Top 25 Excluded Compounded Drugs* and Commercially Available Alternatives

Compound Ingredient Indication Commercially Available Alternative BACLOFEN POWDER Topical pain baclofen oral tablet, solution for intrathecal injection BUPIVACAINE HCL Topical pain bupivacaine solution for injection POWDER CYCLOBENZAPRINE HCL cyclobenzaprine tablets, extended-release capsules, tablet in combo pack POWDER Topical pain with topical gel containing capsicum, menthol and other ingredients (Comfort Pac with cyclobenzaprine tablet) DICLOFENAC SODIUM Topical pain diclofenac tablets (extended-release, delayed-release), 1.5% topical solution, POWDER 0.1% ophthalmic solution, 3% topical gel ETHOXY DIGLYCOL LIQUID Solvent solvent for compounding FLURBIPROFEN POWDER Topical pain flurbiprofen oral tablets, ophthalmic solution FLUTICASONE fluticasone propionate 0.05% topical cream and lotion; PROPIONATE POWDER Topical pain fluticasone propionate 0.005% topical ointment

GABAPENTIN POWDER Topical pain gabapentin capsules, tablets and oral solution KETAMINE HCL POWDER Topical pain ketamine solution for injection KETOPROFEN Topical pain ketoprofen capsules and extended-release capsules MICRONIZED POWDER LEVOCETIRIZINE Scar gel levocetirizine tablets, oral solution DIHYDROCHL POWDER LIPODERM BASE Vehicle (base) vehicle base for compounding LIPO-MAX CREAM Vehicle (base) vehicle base for compounding LIPOPEN PLUS CREAM Vehicle (base) vehicle base for compounding LIPOPEN ULTRA CREAM Vehicle (base) vehicle base for compounding BASE MELOXICAM POWDER Topical pain meloxicam oral tablet, oral suspension, tablet in combo pack with topical gel containing capsicum, menthol and other ingredients (Comfort Pac with meloxicam tablet) MOMETASONE FUROATE Topical pain mometasone furoate 0.1% topical cream, lotion and ointment POWDER NABUMETONE Topical pain nabumetone tablets MICRONIZED POWDER PRACASIL TM-PLUS GEL Vehicle (base) vehicle base for compounding PRILOCAINE HCL POWDER Topical pain Citanest Plain 4% dental solution for injection (dental solution also available with epinephrine), lidocaine prilocaine 2.5% -2.5% cream RESVERATROL Anti- dietary supplement available in over-the-counter (OTC) formulations; not an Inflammatory approved drug SPIRA-WASH GEL Vehicle (base) vehicle base for compounding TRAMADOL HCL POWDER Topical pain Tramadol tablets, extended-release tablets, and in combination with acetaminophen

VERSAPRO CREAM BASE Vehicle (base) vehicle base for compounding VERSATILE CREAM BASE Vehicle (base) vehicle base for compounding

*The FDA defines a compounded drug as one that requires a licensed pharmacist to combine, mix or alter the ingredients of a medication when filling a prescription. Compounded drugs, unlike FDA-approved medications, often lack the rigorous clinical studies to validate safety and effectiveness.