At Realo Compounding Pharmacy, our licensed pharmacists utilize state-of-the-art equipment to formulate medications in customized strengths, dosage forms, and combinations—supporting individualized therapy when commercially available options are not appropriate.
Our dosage forms:

We strive for efficiency while maintaining quality and compliance.
Once we receive the prescription via fax, e-prescribe, or written order, our compounding team reviews it for accuracy and completeness to ensure it meets all regulatory and clinical requirements.
We then contact the patient directly by phone call or text to provide compound details, pricing information, and available pickup or shipping options. This ensures transparency and allows the patient to make an informed decision before preparation begins.
After payment is collected, our pharmacists compound the medication in accordance with USP guidelines and applicable regulations. Each preparation is made specifically for the individual patient pursuant to the prescription.
Once completed, the medication is either shipped directly to the patient or delivered to their selected Realo pickup location, depending on their preference.
Most compounded prescriptions are completed within 3–5 business days after payment is received. Hazardous or specialty preparations may require additional time, and our team confirms the expected timeline during intake. We also offer convenient statewide shipping, along with pickup options at participating Realo locations.
If you have a challenging case, unique formulation need, or would like to schedule a clinical discussion, we welcome the opportunity to collaborate.
Contact us at 844-793-6763 to speak with our compounding team.
Search: Realo Compouning Pharmacy
NPI: 1699797431
Fax Number: 252-497-2352
Call our compounding team directly at 844-793-6763
This form is not secure and should not be used to submit personal health information (PHI), prescription details, or any sensitive medical data. For questions involving medications or patient health, please contact our pharmacy directly by phone.
All preparations at Realo Compounding Pharmacy are compounded pursuant to a patient-specific prescription in accordance with 503A regulations. We are licensed to produce both non-sterile and hazardous compounds and can prepare a wide range of customized formulations to support individualized patient care. While we offer limited in-office use options, we do not perform sterile compounding, including GLP-1 or other sterile injectable medications.
We receive frequent RX notations requesting insurance billing. Please note that we do not submit claims to third-party payers. We are a cash-pay pharmacy, though patients may request a universal claim form to independently pursue reimbursement.
Realo Compounding Pharmacy is a cash-pay pharmacy and does not bill insurance plans. However, we can provide a universal claim form upon request if you would like to independently submit for possible reimbursement through your insurance provider.
No. We are a non-sterile compounding pharmacy and do not compound sterile injectable medications, including GLP-1 injections.
Most compounded prescriptions are completed within 3–5 business days after payment is received. More specialized or hazardous preparations may require additional time. Our team will communicate timelines during the intake process.
Once we receive your prescription, we review it for accuracy and safety. We then text you with information about the medication, pricing, and pickup or shipping options. After payment is collected, we prepare your medication and notify you when it is ready or has shipped.
Yes. We offer shipping directly to your home. You may also choose pickup at a participating Realo location, depending on availability.
A 503-A pharmacy is a traditional compounding pharmacy that prepares medications based on individual prescriptions. Each medication is made specifically for a patient’s unique needs and cannot be mass produced or stocked for general sale.
We provide pricing information before compounding begins. You will receive a text message outlining the cost and options before payment is collected.
Absolutely. We welcome collaboration and are happy to work directly with your provider regarding formulation options, dosing considerations, or clinical questions.