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Sexual Health Compounding

Sexual Health Compounding Pharmacy for Clinics & Telehealth Platforms

Compounded tadalafil, sildenafil, PT-141, oxytocin, and the complete sexual health formulary — fulfilled discreetly and shipped directly to your patients.

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About This Specialty

Discreet, Reliable Compounding for Sexual Health Programs

Sexual health is one of the most in-demand and consistently underserved categories in telehealth. Patients want access to effective treatments without the friction of in-person visits, and the clinics and platforms that offer sexual health programs are seeing strong patient demand, high conversion, and strong long-term retention. The challenge isn’t patient interest — it’s finding a pharmacy partner that handles the formulary accurately, ships discreetly, and scales reliably.

Richmond Pharmacy compounds the complete sexual health formulary for men and women — ED medications, libido support, hormonal compounds, and combination formulations. Every order ships discreetly, direct to your patient, with no Richmond Pharmacy branding on the outside of any package.

Sexual health treatment context
Why Clinics Offer This

Why Sexual Health Programs Are Growing Fast

  • 30M+ Men in the U.S. experience erectile dysfunction — one of the largest addressable patient populations in telehealth medicine, actively seeking discreet solutions
  • 80%+ Of women experience some form of sexual dysfunction during perimenopause or menopause — a large, underserved patient population with few accessible options
  • High conversion, high retention Sexual health telehealth programs have among the highest conversion rates and strongest recurring revenue of any clinical category
What We Compound

Sexual Health Medications We Compound

  • Compounded Tadalafil

    A PDE5 inhibitor compounded for erectile dysfunction. Available in daily low-dose and as-needed formulations. Custom doses not available in commercial products allow providers to dial in the right protocol for each patient.

  • Compounded Sildenafil

    A PDE5 inhibitor compounded for erectile dysfunction in oral and alternative delivery forms. Custom dosing and combination formulations available to match your provider's protocol.

  • Tadalafil / Sildenafil Combinations

    Custom combination formulations of tadalafil and sildenafil for patients whose protocols benefit from a dual-mechanism approach. Compounded to your provider's exact specifications.

  • PT-141 (Bremelanotide)

    A melanocortin receptor agonist that works through the central nervous system to support sexual arousal and libido in both men and women. Prescribed where hormonal or vascular approaches alone are insufficient.

  • Oxytocin

    A natural hormone and neurotransmitter involved in bonding, emotional connection, and sexual response. Compounded as a sublingual troche or nasal spray for sexual health and intimacy protocols in both men and women.

  • Testosterone (Sexual Health)

    Low-dose testosterone for women's sexual health — addressing libido, arousal, and sexual response. Also available in male sexual health protocols alongside ED medications. Compounded in topical and injectable forms.

  • Sildenafil / Testosterone / L-Arginine (Women's)

    A combination formulation used in women's sexual health protocols — L-arginine and sildenafil support genital blood flow and sensitivity, while testosterone supports hormonal components of the female sexual response.

  • Pregnenolone

    A cholesterol-derived steroid precursor that supports hormone synthesis and sexual function. Prescribed as part of comprehensive sexual health and hormone optimization protocols for both men and women.

Who We Work With

Which Partners Offer Sexual Health Programs?

Sexual health clinic environment

  • Telehealth Platforms

    Sexual health is one of the top telehealth categories — discreet, subscription-friendly, and high-retention. Richmond handles compounding and fulfillment at whatever volume your platform requires.

  • Medical Spas

    Sexual wellness programs are a growing addition to medspa service menus — we compound and ship discreetly to your patients, fully behind the scenes.

  • Men’s Health Clinics

    Dedicated men's health and TRT clinics often include sexual health compounds in their formulary — ED medications, PT-141, and testosterone alongside hormone optimization protocols.

  • Women’s Health Practices

    OB/GYNs, hormone health clinics, and women's telehealth platforms are increasingly adding sexual health treatments — we compound the full women's formulary including PT-141, oxytocin, and testosterone.

  • Urology Practices

    Urologists are the core prescribers of ED medications — compounding allows for custom doses, alternative delivery forms, and combination formulations that commercial products don't offer.

  • Concierge Medicine Practices

    Concierge physicians building comprehensive men's and women's wellness programs include sexual health as part of a broader hormone and longevity protocol — we compound the full stack.

The Process

How Richmond Pharmacy Fulfills Your Prescriptions

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Step 1

Your provider submits the prescription via our portal or API

Step 2

Our pharmacists compound to your exact specifications

Step 3

Quality reviewed by a licensed pharmacist before shipping

Step 4

Shipped directly to your patient — under your brand

Compounded medications are not FDA-approved. Available via valid prescription from a licensed provider.

Frequently Asked Questions

Common Questions About Sexual Health

Is compounded tadalafil the same as Cialis?
Compounded tadalafil contains the same active ingredient as Cialis but is not FDA-approved. It is compounded for individual patients pursuant to a valid prescription from a licensed provider. Compounding allows for custom doses — including low-dose daily protocols — that are not available in standard commercial strengths.
What is the difference between tadalafil and sildenafil for ED treatment?
Both are PDE5 inhibitors that support erectile function by improving blood flow. Sildenafil is shorter-acting, typically taken as needed. Tadalafil has a significantly longer half-life — up to 36 hours — making it suitable for both as-needed and daily low-dose protocols. Compounding allows both to be prepared at custom doses not commercially available, and combination formulations are also possible.
What is PT-141 and how does it work?
PT-141 (bremelanotide) is a melanocortin receptor agonist that acts on the central nervous system rather than the vascular system. Unlike PDE5 inhibitors that work by improving blood flow, PT-141 influences brain pathways involved in sexual arousal and libido. It is prescribed for both men and women experiencing low libido or sexual dysfunction where vascular or hormonal approaches alone have been insufficient.
Can sexual health medications be used by both men and women?
Several sexual health compounds are prescribed for both men and women. PT-141 is prescribed for libido and arousal in both sexes. Oxytocin is used in both men's and women's intimacy and bonding protocols. Low-dose testosterone is a key part of women's sexual health treatment. Sildenafil is prescribed for women's sexual health in combination formulations targeting genital blood flow and sensitivity.
What is oxytocin used for in sexual health protocols?
Oxytocin is a natural hormone involved in bonding, emotional connection, and sexual response. In sexual health protocols, compounded oxytocin — typically as a sublingual troche or nasal spray — is prescribed to support libido, intimacy, and emotional connection. It is often used alongside testosterone or other sexual health compounds as part of a broader protocol.
Do sexual health shipments arrive discreetly?
Yes. All sexual health medications ship in plain, discreet packaging with no identifying medical information on the outside of the package. Your patients receive their medication without any indication of the contents visible externally.
Can you compound combination sexual health formulas?
Yes. Common combination formulations include tadalafil/sildenafil combinations for ED, and sildenafil/testosterone/L-arginine combinations for women's sexual health. Bring your protocol to your account manager and our pharmacists will advise on what can be combined safely and compliantly.
Do sexual health compounds require a prescription?
Yes. All compounded sexual health medications — including tadalafil, sildenafil, PT-141, oxytocin, and testosterone — require a valid prescription from a licensed healthcare provider. Richmond Pharmacy does not dispense any compounded medication without a valid prescription.

Ready to Add Sexual Health to Your Clinic?

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