
Levothyroxine (T4) / Liothyronine (T3) Compounded
Our pharmacy can compound levothyroxine (T4) and liothyronine (T3) as an immediate and E4M capsule.
Human Medicine
CareFirst Specialty Pharmacy compounds thyroid preparations to your exact needs — specific T3/T4 strengths and ratios, hypoallergenic excipients, and desiccated or pure hormone options for patients whose symptoms aren't well controlled by commercial formulations.

If you have thyroid problems, neglecting to take medication can have a variety of negative effects on your body. The effects of a lack of treatment for the thyroid are serious and can lead to other conditions in the long run. Although the consequences of discontinuing your thyroid medicine can sometimes be subtle right at first, the gravity of stopping will be apparent in a short period of time.
Blood pressure irregularities become more pronounced when stopping thyroid medicine. On top of that, elevated cholesterol levels may also be a problem. Low body temperature, fatigue, memory loss, fluctuating weight, and depression are also frequent problems for those who stop taking thyroid medicine. A few signs the body is going into shock after the discontinuation of medication for the thyroid include hair loss, irregular menstrual cycle, lack of sex drive, weight gain, and infertility.
Swelling of the hands, feet, and face can also be a symptom, due to the body retaining lots of water. In more serious cases, the goiter size will slowly begin to increase due to the thyroid nodules starting to grow. Ultimately, when you are depriving your body of thyroid hormones for long periods of time, you are putting your body at risk to a plethora of conditions that can potentially be fatal. Thyroid cancer is also one of the few cancers that when not treated properly even after being cancer free can come back.
Whether you have Graves' disease (a form of hyperthyroidism), thyroiditis, or toxic nodules, we can compound thyroid medicines and thyroid hormones to meet your exact needs. The dosage levels vary on your individual needs and can be determined through regular check-ups with your doctor. Taking such medication erratically can lead to many short and long-term consequences. This is why it is vital to incorporate thyroid treatment into your daily routine once you figure out the necessary dosage.
If you suffer from one of the five thyroid cancers or have been diagnosed with an underactive thyroid, be sure to begin seeking medical treatment as soon as you can. Although at times it will seem like a hassle to sustain daily, it will pay off in the long run. CareFirst Specialty Pharmacy can supply you with compounded thyroid hormones according to your specific needs, such as strength or ratio, or any other formulations that meets your needs.
Hypothyroidism is a common endocrine issue that is due to the inability to produce adequate thyroid levels. Symptoms of hypothyroidism include:
There are commercially available forms of Thyroids (T4/T3) are available. Some patient’s symptoms may not be well controlled with the commercial forms and need a specific strength or combination compounded.
At CareFirst Specialty Pharmacy we can compound the thyroid preparation to your specific needs. Some of the advantages of compounded thyroid are:
Our pharmacists can tailor thyroid preparations, adjust fillers, and align T3/T4 ratios to match your prescriber’s plan.
Several years ago, the formulation of Nature-Throid® and Westhroid® was merged to be completely identical with one another. All aspects of the products, from the raw materials (active Thyroid USP to all inactive ingredients in exact ratios) to manufacturing process, are absolutely identical with the only difference being the tablet imprint code (NT for Nature-Throid® & TH for Westhroid®).
| Nature-Thyroid® (Thyroid USP) | Westhroid® (Thyroid USP) | CareFirst Specialty Pharmacy® (Thyroid Compounded) |
|---|---|---|
Tablet Imprint Code: Front = N 1, Back = RLC * This ingredient is NOT added as a separate ingredient during formulation but rather diluent base present in Thyroid USP raw material (per USP monograph) |
Tablet Imprint Code: Front = W 1, Back = RLC * This ingredient is NOT added as a separate ingredient during formulation but rather diluent base present in Thyroid USP raw material (per USP monograph) |
** May be substituted for filler of choice. *** Veggie Capsules are made of hydroxypropylmethylcellulose which is derived from vegetable cellulose. 100% natural and contain no preservatives, gelatin, wheat, gluten, animal by-products or starch |

Our pharmacy can compound levothyroxine (T4) and liothyronine (T3) as an immediate and E4M capsule.

Our pharmacy can compound liothyronine (T3) as an immediate and E4M capsule. You may buy Liothyronine (T3) from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.

Our pharmacy can compound Thyroid capsules. You may buy Thyroid Porcine from CareFirst Specialty Pharmacy with a valid prescription from your prescriber.