Women's health compounding in Chino, CA

No manufacturer makes a two estrogen cream at the ratio you want.

Mixwell prepares customized women's health formulations to your prescription. Topical creams, sublingual troches, capsules and vaginal preparations, compounded in Chino and delivered across California. We do not compound injectables or pellets.

  • PCCA member pharmacy
  • USP 795 and USP 800 compliant lab
  • California licensed
  • Non sterile compounding only
  • Statewide delivery
Compounding pharmacist preparing a customized women's health formulation at Mixwell Compounding Pharmacy in Chino, California
Every preparation is made individually to a prescriber's specified actives, ratio and dosage form in our non sterile lab in Chino, CA.

What is women's health compounding?

Women's health compounding is the preparation of a customized medication by a licensed pharmacy, made to a prescriber's written specification. It adjusts an existing drug's strength, ratio, combination, or dosage form when no commercially available product fits the patient.

Mixwell Compounding Pharmacy performs non sterile compounding at 13788 Roswell Ave, Ste 158, Chino, CA 91710. We do not perform sterile compounding, and we do not prepare injectables or pellets. Compounded preparations are not FDA approved, and a valid prescription is required for every preparation.

Start where your patient is

What prescribers request most

Choose a category to highlight the formulation problems we hear about most from women's health practices. Every option below still requires a prescription and a decision by the treating prescriber.

Topical cream

A ratio no manufacturer makes

A two estrogen combination at a chosen ratio is not something you can pull off a shelf. It is prepared individually to what the prescriber writes, which is the main reason these prescriptions come to a compounding pharmacy.

Combination

Several hormones, one preparation

Estradiol, estriol, progesterone, testosterone and DHEA can be combined into a single preparation when the prescriber specifies it, rather than layering separate products through the day.

Sublingual troche

The patient who will not use a cream

A troche dissolves in the mouth instead of sitting on the skin. Absorption varies with technique, so it suits patients who will follow the directions consistently.

Vaginal cream

Placed where the symptom is

Vaginal preparations are used for localized symptoms. FDA approved vaginal products exist and are often the right starting point. Compounding covers combinations and strengths those products do not offer.

Suppository

A form that stays where it is put

A mucoadhesive base is designed to adhere to mucosal tissue, which supports retention at the site. Not every base is validated for vaginal use, so this is worth a call before writing.

Lanolin free

Nipple and breast preparations

Multi ingredient ointments prepared to a prescriber's specification, including lanolin free options for patients who react to it. Ask specifically about timing relative to feeds.

Ingredient conscious

A reaction to something in the product

Sometimes the problem is a dye, preservative or filler rather than the active. Where the formulation allows, we can prepare it without the specific ingredient.

Titration

Multiple strengths for one patient

When a prescriber expects to adjust over time, we can prepare more than one strength, or score a troche so a dose can be divided along a marked line.

Pharmacist consult

Talk it through before you write it

Not sure an active will hold up in a given base, or which route suits a patient? Call our pharmacist first. Some actives are poor candidates for certain vehicles and we will tell you.

These are common examples, not a complete list, and not a recommendation for any individual patient. For a specific drug, strength, ratio or dosage form, call (909) 378-7301.

Why the form matters

A preparation only works if it fits the day it has to fit into.

A cream that feels unpleasant gets skipped. A capsule that cannot be swallowed gets halved. A troche that is chewed rather than dissolved delivers something different from what the prescriber intended. Matching the dosage form to the person is not a convenience, it is part of whether the therapy is taken as written.

See how troches and sublinguals work

Woman in her fifties at home in natural light, representing patients prescribed customized women's health preparations from Mixwell Compounding Pharmacy in Chino, California

For prescribers and practice managers

What practices actually call us about

A pharmacist who answers

You reach a compounding pharmacist, not a queue. Ask about base selection, ratio, compatibility, or beyond use dating before the prescription is written. Call (909) 378-7301.

Ratios and strengths written to the patient

Manufactured products come in fixed strengths, and no manufacturer makes a two estrogen combination at a chosen ratio. We compound to what is written rather than what a factory decided to make.

Turnaround you can quote

Most non sterile preparations are ready in one to two business days. Call to confirm for your specific formulation.

Delivery across California

Courier in the Inland Empire and Greater Los Angeles, plus shipping to patients and practices statewide.

Purpose built lab

A USP 795 and USP 800 compliant facility with a negative pressure room for hazardous drug handling.

Straight answers about what we cannot do

We are a non sterile pharmacy. We do not prepare injectables, subcutaneous pellets, or anything requiring sterile technique. If a request falls outside our scope we will say so on the first call rather than waste your time.

Read before prescribing or starting

Safety information

Changing the dosage form does not change the drug. Everything below applies to a compounded preparation exactly as it applies to a manufactured one.

Hormone therapy carries class warnings

Estrogen and estrogen with progestogen product labeling carries boxed warnings, including warnings relating to endometrial cancer, cardiovascular disorders, breast cancer and probable dementia. Those warnings apply to the drug rather than to who made the preparation, so they apply to a compounded preparation as well. A prescriber weighs individual risks and benefits, discusses the shortest appropriate duration, and decides whether a progestogen is needed. Do not start, stop or change a dose without speaking with your prescriber.

Absorption from compounded preparations varies

Absorption from a topical cream depends on the site and the amount applied, and absorption from a troche depends on how long it is held in the mouth and how much saliva is swallowed. Two people using the same preparation the same way can absorb different amounts. This is why technique, consistency and prescriber monitoring matter, and why an individual impression of benefit is difficult to interpret on its own.

Pregnancy and nursing

Several actives used in women's health compounding are not appropriate during pregnancy, and some require care during nursing. Tell your prescriber if you are pregnant, may become pregnant, or are breastfeeding before starting anything. For preparations applied to the breast or nipple, ask specifically about timing relative to feeds and whether anything needs to be wiped away first.

Local effects and what to report

Topical and vaginal preparations commonly cause local effects at the site of application, including irritation, burning, itching, dryness or discharge. Report any new symptom to your prescriber, and contact them promptly for unusual vaginal bleeding, breast changes, chest pain, shortness of breath, leg swelling or a severe headache. These lists are not complete.

How we operate

The rules we work inside

Compounded preparations are not FDA approved

They have not been reviewed by the FDA for safety, effectiveness, or manufacturing quality. FDA approved products exist across women's health, including oral and transdermal estradiol, micronized progesterone, and several vaginal products. Where an approved product fits the patient, it is generally the appropriate first choice.

What bioidentical does and does not mean

Bioidentical describes a molecule that is structurally identical to what the body produces. Several FDA approved products contain bioidentical hormones. The word describes the molecule, not the pharmacy that made it, and it is not by itself a claim about safety or effectiveness.

Prescription required, every time

Every preparation is made for an identified patient from a prescription written by a licensed prescriber. Compounded medications are not available over the counter.

Non sterile scope

Oral, topical, transdermal, sublingual and vaginal preparations. No injectables, no pellets, nothing requiring sterile technique.

USP 795 and USP 800

Our lab follows USP 795 for non sterile compounding and USP 800 for hazardous drug handling, with a negative pressure containment room.

Truthful promotion

Federal law requires that prescription drug promotion, including promotion of compounded drugs, be truthful, accurate and not misleading. Nothing on this page is a claim of safety or effectiveness for any preparation, and nothing here claims a compounded preparation is safer or more effective than an FDA approved product. FDA recommends that consumers and patients talk to their health care professional about their specific circumstances before taking any medication.

Dosage forms

Formats we prepare

The form is often the whole reason a prescription comes to us. A patient who cannot tolerate an oral capsule, or who needs a preparation placed where the symptom is, changes what makes sense.

  • Topical creams and gels
  • Sublingual troches
  • Oral capsules
  • Vaginal creams
  • Vaginal suppositories
  • Nipple and breast ointments
  • Combination preparations

Vehicles

Bases matched to the route

The base carries the active through skin or mucosa, holds the preparation stable through its beyond use date, and decides whether a patient finds it pleasant enough to keep using. Name a preference on the prescription or write pharmacist's choice.

  • Permeation enhancing transdermal bases
  • Anhydrous permeation enhancing gels
  • Mucoadhesive bases for mucosal use
  • Emollient topical bases
  • Troche bases
  • Lanolin free ointment bases
  • Pharmacist's choice

Base availability depends on the active ingredient and the intended route. Not every base is validated for vaginal use, so ask our pharmacist before the prescription is written.

For prescribers and practice managers

Sending us a prescription takes three steps

  1. Fax or e prescribe

    Fax (909) 378-7071 or e prescribe to our Chino pharmacy. Include the actives with strengths, any ratio, the dosage form, quantity and directions.

  2. We confirm the formulation

    A pharmacist reviews compatibility, base selection and beyond use dating, then calls your office back with anything that needs a decision.

  3. We compound and deliver

    Most non sterile preparations are ready in one to two business days. Courier locally, shipping across California, or patient pickup in Chino.

Pharmacist reviewing a compounded prescription for formulation suitability at Mixwell Compounding Pharmacy in Chino, California
A pharmacist reviews every prescription for compatibility, base selection and beyond use dating before compounding begins.

Where we deliver

Chino based, California wide

Our lab sits at 13788 Roswell Ave, Ste 158 in Chino. Practices in Chino Hills, Ontario, Pomona, Diamond Bar and Rancho Cucamonga are a short courier run away, and we ship compounded prescriptions to patients and clinics throughout California.

City pages

Chino Hills, Ontario, Rancho Cucamonga, Riverside and more.

Related reading

Bi-Est creams compared with oral HRT, how troches and sublinguals work, and writing compounded prescriptions in California. Add a link here to any Ortho Molecular products your pharmacist recommends alongside these preparations.

Common questions

Women's health compounding, answered

Do I need a prescription for compounded women's health medications?

Yes. Every compounded preparation is made individually under a valid, patient specific prescription from a licensed prescriber. Compounded medications are not available over the counter and cannot be ordered directly from the pharmacy.

Are compounded hormone preparations FDA approved?

No. Compounded preparations are not FDA approved. FDA approved hormone products are available, including oral and transdermal estradiol, micronized progesterone and several vaginal products. Where an approved product fits the patient, it is generally the appropriate first choice.

Are bioidentical hormones the same as compounded hormones?

No. Bioidentical describes a molecule that is structurally identical to what the body produces, and several FDA approved products contain bioidentical hormones. Compounded means the preparation was made individually by a pharmacy for one patient under a prescription.

Do hormone therapy warnings apply to compounded preparations?

Yes. Estrogen and estrogen with progestogen labeling carries boxed warnings, and those warnings relate to the active ingredient rather than to who prepared the medication. Your prescriber weighs individual risks and benefits and decides what is appropriate for you.

Does Mixwell compound hormone pellets or injections?

No. Mixwell performs non sterile compounding only. We do not prepare injectables, subcutaneous pellets, or any sterile preparation. Those require a pharmacy licensed for sterile compounding, or an FDA approved product.

Can I use a compounded preparation while pregnant or breastfeeding?

Tell your prescriber if you are pregnant, may become pregnant, or are breastfeeding before starting anything. Several actives used in women's health compounding are not appropriate during pregnancy, and some require care during nursing.

How long does compounding take?

Most non sterile preparations are ready in one to two business days. Some formulations take longer depending on the ingredient and the base. Call (909) 378-7301 to confirm timing for a specific prescription.

Can I use my HSA or FSA to pay for a compounded medication?

Yes, you should be able to charge compounded medications for people to your HSA or FSA account. Mixwell does not accept insurance. Call (909) 378-7301 for pricing.

How is a compounding pharmacy different from a regular pharmacy?

A retail pharmacy dispenses manufactured products as they come from the factory. A compounding pharmacy prepares a medication from individual ingredients to match a prescription, changing the strength, ratio, combination, or dosage form. Compounded preparations are not FDA approved.

Do you deliver compounded medications?

Yes. We deliver by courier throughout the Inland Empire and Greater Los Angeles, and we ship compounded prescriptions to patients and practices across California. Pickup at our Chino pharmacy is also available.

Key points

  • Mixwell Compounding Pharmacy compounds women's health preparations in topical, sublingual, oral and vaginal forms, always from a patient specific prescription.
  • We perform non sterile compounding only, so injectables, pellets and sterile preparations are outside our scope.
  • FDA approved products exist across women's health and are generally the appropriate first choice, with compounding covering what those products do not.
  • Hormone therapy class warnings apply to the drug rather than to who prepared it, so they apply to compounded preparations as well.
  • Compounded preparations are not FDA approved, and bioidentical describes the molecule rather than the pharmacy that made it.
The compounding team at Mixwell Compounding Pharmacy in Chino, California
Our compounding team in Chino, CA. Call and you will reach a pharmacist rather than a queue.

Talk to a compounding pharmacist

Bring us the case that will not fit a commercial product

We will tell you what is possible, what is not, and what we would need on the prescription. No obligation and no pressure.

Mixwell Compounding Pharmacy

Important information. Educational information only, not medical advice, not a dosing recommendation, and not a promise of results. Compounded preparations are not FDA approved and have not been evaluated by the FDA for safety, effectiveness, or manufacturing quality. Compounding is performed only pursuant to a valid, patient specific prescription from a licensed prescriber. Mixwell Compounding Pharmacy does not represent that any compounded preparation is equivalent or superior to any FDA approved drug product.

Under federal law, promotion of prescription drugs, including compounded drugs, must be truthful, non misleading and accurate. FDA recommends that patients talk to their health care professional about their specific circumstances before taking any medication. Hormone therapy class warnings described in FDA approved labeling apply to the active ingredient regardless of who prepared the medication.

Mixwell Compounding Pharmacy is a non sterile compounding pharmacy. We do not perform sterile compounding and do not prepare injectables or subcutaneous pellets. Drug selection, dosing, monitoring and all treatment decisions are the responsibility of the treating prescriber. Licensed by the California State Board of Pharmacy, PHY #60692.

Reviewed by Linda Pungpravat, RPh, Compounding Pharmacist. Last reviewed August 2026.

Women's health compounding
Chino, CA
Call (909) 378-7301