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Supportive Compounding for Oncology Patients
Oncologic Compounding Solutions Your oncology patients have needs the commercial drug market was not built to solve.
Oncology and palliative care present some of the most demanding compounding challenges in medicine. Patients may be unable to swallow oral solids. Nausea, mucositis, and treatment-related pain may require formulations that commercial manufacturers do not produce. Some patients have exhausted standard approaches and are exploring off-label options supported by emerging research. Others need a commercially available medication reformulated in a dosage form their body can actually tolerate. In oncology, compounding is not supplemental. For many patients, it is the only clinical path forward.
Pharmacy Solutions has been a trusted compounding partner for oncologists, palliative care specialists, integrative oncology practitioners, hospice physicians, and primary care providers managing cancer-related symptoms for more than 30 years. As a PCAB-accredited 503A compounding pharmacy, we prepare patient-specific formulations per your prescription across a range of oncologic support categories including symptom management, off-label research-supported preparations, and specialized dosage form conversions. We prepare what you prescribe, for the specific patient you are treating, and can provide recommendations when needed. Ours is to make your prescription available in the form your patient can receive.
What We Compound for Oncology and Palliative Care Patients
Pharmacy Solutions prepares oncologic support formulations per prescriber direction. All preparations are patient-specific and compounded per a valid prescription.
Commonly prepared categories and formulations include:
Mebendazole Preparations
- Mebendazole Capsules and Oral Suspensions at various strengths
- Mebendazole has been studied in multiple peer-reviewed publications for potential anti-cancer activity across several cancer types including glioblastoma multiforme, breast cancer, colon and gastric cancers, lung cancer, melanoma, ovarian cancer, and prostate cancer
- Mebendazole at the concentrations studied in the research literature is not commercially available and requires compounding
- All Mebendazole compounding is per physician prescription as part of an individualized care plan
COC Protocol Support
- The Care Oncology Protocol is a physician-supervised regimen developed to simultaneously target multiple cancer pathways through pharmaceutical interventions
- Protocol medications including Metformin, Atorvastatin, Doxycycline, and Mebendazole may be compounded in customized strengths and dosage forms when commercial products are unsuitable for a specific patient
- All COC Protocol compounding is per physician prescription only
Nausea and Mucositis Management
- Ondansetron Troches and Oral Dissolving Preparations
- Magic Mouthwash combinations in multiple formulations per prescriber specification
- Nystatin/Lidocaine Oral Rinses
- Custom nausea suppository or transdermal formulations for patients who cannot tolerate oral routes
Pain Management
- Topical pain compound combinations for patients unable to use oral medications
- Ketamine/Lidocaine/Ketoprofen/Gabapentin combinations in topical bases
- Oral liquid reformulations of pain medications for patients unable to swallow solids
- Comfort care combinations for palliative and hospice patients per prescriber direction
- Local anaesthetics such as tetracaine lollipops or throat sprays
Radiation Dermatitis and Wound Care
- Topical preparations in Pracasil Plus and wound-care-specific vehicles for radiation burn management
- Misoprostol/Phenytoin/Aloe Vera/Lidocaine wound care formulations
- Mupirocin/Aloe Vera/Lidocaine preparations for skin integrity support during and after radiation
Oral Liquid Conversions
- Liquid formulations of medications commercially available only in tablet or capsule form, for patients whose condition makes swallowing impractical
- Suspensions, solutions, and troches prepared per prescriber direction
Appetite and Nutritional Support
- Mirtazapine Oral Dissolving Preparations or suspensions
Contact our pharmacists if you are looking for a formulation, strength, or delivery form not shown here.
Where Commercial Options Fall Short for Your Oncology Patients
The limitations of commercial drug products are felt nowhere more acutely than in oncology and palliative care. Common scenarios where oncologic prescribers turn to Pharmacy Solutions include:
- Patients experiencing dysphagia, nausea, or mucositis who cannot reliably take oral solid dosage forms and require liquid, troche, suppository, or topical alternatives
- Patients whose oncologists want to explore off-label preparations supported by emerging research that are not commercially available in the required concentration or form
- Palliative and hospice patients requiring comfort care preparations combining multiple agents in a single dosage form to minimize the burden of polypharmacy
- Patients with intolerance or allergies to preservatives, fillers, or dyes in commercial formulations who need allergen-free alternatives
- Patients requiring radiation dermatitis management preparations in specialized wound-care vehicles not commercially available
- Integrative oncology patients participating in research-supported protocol regimens that require compounding pharmacy involvement for specific formulations
Why Oncologic and Palliative Care Prescribers Choose Pharmacy Solutions Oncology patients are among the most vulnerable patient populations any prescriber serves. When a compounding pharmacy becomes part of that care, the quality and reliability of what it prepares reflects directly on you and on the trust your patient has placed in the care team. This is not a category where a pharmacy that almost meets the standard is acceptable.
- 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 USP hazardous drug protocols, supportive care formulation, dosage form conversion for oncology patients, and the comfort care combination needs of palliative and hospice practice.
- 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 compounding relationship in oncology should reduce friction for your practice and provide reliable access for your patients, without requiring your team to manage the process. Here is what working with Pharmacy Solutions looks like in practice:
- Proactive communication when something needs your attention, so your staff and your patients are not the first to know about a preparation concern
- Nationwide patient delivery with tracking, so your patients receive compounds regardless of location or mobility limitations
- USP <800> compliant handling of hazardous drug compounding throughout our process
- Full oncologic compounding catalog available upon request
- Compassionate, experienced pharmacist consultation available for complex palliative and hospice cases, with the clinical context to match the seriousness of the work
Accreditation and Quality Standards You Can Stand Behind
Pharmacy Solutions holds PCAB accreditation in both sterile and non-sterile compounding and maintains full USP <800> compliance for hazardous drug handling. All raw compounding ingredients are sourced from FDA-registered suppliers. Sterile preparations are independently tested for sterility and endotoxins according to current USP guidelines. These are verifiable credentials, and we are happy to walk your practice through them before you make any commitment.
More Resources for Your Health Journey
My palliative care patients often have needs that no commercial product addresses. Pharmacy Solutions has been the pharmacy I trust to prepare exactly what I prescribe, in the form my patient can actually receive. Their pharmacists understand the complexity of this population and they treat every prescription with the seriousness it deserves.
Katherine, MD
Frequently Asked Questions About Oncologic Compounding for Providers
What types of oncologic preparations does Pharmacy Solutions compound?
We prepare a range of oncologic support formulations including Mebendazole preparations, COC Protocol medications, nausea management preparations in multiple dosage forms, topical and alternative-route pain management compounds, radiation dermatitis preparations, oral liquid conversions of commercially available solids, and palliative and hospice comfort care combinations. All preparations are patient-specific and compounded per a valid prescription.
Do you compound Mebendazole and what is the basis for its use in oncology?
Yes. Mebendazole has been studied in peer-reviewed literature for its potential to interrupt cancer cell division across multiple cancer types including glioblastoma, breast cancer, colon and gastric cancers, lung cancer, melanoma, ovarian cancer, and prostate cancer. It is not FDA-approved for these indications. Its use in this context is off-label and requires a physician prescription as part of an individualized care plan. We compound Mebendazole per your prescription for individually identified patients.
Can you compound medications for patients who cannot swallow oral solid dosage forms?
Yes. Dosage form conversion for oncology patients experiencing dysphagia, nausea, or mucositis is one of the most common requests we receive from oncologic prescribers. We prepare liquid suspensions, oral solutions, troches, suppositories, and topical preparations as directed by the prescribing provider for each individually identified patient.
Are your oncologic compounds USP compliant?
Yes. Pharmacy Solutions maintains full compliance with USP <800> requirements for the handling of hazardous drugs in both sterile and non-sterile compounding environments. This is directly relevant to many oncologic preparations and is an important distinction when selecting a compounding partner for your oncology practice.
Can you prepare palliative and hospice comfort care combinations?
Yes. We prepare comfort care compound preparations for palliative and hospice patients per physician prescription, including multi-agent combinations in dosage forms appropriate for patients with limited ability to take conventional medications. Contact our pharmacists to discuss specific formulation needs for your patient population.
How do I submit an oncologic prescription to Pharmacy Solutions?
Prescriptions can be submitted by phone, fax, electronically through your EMR, or through our secure online portal. A valid prescription for an individually identified patient is required for all compounded preparations. Our pharmacists are available to discuss formulation and dosage form options before you prescribe.
How do I register my practice to begin working with Pharmacy Solutions?
Contact our team using the link below, tell us about your practice and the types of oncologic 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 Your Oncology Patients Can Count On?
Whether you are a medical oncologist, radiation oncologist, integrative oncology practitioner, palliative care specialist, hospice physician, or primary care provider managing cancer-related symptoms, Pharmacy Solutions is ready to support your patients. PCAB-accredited. USP <800> compliant. Nationwide dispensing. Pharmacist access when you need it.
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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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