Approval and preparation are different checks
A drug prepared to order reaches patients without a prior review by FDA (Food and Drug Administration).
That means no FDA check of its quality, safety or ability to work before use.
A compounded drug may meet a patient's medical need when no approved product can do so.
Ask the prescriber to name the medical need this would address for you. Ask whether an approved product could address it.
Find out which kind of compounder is involved
Under the rule called 503A, a pharmacy usually needs a prescription for the person who will get the drug.
Sterile means free of living germs.
A 503B outsourcing facility is a business recorded with FDA that prepares sterile medicines in batches, often for use by hospitals and clinics.
It can prepare a batch ahead of time, before it has prescriptions naming the patients who will receive it.
You still need a valid prescription to receive a prescription drug.
Nevada requires a state manufacturer license when these businesses make sterile drugs there or ship them into the state.
If the business fills prescriptions for individual patients, it also needs a Nevada pharmacy license.
Check that the pharmacy may use the ingredient
Federal rules limit the raw ingredients a pharmacy may use to make these drugs.
Nevada also requires pharmacies to follow the federal rules on raw drug ingredients.
Ask the pharmacist whether each drug ingredient is allowed under the current compounding rules, and which rule permits it. Also ask the person writing your prescription why you need this made-to-order medicine. Check both questions even when the pharmacy has a license.