Insurance & cost
What it costs, and whether your plan covers it.
Most compounding pharmacy websites go quiet at exactly this point. Here is the honest version, including the parts that are genuinely uncertain.
The short answer on insurance
Sometimes yes, sometimes no — and it depends on your specific plan and the specific preparation, not on compounding as a category. Some plans cover compounded prescriptions like any other. Some cover them only with prior authorization. Some exclude them outright.
Anyone who tells you they know the answer before checking your plan is guessing. What we can promise is that we check, and that we tell you what we find before you are committed to anything.
Why there is no price list
A compounded preparation is made from raw pharmaceutical ingredients, in a strength and quantity specific to you. Change the base, the strength or the volume and the cost changes with it. A price list would be fiction.
So instead: call us with what your prescriber has written, or bring the prescription in, and we will quote you. That takes a few minutes and costs you nothing.
When compounding saves money — and when it does not
Compounding tends to make financial sense when the commercial product does not exist, has been discontinued, comes only in a strength that means throwing most of it away, or contains something you react to. In some cases a compounded preparation is substantially cheaper than a branded alternative.
It tends not to make financial sense when a manufactured product exists, is covered by your plan and does the same job. In that situation we will point you at it. We would rather have you as a patient for fifteen years than win one transaction.
One thing worth knowing before you order
Because a compounded medication is made specifically for you, it cannot be returned to stock or dispensed to anyone else. That is why we quote first and confirm before we start — and why we would always rather you asked a question than assumed.
Common questions
Cost and coverage, in detail.
Sometimes, and it depends on the plan and the specific preparation rather than on compounding as a category. Some plans cover compounded prescriptions normally, some cover them only with prior authorization, and some exclude them. We will check your coverage before you commit to anything, and if it is not covered we will tell you the cash price up front so you can decide.
It depends on the ingredients, the strength, the dosage form and the quantity, so there is no single price list. What we will always do is quote you before we make it. Nobody should discover the cost of a medication at the till, and a compounded preparation is made for you specifically, so it cannot simply be returned to stock.
Not always. Where a commercial product exists and is covered by your insurance, that is usually the cheaper route and we will say so. Compounding tends to make financial sense when the commercial product does not exist, has been discontinued, comes only in a strength that means wasting most of it, or contains something you react to. For some medications a compounded preparation is considerably cheaper than the branded alternative.
We accept most major credit cards. We do not accept American Express.
Want a number before you commit?
That is the normal way to do this. Call us, and we will check your plan and quote the cash price too, so you can compare.