Where we operate
We partner with licensed healthcare providers across the United States to deliver quality, customized medications in a timely and compliant manner.
Our current and expanding licensing coverage
SmartPharmaRX is currently licensed to operate in 24 states, with additional state licensures actively in progress. We are committed to delivering quality medications as we continue to grow responsibly and compliantly.
Scaling responsibly
SmartPharmaRX is committed to expanding access while maintaining regulatory integrity. Each new state licensure follows defined approval processes to ensure applicable state pharmacy board requirements are met before operations begin.
This approach allows us to scale efficiently without compromising quality, safety, or oversight.

What to expect when ordering
Our fulfillment process supports personalized medications while maintaining consistency, discretion, and reliability in every shipment.
Product personalization
Medications are compounded in adherence to the provider’s prescription and patient’s specific requirements.
End-to-end fulfillment
Orders are processed through defined preparation, verification, and shipping workflows.
Discrete packaging
All shipments are packaged securely and discreetly for patient privacy.
Reliable delivery standards
Fulfillment timelines and handling protocols are designed to support continuity of care through reliable, trusted delivery standards.
Frequently asked questions
Find quick answers about prescriptions, delivery, and how SmartPharmaRX supports your treatment at every step.
What is a compounded medication?
Compounded medications are prescription preparations created by a licensed pharmacist to meet the specific needs of an individual patient when commercially available products are not appropriate or available.
Compounded medications are prepared pursuant to a valid patient-specific prescription and are not FDA-approved products.
Who can prescribe compounded medications?
Licensed health care providers with prescriptive authority may prescribe compounded medications for their patient in accordance with applicable state and federal regulations. Prescriptions must be issued by a provider acting within the scope of their professional license and scope of practice.
How do I place an order?
Prescriptions should be submitted through the provider’s electronic prescribing system (eRx) by selecting our pharmacy within the prescribing platform.
What information is required on the prescription?
- Prescriptions must include:
- Patient full name and date of birth
- Prescriber name, credentials, NPI number, and signature (when required)
- Medication or compounded formulation
- Strength and dosage form
- Directions for use
- Quantity to dispense.
- Number of refills (if applicable)
- Date written.
- Clinical rationale indicating why the patient requires a compounded preparation that cannot be met by a
- commercially available product.
- Patient allergies or relevant clinical information (when applicable)
Can you compound medications that are commercially available?
Under federal compounding regulations, pharmacies operating under Section 503A of the Federal Food, Drug, And Cosmetic Act generally compound medication only when there is a clinical need for a patient specific preparation that cannot be met by an FDA-approved product.
What quality and safety standards do you follow?
Out pharmacy compounds sterile preparations in accordance with USP <797> standards and applicable state board of pharmacy regulations.
Quality systems include:
- Environmental monitoring of sterile compounding areas
- Sterility and endotoxin testing when applicable
- Qualified cleanroom facilities
- Standardized compounding procedures
- Ongoing quality assurance and continuous quality improvement programs.
Are compounded medications FDA approved?
No. Compounded medications are not FDA approved products. They are prepared by licensed pharmacists in accordance with federal and state compounding regulations to meet the needs of individual patients.
What storage conditions are required for these medications?
Storage requirements vary depending on the formulation. Most sterile injectable preparations require refrigerated storage (typically 2°C to 8°C / 36°F to 46°F) unless otherwise specified on the prescription label. Providers and patients should follow the storage instructions provided with each medication.
How are medications shipped?
Medications are shipped using packaging designed to maintain product integrity during transit. Temperature-controlled packaging is used when required based on product storage conditions.
What if a prescription needs to be updated or corrected?
If a prescription requires clarification or changes, our pharmacy team will contact the prescriber’s office. Updated prescriptions may be submitted electronically or provided verbally to a licensed pharmacist, in accordance with applicable state regulations.
Can prescription be transferred from another pharmacy?
In most cases, prescriptions cannot be transferred to our pharmacy. Compounded medications are prepared based on specific formulations and requirements that may differ between pharmacies.
Additionally, prescriptions written for commercially available brand-name medications cannot be filled as compounded preparations unless the prescriber issues a new prescription specifying the compounded medication.
Providers who wish to have a prescription filled by our pharmacy should submit a new prescription directly to our pharmacy.
Can providers discuss formulation options with a pharmacist?
Yes. Our pharmacists are available to discuss formulation options, administration considerations, stability information, and other pharmacy-related questions to support patient care.
A trusted partner in personalized compounding
Partner with a pharmacy built to support precision and care in every prescription.