Human Medicine
Sexual health concerns are common in both men and women and can have many contributing factors — hormonal changes, stress, medication side effects, circulatory conditions, pelvic floor dysfunction, and more. Because the underlying causes vary so widely from patient to patient, a one-size-fits-all medication isn't always the right fit.
Medically reviewed by Charles Glatz, B.S.Pharm., CCPCompounding Pharmacist · Last reviewed July 21, 2026
CareFirst Specialty Pharmacy is a PCAB-accredited compounding pharmacy that works with prescribers to prepare patient-specific sexual health medications. Compounding allows a licensed pharmacist to prepare a medication in the strength, combination, and dosage form your prescriber determines is appropriate for you — such as a sublingual troche, rapid-dissolve tablet, capsule, topical cream, or vaginal suppository.
All compounded medications require a valid prescription from a licensed prescriber. If you and your healthcare provider decide a compounded therapy is right for you, we'll work with your prescriber's office directly and ship your medication discreetly to your door.
Compounding is the practice of preparing a customized medication for an individual patient based on a prescriber's order. In sexual health, compounding is often considered when a patient needs:
A strength not commercially available
Prescribers may titrate doses up or down beyond standard commercial strengths.
An alternative dosage form
For example, a sublingual troche or oral disintegrating tablet, or a topical preparation applied locally. Sublingual forms dissolve under the tongue, where medication can be absorbed through the oral mucosa — a route that bypasses first-pass metabolism in the digestive tract and liver.
A combination of active ingredients
When a prescriber wants multiple medications delivered together in a single preparation.
A formulation without a specific excipient
For patients with sensitivities to dyes, fillers, preservatives, or other inactive ingredients found in commercial products.
Every preparation is compounded at our Mount Laurel, NJ facility under PCAB-accredited quality standards and dispensed only pursuant to a valid prescription.
Erectile dysfunction (ED) is one of the most common sexual health concerns in men, affecting an estimated 30 million men in the United States. Prescribers evaluate each patient's health history, medications, and goals before determining whether a compounded therapy is appropriate.
Compounded medications prescribers may order for men's sexual health include:
Your prescriber determines which active ingredients, strengths, and dosage forms are appropriate for your treatment plan.
Women's sexual health concerns frequently involve more than one issue at once — low desire, arousal difficulty, vaginal dryness, pain with intercourse, and hormonal changes associated with perimenopause and menopause often overlap. Compounding gives prescribers flexibility in how they approach these concerns.
Compounded medications prescribers may order for women's sexual health include:
If your prescriber orders a vaginal suppository, see our step-by-step guide: How to Use a Vaginal Suppository, which includes a downloadable PDF and video walkthrough.
One of the primary reasons prescribers turn to compounding for sexual health is dosage form flexibility. Depending on the prescription, we can prepare:
Sublingual troches
Small lozenges that dissolve under the tongue
Rapid-dissolve tablets (ODT)
Tablets that disintegrate in the mouth without water
Oral capsules
Customized strengths and combinations
Topical creams
Applied locally per prescriber instructions
Vaginal creams & suppositories
Prepared in patient-specific strengths and bases
Your prescriber selects the dosage form; our pharmacists can consult with your prescriber's office if a different form may better fit your needs (swallowing difficulty, ingredient sensitivities, dosing schedule, etc.).
PCAB Accredited — our compounding processes are accredited by the Pharmacy Compounding Accreditation Board, a service of ACHC. Learn about our commitment to quality.
Licensed & experienced — licensed by the New Jersey Board of Pharmacy, compounding patient-specific medications for patients and prescribers nationwide (where licensed).
Discreet packaging & shipping — sexual health prescriptions ship in plain, unmarked packaging. See shipping info.
Prescriber collaboration — our pharmacists work directly with your healthcare provider on strengths, combinations, and dosage forms.
Easy ordering & refills — how to order · refill your prescription · transfer a prescription.
Browse current compounded sexual health offerings.
Sublingual apomorphine stimulates dopamine receptors used as an alternative or combination with sildenafil and/or tadalafil for patients with erectile dysfunction. You may have Apomorphine and Sildenafil and/or Tadalafil combination compounded by CareFirst Specialty Pharmacy with a valid prescription from your prescriber.
Oxytocin is a peptide hormone produced by the hypothalamus and released during intimacy, labor, and social interaction. You may buy Oxytocin from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.
Scream Cream is a compounded topical preparation that prescribers may order as part of a treatment plan for female sexual arousal concerns. You may buy Scream Cream from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.
Sildenafil is an inhibitor of cGMP specific phosphodiesterase type-5 (PDE-5) in the smooth muscle of the pulmonary vasculature, where PDE-5 is responsible for the degradation of cGMP. Sildenafil, therefore, increases cGMP within pulmonary vascular smooth muscle cells resulting in relaxation. You may buy Sildenafil from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.
Sildenafil is a vasodilator, which will relax blood vessels and increase blood flow to lungs and other specific organs.
Yes. All compounded medications — including sildenafil, tadalafil, oxytocin, and Scream Cream — require a valid prescription from a licensed prescriber. If you don't currently have a prescriber, talk to your primary care provider, urologist, gynecologist, or a telehealth provider about whether compounded therapy is appropriate for you.
No. Compounded preparations are not FDA-approved, meaning the FDA has not evaluated them for safety, effectiveness, or quality prior to marketing. Compounded medications are prepared for individual patients pursuant to a prescription when a prescriber determines a customized preparation is appropriate. CareFirst Specialty Pharmacy compounds under PCAB-accredited quality standards.
Commercially manufactured medications are produced in standardized strengths and forms. A compounded medication is prepared for a specific patient based on a prescriber's order — which may involve a different strength, dosage form, combination of ingredients, or the removal of an excipient the patient can't tolerate.
Yes. All orders ship in plain packaging with no indication of the contents.
Yes. Prescribers can send prescriptions electronically, by fax at 800.786.1405, or by using our prescriber authorization form. See our prescriber page for details.
Turnaround varies by preparation. Contact us at 844.822.7379 or request a quote for current timing on a specific prescription.
Our pharmacists regularly write about conditions and therapies related to sexual and pelvic health. Explore these resources to learn more, and always discuss questions about your treatment plan with your prescriber.
