aesthetic dermatology formulas
Prescription-only formulas your prescriber can order from our formulary. Strengths and bases are set by your prescriber.
Tretinoin / Niacinamide / Hyaluronic Acid Cream
Tretinoin · +2 optional
Retinoid program with barrier-friendly add-ons (niacinamide/HA).
Tretinoin / Azelaic Acid / Niacinamide Cream
Tretinoin · Azelaic Acid · +1 optional
Tiered-strength all-in-one renewal cream pairing retinoid turnover with azelaic tone correction.
Hydroquinone / Tretinoin / Niacinamide Cream
Hydroquinone · +2 optional
Clinician-cycled HQ program for stubborn melasma and PIH.
Hydroquinone / Tretinoin / Azelaic Acid / Hydrocortisone Cream
Hydroquinone · Tretinoin · Azelaic Acid · Hydrocortisone
Kligman's triple with azelaic acid added, for prescribers who want a fourth pathway during the hydroquinone cycle.
Azelaic Acid / Tranexamic Acid / Niacinamide Cream
Azelaic Acid · Tranexamic Acid · Niacinamide
High-strength azelaic acid with tranexamic acid for melasma and dark spots when hydroquinone is not wanted.
Benzoyl Peroxide / Clindamycin / Tretinoin / Niacinamide Gel
Benzoyl Peroxide · +3 optional
Acne combination with a customizable, clinician-directed intensity.
For med-spa prescribers
Prescribe for your patients; we compound each order for the named patient. Call the pharmacist line with questions about a formula.
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Please note: Compounded medications require a prescription from a licensed prescriber for an individual patient. Compounded medications are not FDA-approved. The FDA does not review them for safety, effectiveness or quality. A compounded medication is not the same as, or a generic version of, any FDA-approved drug. This page is general information, not medical advice. Your prescriber decides whether a treatment is right for you and sets the final ingredients, strength and dosage form.