Compounding is the art and science of preparing customized medications tailored to each patient's individual needs. Not every patient can take a standard commercial tablet.
Some need a different dose. Some need a different delivery method — a topical cream instead of a pill, a liquid instead of a capsule.
Some have allergies to dyes, preservatives, or fillers in manufactured products. And for some conditions, the right medication simply isn't available commercially at all.
At Redline, we've been compounding since 2003. We are PCAB/ACHC-accredited, meaning our quality systems, processes, and ingredients are held to independently verified standards.
Our pharmacists work directly with prescribers and patients to solve medication problems that the commercial market hasn't solved — and we do it with precision, transparency, and a genuine commitment to getting it right.
Below is an overview of our compounding services. If you have a specific need that isn't listed here, call us — there's a good chance we can help.
Naltrexone is FDA approved at 50mg for addiction treatment, but at a fraction of that dose, typically 1.5–4.5mg, it works through an entirely different mechanism, modulating the immune system and reducing neuroinflammation.
LDN is being used worldwide for autoimmune conditions, chronic pain, fibromyalgia, mental health, and more. Because it's off-patent and must be compounded to the precise low doses used clinically,
Redline is where patients get it. We compound LDN in capsule form, coordinate with your prescriber on dosing, ship directly to you, and check in monthly to monitor progress.
Many dermatological conditions require formulations that simply aren't available off the shelf — specific concentrations of tretinoin, customized antifungal preparations, combinations of active ingredients in a single base, or formulations designed for sensitive skin or pediatric patients.
We compound topical creams, gels, and ointments for acne, rosacea, hyperpigmentation, eczema, psoriasis, scarring, and hair loss, working from your dermatologist's prescription to prepare exactly what your skin needs.
Oral pain medications affect the whole body — which is often where the side effects come from. Compounded topical pain formulations deliver medication directly to the site of pain, minimizing systemic exposure and the GI, cardiovascular, and cognitive effects that come with it.
We compound transdermal gels and creams combining agents like ketamine, gabapentin, cyclobenzaprine, diclofenac, and others in combinations tailored to your specific pain pattern — working from your prescriber's order to build something that targets your condition rather than a generic version of it.
Animals need medications too — and they rarely come in forms that work for them. A dog who won't swallow a tablet, a cat who needs a dose far smaller than any commercial product offers, a horse requiring a preparation that isn't manufactured at all — these are exactly the problems veterinary compounding solves.
We work with veterinarians to prepare customized medications in flavored chews, transdermal gels, liquids, and capsules at the right dose for the right species, making treatment something your pet will actually accept.
Chronic sinusitis and recurrent sinus infections often don't respond adequately to oral antibiotics alone — in part because reaching therapeutic concentrations in the sinus cavities through the bloodstream is difficult.
Compounded sinus rinse and irrigation formulations deliver antibiotics, antifungals, anti-inflammatories, or mucolytics directly to the affected tissue. We prepare these solutions to your ENT's specification, offering targeted treatment that standard nasal sprays and oral medications can't replicate.
Low-concentration atropine eye drops are one of the most evidence-supported interventions for slowing the progression of myopia (nearsightedness) in children, but they are not commercially available in the concentrations used clinically — typically 0.01% to 0.05%.
We compound low-dose atropine eye drops precisely to the concentration your eye care provider prescribes, using sterile technique and quality-verified ingredients, and dispense them in appropriate packaging for safe ophthalmic use.
Certain ophthalmic infections require antibiotic formulations that aren't commercially stocked, have been discontinued, or need a concentration or combination not available in manufactured products.
We compound sterile antibiotic eye drops to your ophthalmologist's or optometrist's specification, ensuring potency, sterility, and appropriate pH for comfortable, effective ophthalmic use.
Commercially available oral ED medications don't work for everyone, sometimes due to cardiovascular contraindications, inadequate response, or side effects that make them impractical. We compound alternative formulations including topical and other delivery forms of vasoactive agents that your prescriber can tailor to your physiology.
These options are available by prescription and are compounded with the same precision and quality standards that govern all of our preparations. Speak with your prescriber about whether a compounded ED formulation is appropriate for your situation.
If you're an existing Redline patient, refilling your compounded prescription is straightforward. Contact us by phone, online, or through our refill portal and we'll get your medication prepared and shipped to you or ready for pickup at our Hastings location.
If your prescription has expired, we'll coordinate with your prescriber to get it renewed. We aim to make the refill process as frictionless as possible so your treatment continuity isn't interrupted.
Compounding is the preparation of a customized medication for an individual patient when a commercially available option isn't a good fit. Common reasons include needing a different dose than what's manufactured, a different delivery form (topical instead of oral, liquid instead of capsule), the removal of an allergen like a dye or preservative, or access to a medication that's been discontinued or was never commercially produced. Your prescriber writes the prescription; we prepare it precisely to their specification.
Compounded medications prepared by accredited pharmacies like Redline are held to rigorous quality standards. We are PCAB/ACHC-accredited, which means our facilities, processes, ingredient sourcing, and quality controls are independently audited. We use barcoding, integrated scales, environmental monitoring, and third-party testing for potency and sterility where applicable. Compounded medications are not FDA-approved as finished products, but they are prepared under regulatory oversight and within a framework designed to ensure safety and accuracy.
Yes. All compounded medications at Redline require a valid prescription from a licensed prescriber. We work directly with your physician, nurse practitioner, or other provider to receive, verify, and fill your prescription. If your prescriber is unfamiliar with a particular compounded option — like low dose naltrexone or a specific topical formulation — our pharmacists are happy to provide clinical background to support that conversation.
Yes. We ship compounded medications directly to patients throughout Nebraska and surrounding states. Shipping is included at no additional charge for most prescriptions. If you're not local to our Hastings, Nebraska location, you can manage everything — prescription submission, consultation, refills — entirely by phone or online.
The best starting point is a conversation with your prescriber and our pharmacists. If a commercially available medication isn't working — because of side effects, inadequate response, dosing limitations, or delivery form issues — compounding may offer a solution. You can also call us directly. Our pharmacists are glad to discuss your situation, explain what options exist, and help you and your provider determine whether a compounded preparation makes sense.
Most compounded prescriptions are prepared and shipped within one to three business days of receiving a valid prescription. Sterile preparations and more complex formulations may take slightly longer. We'll give you a clear timeline when your prescription is received, and we'll reach out proactively if anything affects your order. For ongoing medications, we recommend initiating refills a week or so before you run out to avoid gaps in therapy.
Medically Reviewed By: Tim Redline, PharmD & Hilarie Redline, PharmD
Last Updated: March 11, 2026