What We Prepare for Pain

These are the categories prescribers send us most often, and the forms they usually order. Each is prepared as prescribed by your healthcare provider.

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




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.
Combination preparations
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.
Prepared to the prescriber's specified strength

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

For pain clinics, physiatrists, orthopedic and sports medicine practices, and palliative care teams, we prepare topical creams and gels, sublingual troches, oral capsules, and suppositories on your prescription. All of our compounding is 503A patient-specific and non-sterile.

One of our pharmacists will talk a formulation through with you before you write it: the base, the vehicle, and whether the combination will be stable 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 at (717) 626-7920.

We handle controlled substance prescriptions, including Schedule III, with complete documentation and correct refill and transfer handling. We prepare what you write. Therapy decisions stay with you.

One boundary worth stating up front: we can't supply office stock. 503A compounding is patient-specific, so each preparation needs a prescription with a patient named on it. Account setup and how we work with practices are covered on our page for prescribing practices.

Our Pharmacists

Your preparation is compounded and checked by a pharmacist you can name. 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.

Their expertise is formulation. What to prescribe is your prescriber's call, and we'll talk the base and strength through with them. What we can tell you is what's possible to prepare and how to use it.

Call (717) 626-2222 and ask for a pharmacist about a specific preparation.

How to Get Your Prescription Filled

  1. 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. 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. 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. 4

    Pick it up, or let us bring it.

    Pick up at 100 East Main Street, use parking-lot pickup, or ask about local delivery in the Lititz and Lancaster County area. Prescriptions are Pennsylvania-only.

Some pain preparations are Schedule III controlled substances, and federal law treats them differently. Refills are allowed only if your prescriber authorizes them, up to five times within six months of the original prescription. After that, your prescriber needs to send a new one. A Schedule III prescription can also usually be transferred to another pharmacy only once. Those rules apply at every pharmacy. Like most pharmacies, we may also ask for photo ID when you pick up a controlled substance. We mention all of this so nothing is a surprise at the counter.
If your prescription is for a controlled substance
Cost depends on the medication, the strength, and the form, so there is no single number we can post. Compounded medications are self-pay and aren't billed to insurance. Call (717) 626-2222 and we will walk you through it.
What it will cost
One call handles a transfer from another pharmacy or sets up a refill, within the controlled substance limits above. We also deliver in the Lititz and Lancaster County area, or we can bring your order out to your car in our lot.
Refills, transfers, and delivery

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.

Questions

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.

The forms we prepare

My prescription includes a controlled substance. Is anything different?

Yes, and it is worth knowing before you get to the counter. Federal law limits refills on a controlled prescription, and once they run out 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.

Refills & transfers

All compounding services

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 medications are self-pay and aren't billed to 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.

Contact the pharmacy All compounding services

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.