BHRT · USP <800> HD containment

Hormone therapy, custom-dosed by hand.

Bioidentical hormones — estradiol, estriol, progesterone, testosterone, DHEA — compounded to your prescriber's exact specification. Creams, troches, capsules, and vaginal preparations. Made in our PCAB-accredited non-sterile lab under USP <795>. (Sex hormones are NIOSH-listed hazardous drugs — we follow USP <800> containment for these compounds.)

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PCAB

Compounding accredited

USP <800>

NIOSH-listed hormones

Custom

Dose, form, ratio

A pharmacist preparing a compounded hormone cream

PCAB
Non-sterile

Why TFC for BHRT

Three reasons prescribers send their BHRT patients here.

Exact dose, exact ratio

Not the off-the-shelf 100/200 mg. The 87.5 mg progesterone your prescriber wrote. With or without DHEA. Bi-Est 80/20 or 90/10 — whatever the chart says.

Allergen-conscious bases

Dye-free and allergen-conscious base options. Anhydrous when needed. We can usually accommodate any sensitivity you bring us — tell us what to avoid.

Pharmacist follow-up

Pharmacist consultation included with every new BHRT compound. We walk through application, side effects, what to track, and when to call us.

Common BHRT formulas

A working list of what prescribers send us.

Every compound is prepared to your prescriber's specification — strengths, ratios, vehicle, and beyond-use date. Below are the formulas we fill most often.

Bi-Est cream

Topical

Estriol 80% + Estradiol 20% · 1.25 – 2.5 mg/mL

Use: Prescriber-directed estrogen replacement, applied as directed on the label.

Tri-Est cream

Topical

Estriol 80% + Estradiol 10% + Estrone 10% · 1.25 – 2.5 mg/mL

Use: When prescribers want the full three-estrogen profile.

Progesterone capsule

Oral

Micronized progesterone · 25, 50, 75, 100, 150, 200 mg

Use: Cyclic or continuous oral progesterone, at the strength and schedule the prescriber writes.

Progesterone cream

Topical

Progesterone 25 – 200 mg/mL in Lipoderm or HRT-Heaven base

Use: Topical alternative when the prescriber orders one.

Testosterone cream

Topical

Testosterone 0.5 – 10 mg/mL in anhydrous base

Use: Female and male testosterone replacement at compounded strengths.

DHEA capsule

Oral

DHEA · 5, 10, 25, 50 mg

Use: Compounded to the strength and dosage form the prescriber specifies; often ordered alongside BHRT.

Estriol vaginal cream

Vaginal

Estriol 0.5 – 1 mg/g · in cream or suppository base

Use: Prescriber-directed vaginal estriol at compounded strengths, in cream or suppository base.

Progesterone troche

Sublingual

Progesterone 25 – 200 mg per troche · flavored base

Use: Sublingual dosing when the prescriber orders it.

Combined HRT capsule

Oral

Bi-Est + Progesterone + (optional) DHEA + Testosterone

Use: One capsule in place of several separate prescriptions, at the strengths the prescriber writes.

Process

From script to your medicine cabinet, in four steps.

Prescriber sends Rx

eRx, fax (323-348-4213), or phone. We'll confirm receipt when we get your Rx.

Insurance check

We bill your plan first. If denied, we can quote a cash price after reviewing your prescription.

Compounded

Prepared by hand in our lab, in the strength and base your prescriber specified.

Pickup or delivery

Pickup in store or ask about local delivery — we'll confirm timing when your order is placed.

BHRT COMPOUNDING

Bioidentical hormone preparations compounded to prescriber specification in our PCAB-accredited non-sterile lab. USP <800> containment for NIOSH-listed hormones. This page describes compounding capabilities, not treatment recommendations. Compounded medications are not FDA-approved drug products. Call (323) 348-4205 to transfer a prescription or speak with a pharmacist.

Common questions

BHRT, frequently asked.

Does insurance cover compounded BHRT?

Sometimes, but not always. Many plans don't cover compounded hormones — they're considered "non-essential" by some insurers. We bill your insurance first; if denied, we can quote a cash price after reviewing your prescription, depending on strength and base. We can also help submit prior authorization paperwork if your prescriber wants to appeal.

How long does a BHRT compound take to fill?

Turnaround depends on dosage form and complexity — different dosage forms follow different workflows. We'll confirm timing when you call or when we receive the prescription.

What's the beyond-use date (BUD) on my compound?

Per USP <795> guidelines, most non-sterile BHRT compounds carry a 90 – 180 day BUD depending on the base and active ingredient. The exact date is printed on your label. After that date, the compound may have lost potency and should not be used.

Can you compound to match my prescriber's exact protocol?

Yes — that's the whole point of compounding. Whatever your prescriber writes, we make. If the formula is unusual or new to us, our pharmacists will consult with the prescriber on excipients, vehicle, and stability before preparing.

Are bioidentical hormones the same as the prescription patches and pills?

“Bioidentical” describes hormones with the same molecular structure as those the body produces — a definition, not a claim about effect. Many commercial products (oral micronized progesterone, estradiol patches) are also bioidentical. What compounding adds is custom-dosing and dosage form flexibility — strengths and bases not commercially available.

Known by name

Formulas prescribers ask for by their working name.

Some compounds have been around long enough to have nicknames — short-hand prescribers use because writing out the whole formula takes a paragraph. Here's a working list of what we get asked for, with what's actually in each.

Bi-Est / Tri-Est

BHRT

Bi-Est: 80% estriol + 20% estradiol. Tri-Est adds 10% estrone (split 80/10/10). Compounded cream, troche, or capsule.

Use: Bioidentical hormone therapy — typically paired with compounded progesterone.

Ready to refill or transfer your BHRT compound?

If your prescriber has already written the script, you can transfer to TFC by phone or our transfer form. If you're a prescriber and want to consult on a new protocol, we'd love to talk.

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