Pain management

Prescribers often order pain medications as a cream applied where it's needed, combining several ingredients in one preparation. The pharmacy does compounding for these prescriptions at our Lancaster store, ready in 1 to 2 business days with free shipping anywhere in Ohio.

What we compound

• Multi-ingredient creamsKetamine, gabapentin, diclofenac, baclofen, lidocaine, clonidine combinations
• Diclofenac / lidocaineCream, 3% / 3% and other strengths
• Gabapentin creamsAlone or with lidocaine and prilocaine
• Ketoprofen and ketamineSingle-ingredient creams in the strength you write
• Magnesium, MSM, glucosamineTopical cream bases

How ordering works

1. Your prescriber sends the prescription. E-prescribe, fax or phone it to the Lancaster store.
2. We confirm the price. Simple cash pricing, billed to the patient or the office. Nothing is prepared until you say yes.
3. We compound and check it. Ready 1 to 2 business days after the prescription arrives. A pharmacist checks every preparation before it leaves.
4. Pick up, free local delivery, or free shipping anywhere in Ohio. Refills work the same way: call us or use the Refill button.

Billing. We bill the patient or your office (cash pay). Typical cash price: #30 $49.99, #60 $79.99, #90 $119.99 (mL or capsules); prices can vary by formula.

How prescribers use these ingredients

• Diclofenac, ketoprofen: NSAIDs used in topical formulas to support management of joint and muscle pain.
• Gabapentin: Used in topical formulas to support management of nerve pain.
• Ketamine, clonidine: Used in topical formulas to support management of nerve pain.
• Lidocaine, prilocaine: Local anesthetics that numb the skin where applied.
• Baclofen: Muscle relaxant used in topical formulas to support management of muscle spasm.
• Magnesium, MSM, glucosamine: Supplement ingredients used in creams to support joint and muscle comfort.

Notes describe common reasons prescribers choose each ingredient; some uses are off-label. They are not claims about our compounded preparations, which are not FDA-approved and whose safety and effectiveness have not been evaluated by FDA. Therapy decisions are the prescriber's.

For prescribers

Mark the compounds on our Pain management order form or write your own formula, then e-prescribe to Medicine Shoppe #1018 or fax the form to (740) 653-8265. The prescriber guide covers the details, and the order forms are available to verified prescribers.

Questions we hear a lot

Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety or effectiveness. They are prepared for an individual patient on the order of a licensed prescriber. Nothing on this page is medical advice; ask your prescriber or pharmacist about any medication questions.