Weight management

Some weight-management prescriptions combine ingredients that aren't sold together, in strengths a prescriber chooses for each patient. The pharmacy does compounding for these prescriptions at our Lancaster store, ready in 1 to 2 business days with free shipping anywhere in Ohio.

Whether a compounded weight-management medication is appropriate is your prescriber's decision, made alongside diet and exercise.

What we compound

• Phentermine / topiramate / B6Phentermine 15 mg, topiramate 25 to 175 mg, pyridoxine 10 mg; SR capsule; Schedule IV
• Naltrexone / topiramate / B6Naltrexone 4.5 mg, topiramate 25 to 100 mg, pyridoxine 10 mg; SR capsule
• Topiramate strengthsChoose 25, 50, 75, 100, 125, 150 or 175 mg on the order form
• Your own formulaNeed a different strength? Write it in or call the compounding pharmacist

Phentermine is a Schedule IV controlled substance. Send it as an e-prescription (EPCS) or a signed prescription with your DEA number; a faxed order form alone cannot be filled.

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

• Phentermine: Appetite suppressant prescribed to support short-term weight management alongside diet and exercise (its FDA-approved use).
• Topiramate: Prescribed to support weight management; it is one ingredient of an FDA-approved weight-management combination with phentermine.
• Naltrexone: Prescribed to support weight management; it is one ingredient of an FDA-approved weight-management combination with bupropion.
• Pyridoxine (B6): Vitamin B6, included as a supplement in the combination.

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 Weight 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.