Preservative-free methylcobalamin 1, 5 and 10 mg/mL and hydroxocobalamin 1 and 25 mg/mL injections, plus the hydroxocobalamin 5 mg/mL nasal spray. Vials, single-dose vials and prefilled syringes.

All TXA preparations on one sheet - 250 mg capsules, 2% paste, 3% solution, 7% and 10% creams, 5% nasal spray and the 4.8% oral rinse. Carries the thromboembolic and contraception screening note.

All compounded tacrolimus on one sheet - 0.1% and 0.2% otic solution, 4 mg/60 mL rectal enema, 0.1% anhydrous gel, ketotifen cream, 0.1% shampoo and the minoxidil / tacrolimus / clobetasol foam.

Sodium thiosulfate 20% and 25% creams, gels and solutions, with or without zinc oxide, fragrance-free and metered-pump options. Oral 300 mg capsules ordered separately.

All nystatin preparations on one sheet - vaginal suppositories, 2% nasal spray in aqueous or Mucolox, 500,000 unit capsules, Stomahesive powder and hydrocortisone cream.

Ketotifen 0.5, 1 and 2 mg capsules; cromolyn sodium 100 and 200 mg capsules and 25 / 50 mg/mL oral suspension. Dye- and filler-free options.

Sildenafil, tadalafil and vardenafil on one sheet - tablets, rapid dissolve tablets and troches, each strength with its own quantity row and quick-reference code.

Cantharidin 1% solution and the cantharidin / podophyllin / salicylic acid combination, 5 mL each. Provider-applied in office, compounded to a patient-specific prescription under 503A.

Betahistine 8, 16 and 24 mg oral capsules for Meniere's disease and vestibular vertigo. Not FDA-approved in the US; available only as a compound.

Diltiazem 2% ointment or gel, nifedipine 0.3% ointment, and nitroglycerin 0.125% / 0.2% ointment including a lidocaine combination, with per-row quantities. Carries the PDE5 contraindication warning.

Compounded amphotericin B: preservative-free ophthalmic solution (2, 3, 5 mg/mL), nasal spray (0.1%, 0.2%, 0.25%), vaginal suppositories (50 mg, 100 mg) and 3% anhydrous vaginal cream syringes.

Twelve acne cream formulas and six rosacea formulas on one sheet, with per-row quantities. Azelaic acid, clindamycin, benzoyl peroxide, tretinoin, spironolactone, metronidazole, ivermectin, brimonidine and niacinamide.

Combined dermatology prescribing form — the five brightening tiers (HQ Free, Control, Vanish, Clear, Ultra Plus) and the four tretinoin wrinkle tiers (Mild, Moderate, Plus, Max) on one sheet, with base, duration and quantity selections.

Short-chain fatty acid enema (sodium acetate / propionate / butyrate 60-30-40 mM, or butyrate alone) in single-use 60 mL doses. Includes site selection for the rectum, the diverted distal bowel, or an ostomy, plus a course-length field.

Prescribing form for compounded magic mouthwash — diphenhydramine / antacid / lidocaine 1:1:1, expectorate or swallow, with fields for the 24-hour maximum and the interval before eating or drinking.

Lidocaine 2-8% nasal spray, plain or isotonic, 5-20 mL. Includes nostril selection and a required maximum-sprays-per-day and per-week field. Off-label for headache.

Tacrolimus 4 mg per 60 mL rectal enema for refractory ulcerative proctitis or distal colitis, dispensed as a multi-dose supply. Includes a blood-level and renal-function monitoring field.

Tacrolimus 0.03-0.1% anhydrous gel (WO6), cream or ointment, optionally with ketotifen 0.05%, plus an anhydrous oral rinse. 30-60 g or mL.

Tacrolimus 0.1% shampoo (VersaBase) or scalp solution, and minoxidil 5% / tacrolimus 0.3% / clobetasol 0.05% foam. 30-100 mL, with a pulse-dosing option.

Tacrolimus 0.1% or 0.2% otic solution, 15-30 mL, with a required duration field. Steroid-sparing for the ear canal; off-label.

Nystatin 100,000 units/g cream, ointment, paste or Stomahesive powder, with optional hydrocortisone 3%, plus nystatin 500,000 unit oral capsules.

Nystatin 2% nasal spray in an aqueous or Mucolox base, 6-15 mL, with a two-phase duration and taper line. Off-label; evidence in chronic sinus disease is limited.

Nystatin 100,000 unit vaginal suppositories, 14-30 count, with an induction-then-maintenance course line. No FDA-approved nystatin vaginal product is marketed in the US.

Tranexamic acid 5-10% nasal spray (15 mL) and 4.8% oral rinse (200 mL) for mucosal bleeding. Rinse is swished and spat, never swallowed.

Tranexamic acid topical cream 2-10% (Lipoderm or VersaBase), solution 3-10%, paste 2% or gel 10%. 30-60 g.

Oral tranexamic acid 250 mg capsules, with a parameterised before/after-procedure course line. 60-180 capsules.

Sodium thiosulfate 20-25% topical cream, gel or solution, with optional zinc oxide 20%, fragrance-free and metered-pump options. Oral 300 mg capsules ordered separately.

Verapamil HCl 3-15% topical gel in Perme8 or Lipoderm. 0.5 mL or 1 mL airless pump, or jar, 30-100 g.

Hydroxocobalamin 5 mg/mL nasal spray delivering 0.5 mg per 0.1 mL spray, 10 mL bottle. A no-needle option for B12 replacement.

Preservative-free sterile B12 injection - methylcobalamin 1, 5 or 10 mg/mL and hydroxocobalamin 1 or 25 mg/mL, as a vial or prefilled 1 mL syringe. IM or SubQ, with loading-then-maintenance scheduling.

Progesterone, Bi-Est, estradiol and DHEA creams in Versabase - jar or pump. Testosterone is controlled and must be e-prescribed.

Oral micronized progesterone capsules - 50, 100, 200 or 300 mg, with continuous or cyclic scheduling. 30-360 capsules.

Ketotifen capsules 0.5-2 mg and oral suspension 1 mg/mL; cromolyn sodium capsules 100-200 mg and oral suspension 25-50 mg/mL.

Any medication compounded as an oral suspension - anhydrous or aqueous, dye-free, sugar-free, alcohol-free, flavored, feeding-tube friendly. Includes guanfacine, leucovorin and omeprazole concentration menus.

Order form for compounded low dose naltrexone (LDN) as tablets, capsules or oral liquid, in the low-dose titration strengths from 0.4 mg to 9 mg.

Order form for compounded non-controlled female hormone therapy: progesterone capsules and cream, Bi-Est cream, estradiol cream and DHEA cream. Testosterone-containing preparations must be e-prescribed.

Order form for compounded intravesical bladder instillations dispensed in single-patient syringes: gentamicin, tobramycin, and heparin / lidocaine / sodium bicarbonate.

Order form for compounded fortified anti-infective ophthalmic solutions used for infectious keratitis and corneal ulcer: vancomycin, tobramycin and gentamicin. For antifungal eye drops see the Amphotericin B form.

Order form for compounded low-dose atropine ophthalmic solution used for myopia progression control. Strengths 0.01%, 0.02% and 0.05% in 5 mL and 10 mL.

Sildenafil, tadalafil, and vardenafil — tablets, troches, and rapid dissolve tablets on one form.

Tablets — 2.5, 5, 10, or 20 mg. Swallowed whole; on-demand or daily.

Rapid dissolve tablets — 5, 10, or 20 mg. Dissolves under the tongue in 1–2 minutes.

Troches — 5, 10, or 20 mg. Dissolves between cheek and gum.

Tablets — 20, 25, 50, or 100 mg. Swallowed whole.

Rapid dissolve tablets — 50 or 100 mg. Dissolves under the tongue in 1–2 minutes.

Troches — 25, 50, or 100 mg. Dissolves between cheek and gum.

Rapid dissolve tablets — 20 mg. Dissolves under the tongue in 1–2 minutes.

Troches — 5, 10, or 20 mg. Dissolves between cheek and gum.

An order form for sublingual tirzepatide.

An order form for sublingual semaglutide.

An order form for HRT topical treatments.

Testosterone must be E-Prescribed. Learn how via your Tutorials tab of the dashboard.

An order form for Urethral Gels for treating Erectile Dysfunction.

An order form for Chronic Pelvic Pain (CPP) Vaginismus/Painful Intercourse.

Superseded 2026-08-20 by the combined Dermatology (Melasma & Wrinkles) order form. Not linked from any page.

Superseded 2026-08-20 by the combined Dermatology (Melasma & Wrinkles) order form. Not linked from any page.

An order form for Proctitis.

An order form for Radiation Proctitis.

An order form for Pelvic Floor Dysfunction (PFD).

An order form for Resistant Ulcerative Proctitis.

An order form for Hair Loss.

Multiple order forms for Ophthalmology.

An order form for Sialorrhea.

An order form for Oral Suspensions for Reflux.

An order form for Crohn's Disease.

An order form for Ulcerative Colitis.

An order form for IBS.

An order form for Gastroparesis.

An order form for EOS or Eosinophilic Colitis.

An order form for Clostridium Difficile.

An order form for Anal / Rectal Spasms.

An order form for APNO.

An order form for Genital Warts.

An order form for Stretch Marks.

An order form for Anal Fissures.

An order form for Hemorrhoids.

An order form for Pelvic Pain.

An order form for Endometriosis.

Betahistine hydrochloride oral capsules - 8, 16 or 24 mg, with 12 mg and 48 mg on request.

An order form for Polycystic Ovary Syndrome.

An order form for Nausea / Vomiting.

An order form for Yeast Infections.

An order form for Vaginal Dryness. Estradiol, Estriol, Vitamin E suppository etc

An order form for Atrophic Vaginosis.

An order form for Bacterial Vaginosis.

An order form for Cervical Dysplasia.

An order form for Female Sexual Dysfunction.

Prescribing form for compounded vulvodynia vaginal creams — gabapentin, amitriptyline, baclofen, lidocaine and ketotifen combinations, in tubes or 0.5 mL metered pumps.

An order form for Neuropathic Pain.

An order form for Pain.

An order form with Wounds / Burns w/o Infection.

An order form for Warts.

An order form for Neuropathic Foot Pain.

An order form for Foot Pain.

An order form for Nail Removal.

An order form for Nail Fungus.

An order form for Gout.

An order form for Foot Cramps.

An order form for Heel Spurs.