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Dermatologic Formulations Beyond What the Market Offers
Dermatology Compounding Solutions Commercial topical products come in fixed concentrations, standard vehicles, and limited active ingredients. When your patient needs something different, compounding is the path forward.
No two patients present the same skin concern in the same way. A patient with acne may need a combination no commercial product offers. A patient with melasma may have already failed multiple standard approaches. A medspa patient undergoing a procedure needs a numbing preparation precisely calibrated for that application. A wound care patient requires a formulation their skin can actually tolerate. Commercial dermatology products were not built for this level of variability.
Pharmacy Solutions works with dermatologists, plastic surgeons, cosmetic physicians, medspa providers, aesthetic nurses, wound care specialists, and primary care providers managing skin conditions to prepare patient-specific topical and specialty compounds across a comprehensive range of dermatology and aesthetic preparations. We have been preparing custom dermatology formulations for prescribers for more than 30 years. Our PCAB-accredited compounding team works directly from your prescription to prepare exactly what your patient needs, at the strength and in the vehicle your clinical judgment requires.
What We Compound for Dermatology and Aesthetic Patients
Pharmacy Solutions prepares custom topical compounds across a comprehensive range of dermatology and aesthetic categories. Formulations are prepared patient-specifically per your prescription across a full range of conditions and applications.
Commonly prepared categories and formulations include:
Acne
- Clindamycin/Niacinamide/Tretinoin Cream and Gel (1/4/0.02%)
- Clindamycin/Spironolactone/Tretinoin Cream and Gel (1/5/0.025%)
- Benzoyl Peroxide/Clindamycin/Niacinamide Cream and Gel (2.5/1% and 5/1/2%)
- Azelaic Acid/Niacinamide/Zinc Pyrithione Gel (4/4/0.3%)
- Salicylic Acid/Sulfacetamide Sodium/Sulfur Cream and Gel (2/10/2.5%)
- Spironolactone Aquaglycolic Toner (1%)
- Ascorbic Acid Cream and Gel (10%)
- Niacinamide/Tretinoin/Vitamin C/Vitamin E Cream and Gel (4/0.03/5/1%)
Melasma and Hyperpigmentation
- Hydroquinone Gel (4% and 8%)
- Hydroquinone/Tretinoin/Kojic Acid/Hydrocortisone Gel (4, 6, and 8/0.1/4/1%)
- Hydroquinone/Tretinoin/Ascorbic Acid Gel (8/5/1%)
- Niacinamide/Tranexamic Acid Gel and Serum (5/3%)
- Niacinamide/Tranexamic Acid/Tretinoin Gel (4/4/0.03%)
- Hydroquinone/Retinoic Acid/Fluocinolone Gel (4/0.05/0.01%)
- Hydroquinone/Retinoic Acid/Dexamethasone/Kojic Acid Gel (8/0.5/0.1/8%)
Eczema, Psoriasis, and Rosacea
- Clobetasol Propionate/Niacinamide/Zinc Pyrithione Cream and Gel (0.025/4/1%)
- Coal Tar/Triamcinolone Acetonide/Salicylic Acid/Urea Cream and Gel (5/0.16/5/10%)
- Cyanocobalamin/Triamcinolone Gel (0.03/0.05%)
- Clobetasol/Minocycline Shampoo (0.05/2%)
Wound Care and Scarring
- Pentoxifylline/Triamcinolone Acetonide Cream and Gel (0.5/0.1%)
- Fluticasone/Levocetirizine/Pentoxifylline/Ubiquinol (0.1/8/3/15%)
- Ubiquinol/Nifedipine/Pentoxifylline (10/4/3%)
- Misoprostol/Phenytoin/Aloe Vera/Lidocaine (0.0024/5/0.2/5%)
- Mupirocin/Aloe Vera/Lidocaine (2/0.2/5%)
- Multiple Pracasil Plus-based scar prevention formulas
Wart Removal
- Cantharidin Suspension (0.70%) and Cantharidin Plus
- Fluorouracil/Salicylic Acid Collodion (2.5/17%)
- Imiquimod/Tretinoin (5/0.1%) and Imiquimod/Fluorouracil combinations
- Acyclovir/Naltrexone/EGCg/Salicylic Acid/Cimetidine (2/1/3/15%)
Numbing and Procedural Preparations
- Benzocaine/Lidocaine/Tetracaine (BLT) Cream and Gel (20/10/9%) in Lipoderm and plasticized vehicles
- Lidocaine/Tetracaine (23/7%) in multiple bases
- Lidocaine/Prilocaine/Phenylephrine HCl (23/10/0.25%)
- Benzocaine/Lidocaine/Tetracaine/DMSO (20/8/6/15%)
Chemical Peels
- Trichloroacetic Acid Solution (10–50%)
- Glycolic Acid Solution (20–50%)
- Salicylic Acid Solution (20–30%)
- Jessner’s Solution (Salicylic Acid/Resorcinol/Lactic Acid 14/14/14%)
- GTZ Peel (Glycolic/TCA/Zinc 15/15/2%)
- VLS Peel (Ascorbic Acid/Salicylic Acid/TCA/Glycolic Acid 1/2/6/7%)
- Re-Brighten Peel (Salicylic/Lactic/Mandelic Acid 7/8/7%)
Anti-Aging
- Ascorbic Acid/Azelaic Acid/Alpha Lipoic Acid/Aloe Vera/Estriol/Progesterone (10/5/1/0.5/0.1/2%)
- Phytonadione/Retinol/Vitamin C/Vitamin E Serum (1/0.1/0.1/0.1%) for dark circles
- Hydroquinone/Tretinoin/Desonide combinations at multiple strengths
Postherpetic Neuralgia and Shingles
- Ketamine/Lidocaine/Ketoprofen/Gabapentin/Clonidine/Baclofen Cream (10/10/10/5/0.2/2%)
- Acyclovir/Amitriptyline/Ketoprofen/Bupivacaine/Gabapentin Gel (5/2/5/1/6%)
- Acyclovir/Lidocaine/Hydrocortisone (5/2/2.5%)
This is not a complete list. Specific strengths, vehicles, and delivery forms are prepared per your prescription for each individually identified patient. Contact our pharmacists directly if you are looking for a formulation, combination, or vehicle not shown here.
Where Commercial Dermatology Options Fall Short for Your Patients
Commercial topical medications cover common presentations at standard concentrations. When your patient falls outside those parameters, compounding fills the gap. Common scenarios where dermatology and aesthetic prescribers turn to Pharmacy Solutions include:
- Patients who require a combination of active ingredients that no single commercial product provides
- Patients with sensitivity or documented allergy to preservatives, fragrances, or inactive ingredients in standard formulations
- Patients who need a specific strength above or below what commercial products offer
- Medspa and aesthetic providers requiring procedural numbing preparations in precise concentrations and volumes
- Patients who have failed standard commercial topicals and require a reformulated or combination approach as directed by their provider
- Wound care and post-procedure patients requiring specialty vehicles like Pracasil Plus that are not commercially available
- Providers prescribing chemical peel agents at custom concentrations per your prescription for individually identified patients
Why Dermatology Prescribers Choose Pharmacy Solutions Dermatology patients who require compounding have often already tried what the commercial market offers. When you bring a compounding pharmacy into that relationship, its consistency and quality reflect directly on your practice. A preparation in the wrong vehicle, at the wrong concentration, or that varies between refills does not reflect poorly on the pharmacy that made it. It reflects poorly on the prescriber who recommended it.
- PCAB-accredited in both sterile and non-sterile compounding, placing us among fewer than 2% of compounding pharmacies in the United States to hold this independent quality credential.
- All active pharmaceutical ingredients are sourced exclusively from FDA-registered suppliers.
- Sterile preparations are compounded in our ISO-classified cleanroom in compliance with USP standards. Our facility maintains full USP compliance for hazardous drug handling.
- Pharmacists with specific depth of knowledge in topical vehicle science, active ingredient chemistry, and the base selection decisions that determine how a compounded preparation performs on real patient skin.
- Direct pharmacist access for clinical questions before you prescribe, with no queue and no callback from a technician.
What the Partnership Looks Like Day to Day
A dermatology compounding relationship should be invisible in the best sense. Your patients get what they need, on time, exactly as prescribed, and your practice is not managing the logistics. Here is what working with Pharmacy Solutions looks like in practice:
- Direct pharmacist access for vehicle, strength, and formulation questions at any stage of the prescribing process, with no queue and no callback from a technician
- Proactive communication when something needs your attention, so your staff is not fielding patient inquiries about compound status
- Nationwide patient delivery with tracking, so your patients receive preparations regardless of geography
- Full dermatology dosing catalog available upon request covering all conditions, vehicles, and dosage forms we prepare
- Custom skin therapy consultation available for providers building condition-specific protocols or expanding into new treatment categories
- Consistent turnaround your practice can schedule around, not work around
Accreditation and Quality Standards You Can Stand Behind
When you recommend Pharmacy Solutions to a patient, your name is part of that recommendation. We take that seriously.
Pharmacy Solutions holds PCAB accreditation in both sterile and non-sterile compounding and maintains full compliance with USP <795> standards for non-sterile preparations. All raw compounding ingredients are sourced from FDA-registered suppliers. These are not marketing claims. They are verifiable credentials, and we are happy to walk your practice through them before you make any commitment.
More Resources for Your Health Journey
Pharmacy Solutions has become an extension of my practice. When I have a patient who needs a precise combination or a vehicle their skin can actually tolerate, I know exactly who to call. The turnaround is reliable, the pharmacists actually pick up the phone, and I have never had a quality issue. For a medspa doing the volume we do, that consistency is everything.
Sarah, NP
Frequently Asked Questions About Dermatology Compounding for Providers
How do I submit a dermatology prescription to Pharmacy Solutions?
Prescriptions can be submitted by phone, fax, electronically through your EMR, or through our secure online portal. Once we receive a valid prescription for an individually identified patient, our team will confirm details and provide an estimated turnaround time. Our pharmacists are available to discuss formulation, vehicle, and strength options before you prescribe if you have questions about what we can prepare.
Can you compound preservative-free dermatology formulations?
Yes. Preservative-free compounding is one of the most common requests we receive from dermatology and aesthetic prescribers, particularly for patients with documented sensitivities or for applications where preservatives may interfere with tolerability. Contact our pharmacists to discuss specific formulation requirements.
What vehicles and bases do you work with for topical compounding?
We work with a broad range of topical vehicles including standard cream and gel bases, Lipoderm, Pracasil Plus, DMSO-based solutions, plasticized bases for procedural applications, aquaglycolic formulations, and shampoo vehicles. Vehicle selection significantly affects penetration, tolerability, and stability. Our pharmacists are available to discuss which base is most appropriate for your specific application before you prescribe.
Do you prepare procedural preparations such as numbing creams and chemical peels?
Yes. Pharmacy Solutions compounds procedural numbing preparations in multiple bases and concentration combinations commonly used by medspas, aesthetic practices, dermatologists, and plastic surgeons. We also prepare a full range of chemical peel solutions at custom concentrations per your prescription for individually identified patients. All preparations are compounded per a valid provider prescription for individually identified patients.
Can I request a custom formulation not listed in your catalog?
Yes. Our dosing catalog represents our most commonly requested preparations. It is not a complete list of what we can prepare. If you are looking for a specific strength, combination, active ingredient, or vehicle not shown in the catalog, contact our pharmacists directly before you prescribe. If it can be compounded within applicable guidelines, we will tell you.
How do I register my practice to begin working with Pharmacy Solutions?
Getting started is straightforward. Contact our team using the link below, tell us about your practice and the types of dermatology compounds you typically prescribe, and we will walk you through the process. Most practices begin submitting prescriptions within a short time of making contact.
Ready to Partner With a Compounding Pharmacy Built for Dermatology Prescribers?
Whether you are a dermatologist, plastic surgeon, medspa provider, aesthetic nurse, wound care specialist, or primary care provider managing complex skin conditions, Pharmacy Solutions is ready to support your work. PCAB-accredited. Nationwide dispensing. Pharmacist access when you need it.
Join the Pharmacy Solutions Network Build a stronger care experience with a pharmacy partner focused on provider support.
Join the Pharmacy Solutions provider network to connect your practice with customized compounded therapies and a team that understands the importance of timely, reliable service. We work alongside healthcare providers to help simplify the prescribing process, support patient-specific treatment needs, and deliver a higher level of care.
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