Bioidentical Hormone Replacement
Therapy, built for you
Hormone imbalance is not just a phase — it's a signal. Our compounding pharmacists partner with your provider to craft BHRT precisely matched to your lab results, symptoms, and goals.
What is BHRT and who benefits?
Bioidentical hormones are plant-derived compounds molecularly identical to the hormones your body naturally produces. Unlike standardized commercial products, compounded BHRT is formulated to match your specific hormone levels — identified through lab testing — in doses and delivery forms your body can actually use.
Perimenopause, Menopause & Beyond
Estrogen, progesterone, and testosterone decline is not just about hot flashes. The downstream effects on sleep, cognition, bone density, and mood are significant — and often undertreated with one-size-fits-all products.
- Hot flashes & night sweats
- Mood swings, anxiety, or depression
- Brain fog and difficulty concentrating
- Disrupted sleep
- Vaginal dryness or discomfort
- Low libido
- Weight changes or fatigue
- Bone loss concerns
Andropause & Testosterone Decline
Testosterone in men declines gradually starting in the 30s — often dismissed as normal aging. Low T has real, measurable effects on energy, body composition, mood, and cardiovascular health.
- Persistent fatigue or low energy
- Loss of muscle mass or increased body fat
- Reduced drive or motivation
- Erectile dysfunction or low libido
- Mood changes, irritability, or depression
- Difficulty sleeping
- Memory or concentration issues
- DHEA and adrenal support needs
Compounded BHRT delivery forms
Commercial hormone products come in fixed doses. Compounded BHRT doesn't — we formulate in the delivery form that works best for your lifestyle, absorption, and clinical needs.
Topical Creams & Gels
Transdermal application for steady, consistent absorption. Often used for estradiol, progesterone, and testosterone.
Capsules
Oral delivery in custom-compounded doses. Dye-free and filler-free formulations available for sensitive patients.
Troches & Sublingual Drops
Dissolve under the tongue or between cheek and gum. Fast absorption, bypasses first-pass liver metabolism.
Triturates
Compounded tablets that dissolve rapidly. Useful when precise, low-dose delivery is needed in a discreet form.
Suppositories
Vaginal or rectal delivery for patients who need localized hormone support or who cannot use oral or topical forms.
Thyroid Support
We also compound custom T3, T4, and combination thyroid medications — dye-free, filler-free, in personalized doses.
Janice Marciniak, R.Ph.
Janice is our compounding pharmacist specializing in bioidentical hormone therapy for women and men. She works directly with prescribers to review lab results, recommend appropriate compounded formulations, and provide ongoing clinical support as your therapy evolves. When you bring your BHRT prescription to Medicine Center Pharmacy, Janice's expertise is part of what you're getting.
How BHRT at Medicine Center works
Consultation & Lab Work
Your provider orders a comprehensive hormone panel. Labs assess estrogen, progesterone, testosterone, DHEA, cortisol, and thyroid as needed.
Prescription & Pharmacist Review
Your prescriber sends the compounding Rx to our New Philadelphia lab. Janice reviews it against your labs and works with your provider on formulation specifics.
Custom Compounding
Your BHRT is compounded at our CCE-Accredited New Philadelphia pharmacy using pharmaceutical-grade ingredients. No fillers you don't need.
Ongoing Monitoring
Hormones shift. We stay in the loop with your provider for follow-up labs and dose adjustments as your body responds to therapy.
BHRT education from our pharmacy team
We host free webinars to help patients and prescribers understand hormone health before, during, and after therapy. Watch our most recent recordings below — then join us live for the next one.
Frequently asked questions about BHRT
Not exactly. Bioidentical hormones are molecularly identical to hormones your body produces naturally — structurally different from some synthetic hormones used in conventional HRT. Compounded BHRT goes further: rather than a fixed commercial dose, your prescription is customized to your specific hormone levels and goals based on lab testing. Compounded medications are not FDA-approved and require a prescription from a licensed healthcare provider.
Yes. A valid prescription from a licensed healthcare provider is required for all compounded hormone medications. If you don't yet have a prescriber, we can help connect you with providers in our network who specialize in hormone health. Contact our New Philadelphia pharmacy to start that conversation.
Response timelines vary by individual, hormone levels, delivery form, and dose. Some patients notice changes within a few weeks; others take 2–3 months for the full effect to build. Follow-up lab work is typically recommended 8–12 weeks after starting therapy. Your prescriber and our pharmacists will monitor your progress and adjust as needed.
CCE (Compounding Center of Excellence) accreditation is awarded by the Pharmacy Compounding Accreditation Board. Our New Philadelphia pharmacy earned CCE accreditation for non-sterile compounding — meaning we have been independently evaluated for compliance with USP standards, quality control, personnel training, and documentation practices. It is a meaningful third-party verification that goes beyond state licensure requirements.
Yes. Men experience gradual testosterone decline starting in their 30s — often called andropause. Compounded testosterone and DHEA formulations can be tailored to individual lab results and goals. Men's BHRT is a significant part of our compounding practice, and Janice Marciniak works with prescribers on male hormone optimization regularly.
Coverage for compounded medications varies by plan and insurer. Many compounded BHRT prescriptions are not covered by insurance, though some HSA/FSA accounts may be used. We recommend checking with your plan directly. Our team can provide pricing information before your prescription is filled so there are no surprises.
We serve patients in Ohio and certain surrounding states, including Pennsylvania. Shipping availability depends on state-specific compounding pharmacy regulations and the prescriber's licensure. Contact our New Philadelphia pharmacy at 330-339-4466 or philly@medshoprx.com to discuss your situation.
CCE-Accredited Non-Sterile Compounding — New Philadelphia, Ohio
Our New Philadelphia pharmacy has earned CCE accreditation for non-sterile compounding practices — an independent quality standard that verifies our compliance with USP pharmaceutical standards, ingredient sourcing, documentation, and personnel training. All BHRT compounding is performed at this location.
Important Notice: Compounded medications, including compounded BHRT, are not reviewed or approved by the FDA for safety, efficacy, or quality. They are not the same as, nor interchangeable with, commercially available FDA-approved medications. A valid prescription from a licensed healthcare provider is required. Compounding is performed based on the individualized needs of a patient as determined by the prescribing provider.
Your hormones. Your dose.
Your pharmacy.
Our New Philadelphia compounding team is ready to work with you and your prescriber. Call us, send a message, or schedule a consultation — and let's figure out what you actually need.