Hormone Replacement Therapy (HRT)
AccuMix prepares patient-specific HRT—including bioidentical estrogens, progesterone, testosterone, and DHEA—in sterile and non-sterile dosage forms to match your provider’s plan.
Why hormones matter
Hormones influence energy, sleep, mood, metabolism, bone health, and sexual function. Levels can shift with age, medications, surgery, or medical conditions. When symptoms and clinical evaluation indicate a deficiency or imbalance, your clinician may consider hormone therapy—alongside nutrition, activity, and sleep support.
AccuMix compounds patient-specific HRT only after receiving a valid prescription. Compounded medications are prepared under federal/state regulations and USP standards; they are not reviewed or approved by the FDA.
HRT options we compound (tailored to your prescription)
For women (BHRT)
Estrogens: typically estradiol (E2) ± estriol (E3) in topical creams/gels or troches; vaginal dosage forms for local symptoms where appropriate.
Progesterone: oral capsules, troches/ODTs, topical preparations; vaginal suppositories when clinically indicated.
Androgens (as appropriate): low-dose DHEA or testosterone for select use cases per prescriber direction and state rules.
For men (HRT/TRT)
Testosterone: sterile injectable formulations (per prescriber), or topical gels/creams and troches.
Adjuncts (as prescribed): DHEA or other supportive therapies when clinically appropriate.
Additive/support statement (kept non-specific):
Your medication may be prepared with an additive intended to support tolerability and energy/fatigue management, when reque sted by your prescriber and appropriate for the formulation.
Physiologic Rhythmic HRT (rHRT)
Some clinicians use physiologic rhythmic HRT to mimic natural monthly patterns with day-to-day dose adjustments, typically using transdermal estradiol and progesterone. If your prescriber uses a rhythmic protocol, AccuMix can compound to match your daily calendar.
Documentation and counseling
Transdermal creams/gels
Custom strengths
Dosage forms (we match the route to the plan)
- Topicals: creams/gels with metered options for consistent application.
- Orals: capsules; sublingual/buccal troches/ODTs.
- Vaginal/rectal: suppositories or creams when local delivery is preferred.
- Sterile injectables: testosterone injections prepared under USP ⟨797⟩ in ISO-classified cleanrooms.
- Supplies: needles/syringes/alcohol swabs included for injectables where permitted by state law.
We do not publish proprietary strengths or titration templates online; your prescriber’s directions appear on your label.
How to get started
Patients: Contact us to coordinate with a licensed telehealth provider in your state—or ask your current provider to send an eRx/fax to AccuMix Pharmacy. We’ll confirm allergies, dosage form, shipping/pickup, and counseling.
Providers & Clinics: Send eRx/fax or request a pharmacist consult for dosage-form selection, concentration logistics, metered-dose packaging, and documentation.
Telehealth Programs: Rapid onboarding, formulary alignment, standardized records, multi-state fulfillment.
Quality & safety
Shipping
Turnaround
FDA-registered suppliers
FDA-registered suppliers with COA verification and maintain DEA registration for eligible controlled medications (e.g., testosterone), dispensing only where permitted by law.
Who is HRT for?
Your provider determines suitability based on symptoms, history, exam, and—when indicated—lab testing. HRT isn’t one-size-fits-all; dose, route, and goals are individualized and periodically reassessed. AccuMix compounds exactly what your prescriber orders.
Safety & expectations (patient education)
- Common experiences: As therapy is adjusted, some patients notice changes in mood, energy, sleep, skin, sexual function, or cycle patterns.
- Follow the plan: Use exactly as directed; do not change dose without your clinician’s guidance.
- Missed dose or side effects: Follow your label’s instructions and contact your prescriber or our pharmacy team with questions.
Storage & handling: Follow the label. Apply topicals as instructed; keep all medications out of reach of children and pets.
Formulations & packaging (for clinicians)
Metered topical dispensers, troche scoring, capsule strengths aligned to lab-guided titration.
Sterile testosterone injectables with appropriate supplies (where permitted).
Clear labeling with concentration, BUD, storage, and auxiliary instructions; lot traceability for every preparation.
Other Products
Weight Management Compounding
Hormone Replacement Therapy
Peptide, Aesthetic & Wellness
Allergy Immunotherapy
Sexual Health
IV Therapy
Dermatology Compounding
Provider resources (quick reference)
- Prescribing: eRx/fax with patient details, hormone(s), dosage form, strength/concentration, application or injection instructions, and refill plan.
- Consults: Our pharmacists can discuss dosage-form selection, metered packaging, counseling materials, monitoring considerations, and rHRT calendar packaging.
- Documentation: Clear labeling, BUD, storage, auxiliary instructions; lot traceability maintained.
Telehealth: We can align with your workflows or help onboard patients through licensed telehealth partners.
FAQ
Frequently asked questions
What is “bioidentical” hormone therapy?
“Bioidentical” means the hormones have the same chemical structure as endogenous hormones (e.g., estradiol, progesterone, testosterone). We compound BHRT to your prescriber’s plan.
Do you compound for both women and men?
Yes. We provide estrogens, progesterone, and DHEA for women as prescribed, and testosterone and other options for men per prescriber direction and state rules.
What is physiologic rhythmic HRT (rHRT)?
A cyclic dosing approach that varies estradiol/progesterone day-to-day to emulate natural monthly patterns—usually via transdermal creams. We can compound to match your prescriber’s calendar.
Are compounded hormones FDA-approved?
No. Compounded medications are prepared under federal/state regulations and USP standards, but they are not reviewed or approved by the FDA.
Which dosage forms are available?
Creams/gels, capsules, troches/ODTs, vaginal suppositories/creams, and sterile testosterone injections—selected by your prescriber.
How fast is fulfillment?
Most HRT orders ship within 24 hours after pharmacist verification and Rx receipt; delivery time depends on carrier and destination.
Compliance & disclosures
AccuMix operates as a 503A compounding pharmacy. We compound patient-specific medications after receipt of a valid prescription. Compounded medications are prepared under federal/state regulations and USP ⟨795⟩/⟨797⟩/⟨800⟩ standards; they are not reviewed or approved by the FDA. Testosterone and other controlled substances require DEA-registered prescribers and are dispensed only where permitted by law.
