Some women’s health needs don’t fit what a commercial pharmacy stocks. Estradiol doses that fall between what’s commercially available. Progesterone in a form a patient can actually tolerate. Vaginal support formulations that combine multiple ingredients a prescriber wants in a single preparation. That’s exactly what compounding is designed to address, and it’s what MediVera has been doing for over 27 years.
Prescription required. All compounded medications are prepared based on a valid prescription from a licensed healthcare provider. Compounded formulations are not FDA-approved.
The fastest method: create your account, submit online, same-day processing on most business days.
Electronic Medical Records
Submit directly through your existing EMR or e-prescribing system. No separate login required.
Fax
Complete the fax request letter and send to 866-531-1826. Our team confirms receipt.
Phone
Call 877-531-1147 to speak directly with our pharmacist team and place or discuss a prescription.
Local Representative
New providers who register through the portal are connected with a local MediVera representative for ongoing coordination.
Compounded Preparations
The following medications are currently available through MediVera. All formulations are prepared based on a valid prescription from a licensed healthcare provider. Common doses are listed, and customized strengths are also available as prescribed.
Estradiol Topical Cream
Customizable dose
Estradiol Vaginal Cream
0.2mg/gm, 0.4mg/gm, 0.8mg/gm
Estriol Vaginal Cream
0.5mg/gm, 1mg/gm, 2mg/gm
Bi-Est Cream (Estriol + Estradiol)
0.75mg/gm, 1.25mg/gm, 2.5mg/gm, 5mg/gm
Estradiol Cypionate (Injectable)
10mg/mL in a 5mL vial
Compounded estrogen preparations are not FDA-approved. Each is prepared based on a valid prescription for an individual patient, and the provider determines whether a formulation is clinically appropriate.
Progesterone Cream
10mg/gm, 20mg/gm, 30mg/gm, 50mg/gm
Oral Progesterone Capsules
25mg, 50mg, 100mg, 200mg
Vaginal Progesterone Suppositories
100mg, 200mg
Blended Hormone Combination Cream
Estradiol, estriol, progesterone, and testosterone in standard and customizable strengths
Compounded progesterone preparations are not FDA-approved. A prescriber’s order specifying the combination and strength is required for each individual patient.
Testosterone Vaginal Cream
0.25mg/gm, 0.5mg/gm, 1mg/gm
DHEA Vaginal Suppositories
3.25mg, 13mg
Blended Hormone Preparations
Testosterone as a component in multi-hormone formulas
These preparations are not FDA-approved and require a valid prescription. The mechanism of action is attributed to the underlying drug class and active pharmaceutical ingredients, not to the compounded formulation itself.
Estradiol Vaginal Cream
0.2mg/gm, 0.4mg/gm, 0.8mg/gm
Estriol Vaginal Cream
0.5mg/gm, 1mg/gm, 2mg/gm
Estradiol Vaginal Tablets
0.1mg
Vitamin E Vaginal Cream (non-hormonal)
1mg
Vitamin A Vaginal Cream (non-hormonal)
1mg
These are prescription-only compounded medications, not FDA-approved products. A provider determines whether vaginal estrogen is appropriate for an individual patient.
Diazepam Vaginal Suppositories
5mg, 10mg, 20mg
Vulvodynia and Dyspareunia Cream (Amitriptyline / Baclofen / Gabapentin)
Compounded formula
These are prepared compounded medications, not FDA-approved products, and are dispensed only with a valid prescription for an individual patient.
Boric Acid Vaginal Capsules
600mg
Sildenafil Citrate Cream
1%
Newman’s Nipple Ointment (Mupirocin / Betamethasone / Nystatin / Clotrimazole)
Combination formula
Vitamin E / Vitamin A Collagen Support Vaginal Cream
1mg / 1mg
A valid prescription is required. These are compounded medications prepared to individual patient specifications and are not FDA-approved.
*Compounded medications are prepared based on a healthcare provider’s prescription to meet individual patient needs. These medications are not FDA-approved, and no claims are made regarding their safety, efficacy, or quality relative to FDA-approved alternatives. All doses listed are common doses, and customized strengths are also available as prescribed by a licensed provider.
Simple & Streamlined
The process is designed to be simple for both providers and patients.
Through the Provider Portal, EMR, fax, or phone. Our team confirms receipt promptly.
Pharmacists prepare the medication following USP standards and PCAB protocols. Third-party testing is conducted per our quality program.
Our team reaches out within one business day of prescription receipt to confirm the order, answer questions, and coordinate payment and shipping.
Most compounds ship within 48 hours of patient confirmation, directly to the patient’s address.
Patients can request refills through our mobile app or by contacting our pharmacy team directly.
Questions about prescribing for women’s health? Reach our pharmacist team or register through the provider portal.
27+
Years of Compounding, Founded 1999
2017
PCAB Accredited, Sterile & Non-Sterile
$1.5M+
Annual Third-Party Testing Investment
56K+
Sq. Ft. ISO-Grade Compounding Facility
Understanding the Difference
Women’s health compounding is the process of preparing a medication to a specific strength, dosage form, or combination of active ingredients as ordered by a licensed prescriber for an individual patient. Commercial products are manufactured in fixed doses and limited delivery forms. Compounding allows a prescriber to request a preparation that fits what a specific patient needs, such as a different concentration of estradiol cream, a vaginal suppository instead of a tablet, or a combination of hormones in a single topical application.
MediVera operates as a 503A compounding pharmacy. Compounding is appropriate when a commercially available product is unavailable, unsuitable for a patient due to a documented clinical need, or when a prescriber determines customization is warranted for that patient’s care. It is not a pathway around FDA-approved therapies. Every compounded medication MediVera prepares is dispensed only on a valid prescription from a licensed healthcare provider.
Access a specific strength not available commercially.
Topical, vaginal, oral, injectable, or blended preparations.
Multiple hormones in a single formulation.
Formulated without documented allergens or sensitivities.
An option a prescriber can turn to when a commercial product is unavailable.
MediVera is a PCAB-accredited 503A compounding pharmacy, an accreditation held by fewer than 1% of pharmacies in the United States.
Under Section 503A of the Federal Food, Drug, and Cosmetic Act, a licensed pharmacist or physician may compound a drug product for an identified individual patient based on a valid prescription from a licensed practitioner.
“What Our Patients
and Providers Say”
Prescription Required - Not FDA-Approved
Topical estradiol cream prepared to the strength a provider specifies for an individual patient
Estradiol is the primary estrogen used in compounded women’s health preparations. Estrogens act by binding to estrogen receptors in estrogen-responsive tissues throughout the body. The mechanism of action is attributed to the estrogen drug class and the active pharmaceutical ingredient, not to the compounded formulation itself.
MediVera prepares compounded estradiol cream to the concentration a provider specifies, in topical and vaginal forms. Bi-est cream, which combines estriol and estradiol, is also available in standard and customizable strengths.
Compounded estradiol cream is not FDA-approved. Providers are responsible for determining whether this formulation is clinically appropriate for their patient.
Compounded Formulations
Women’s health compounding at MediVera covers a range of hormone and non-hormone preparations, each prepared based on a licensed provider’s prescription for an individual patient. The mechanism of action is attributed to the underlying active pharmaceutical ingredient, not the compounded formulation itself.
Why Providers Choose MediVera
Not all compounding pharmacies operate at the same standard. For women’s health medications, particularly hormone and vaginal preparations, the quality and compliance framework of the pharmacy matters.
Accredited by the PCAB in both sterile and non-sterile compounding, held by fewer than 1% of U.S. pharmacies. The AMA recommends PCAB-accredited partners.
ISO 7 clean rooms with ISO-5 sterile bench hoods. Sterile prep follows USP <797>; non-sterile follows USP <795> and <800>.
We invest more than $1.5M annually in third-party testing for potency, sterility, and quality verification. See our quality and compliance process.
Founded in 1999 in Troy, Michigan and compounding-exclusive since 2010, now serving providers and patients nationwide as MediVera Compounding Pharmacy™.
Licensed across 49 states. Most compounds ship within 48 hours of patient confirmation; portal and EMR orders see same-day processing on business days.
Our telehealth pharmacy fulfillment program covers the licensing, fulfillment speed, and provider support telehealth platforms need.
Accreditations & Certifications
Dual accreditation held by fewer than 1% of U.S. compounding pharmacies.
Compounded women’s health medications require a valid prescription from a licensed healthcare provider. Patients cannot order directly. Here are the three ways patients typically begin working with MediVera.
Option 1
If your provider is familiar with compounded estradiol, progesterone, or other women’s health options, ask them to submit a prescription directly to MediVera.
Share our provider portal information or our fax number (866-531-1826) with their office.
Option 2
Currently receiving a compounded women’s health medication from another pharmacy? You can request a transfer to MediVera.
Contact us and our pharmacist team will coordinate directly with your current pharmacy or provider.
Option 3
Already a MediVera patient with an active prescription? Refills can be requested through our mobile app or by calling 877-531-1147.
We contact you within 24 hours to confirm details; most compounds ship within 48 hours of confirmation.
Women’s health compounding is the preparation of customized medications by a licensed compounding pharmacy based on a prescriber’s order for an individual patient. Common applications include compounded estradiol cream, compounded progesterone in various dosage forms, vaginal estrogen preparations, and other hormone or non-hormone compounds for gynecological needs. Compounded medications are not FDA-approved products. They are prepared when a commercial product is unavailable or unsuitable for a patient’s individual needs as determined by a licensed prescriber. To learn more about MediVera’s standards, visit our quality and compliance page.
Yes. Every compounded medication dispensed by MediVera, including compounded estradiol cream, compounded progesterone, vaginal suppositories, and all other women’s health compounds, requires a valid prescription from a licensed healthcare provider. Patients cannot obtain compounded medications at MediVera without a current prescription. Providers are solely responsible for determining whether a compounded medication is clinically appropriate for each individual patient. Patients who do not yet have a prescription can request a prescription form to bring to their provider.
No. Compounded hormone therapies, including compounded estradiol, estriol, progesterone, and testosterone preparations, are not FDA-approved. Compounded medications are not reviewed by the FDA for safety or effectiveness. They are prepared based on a valid prescription for individual patient use under 503A compounding pharmacy regulations. MediVera operates as a PCAB-accredited 503A pharmacy, meaning our practices meet voluntary national quality standards for sterile and non-sterile compounding. Visit our quality and compliance page for details.
MediVera prepares compounded women’s health medications in multiple dosage forms as prescribed. Available forms include topical creams, vaginal creams, oral capsules, vaginal suppositories, vaginal tablets, injectable preparations (such as estradiol cypionate), and blended combination formulations. The appropriate dosage form is determined by the prescribing provider based on the patient’s clinical needs. If a provider is unsure which form best fits a patient, our pharmacy team is available to answer clinical formulation questions at 877-531-1147.
Yes. One of the primary reasons providers order compounded medications is to access a specific strength not available in a commercial product. MediVera prepares compounded estradiol cream, progesterone cream, and other hormone preparations in both standard concentrations and fully customized doses as specified in the prescriber’s order. All listed doses on this page represent common formulations. Customized strengths are available based on the prescribing provider’s clinical judgment for the individual patient.
Vaginal estrogen refers to estrogen-containing preparations applied directly to vaginal tissue, most commonly to address symptoms related to vaginal atrophy, dryness, or discomfort associated with declining estrogen levels during perimenopause and menopause. Compounded vaginal estrogen preparations such as estradiol vaginal cream or estriol vaginal cream may be prescribed when commercially available concentrations or delivery forms don’t meet a patient’s individual needs. These are prescription-only compounded medications, not FDA-approved products. Patients should discuss whether vaginal estrogen is appropriate for their situation with their healthcare provider.
Providers have four options for submitting prescriptions for women’s health compounds to MediVera. They can use our Provider Portal for online submission, send through their EMR system, fax using our fax request form, or call our pharmacy team directly at 877-531-1147. After a prescription is received, our team contacts the patient within one business day and most compounds ship within 48 hours of patient confirmation. Providers who prescribe frequently can request a dedicated account representative through the provider portal.
PCAB (Pharmacy Compounding Accreditation Board) is a voluntary national accreditation program administered through the Accreditation Commission for Health Care (ACHC). It sets quality and safety standards for compounding pharmacies that go beyond basic state licensing. PCAB accreditation requires pharmacies to meet standards for sterility testing, quality control, facility design, personnel training, and documentation. MediVera holds PCAB accreditation for both sterile and non-sterile compounding. The American Medical Association recommends that physicians use PCAB-accredited pharmacies when prescribing compounded medications. Learn more on our quality and compliance page.
Get in Touch
Have a question about a formulation or want to discuss additional options? Send us a message and our team will follow up.
Ready to Prescribe or Get Started?
Providers can prescribe through the Provider Portal or by calling 877-531-1147. Patients who need a prescription should speak with their provider first, then contact our team once a prescription is in hand. Most compounds ship within 48 hours of patient confirmation.
This page is for informational purposes only and is not medical advice. Always consult a healthcare professional before starting any treatment. Compounded medications referenced are not reviewed by the FDA for safety or effectiveness and are prepared by prescription for individual patients. Providers are solely responsible for determining their appropriateness.
For Healthcare Providers
Submit through the Provider Portal, EMR, fax, or phone. Get assigned a dedicated account representative when you register.
For Patients
Questions about your prescription or shipping? Call us at 877-531-1147 or visit our contact page.
