Women's Health & Hormone Therapy
Bioidentical hormones, compounded to your prescriber's order
Some patients need a strength, ratio or base that commercial hormone products don't offer. We compound bioidentical estradiol, estriol and progesterone to your prescriber's exact prescription.
We compound bioidentical hormone replacement therapy (BHRT) to your prescriber's order. Bioidentical means the hormone has the same structure as the one your body makes. Your prescriber sets the dose from your history and labs.
Bioidentical Hormone Replacement
Bioidentical hormones, estradiol, estriol, progesterone, are structurally identical to the hormones your body produces. Compounding does not change the molecule. It lets your prescriber choose the dose, ratio and base.
Our pharmacists talk with your prescriber about the details, such as an estrogen ratio like Bi-Est or a cream instead of a capsule.
What compounding can change:
Bi-Est Cream (Estradiol + Estriol)
Menopausal and perimenopausal women
Active Ingredients:
Estradiol and estriol in one cream, at the ratio and strength your prescriber orders.
Available Forms:
Micronized Progesterone Capsules
Active Ingredients:
Micronized progesterone, compounded to the prescriber's order.
Available Forms:
Other Hormone Prescriptions
Some prescribers also order DHEA, pregnenolone or thyroid medication. Testosterone formulas are prescription only — prescriber-directed.
Combination T4/T3 Thyroid Capsules
Active Ingredients:
Levothyroxine (T4) and liothyronine (T3) in one capsule, at the ratio your prescriber orders.
Available Forms:
Oxytocin Nasal Spray
Active Ingredients:
Oxytocin nasal spray, compounded to your prescriber's order (off-label use).
Available Forms:
Questions about a hormone prescription?
Questions to ask your prescriber
- Is it right for me?
- Whether hormone therapy fits your history
- Why compounded?
- Why a compounded form instead of a commercial one
- What follow-up?
- Which labs and exams you need, and when
- What to report?
- Which side effects to call about
From the formulary
BHRT & women's health formulas
Prescription-only formulas your prescriber can order from our formulary. Strengths and bases are set by your prescriber.
Bi-Est (Estradiol / Estriol) Cream or Capsule
Estradiol · Estriol
Classic Bi-Est combination for comprehensive menopausal support.
Progesterone Capsule
Progesterone
Customized progesterone dosing with clinician monitoring.
Estradiol Cream or Gel
Estradiol
Single-estrogen transdermal estradiol at exact prescriber-set doses — including patch-equivalent conversions during shortages.
Estradiol Vaginal Cream or Insert
Estradiol
Low-dose local estradiol for genitourinary syndrome of menopause (clinician-led).
Estriol Vaginal Cream or Insert
Estriol
Localized estriol support for vaginal comfort (clinician-led).
DHEA (Prasterone) Vaginal Cream or Insert
DHEA
Clinician-led DHEA support for intimate health goals.
Questions About a Hormone Prescription?
Talk to your prescriber about whether hormone therapy fits you. Call a pharmacist with any question about the preparation itself.
Not sure where to start? Answer three questions
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.