Compounded ENT Medications for Otolaryngology Practices & Clinics
ENT compounds play an important role in helping otolaryngology practices manage complex ear, nose, and throat conditions when commercially available products are not appropriate. As an experienced ENT compounding pharmacy, Massey Drugs supports customized therapies for complex ear, nose, and throat conditions. Compounded ENT therapies are often prescribed when commercially available products do not meet clinical needs due to concentration limitations, dosage form requirements, excipient sensitivities, or the need for noncommercial formulations.
Our pharmacists work directly with prescribers to prepare patient-specific formulations that support in-office procedures, post-operative care, chronic symptom management, and difficult-to-treat ENT conditions.
ENT Compounding Capabilities
Massey Drugs provides advanced non-sterile and sterile compounding solutions to support ENT practices. Formulations are customized based on prescriber protocol, patient tolerability, and site-of-care needs.
Our ENT compounding capabilities include:
- Otic drops and sterile otic preparations
- Otic powders and capsules
- Nasal sprays for targeted symptom management
- Topical nasal delivery formulations
- Oral rinses and medicated mouthwashes
- Magic mouthwash formulations and lollipops for mucositis and oral pain
- Customized numbing preparations for ENT procedures
- Supply of appropriate delivery devices when required
ENT Conditions We Support
Compounded ENT medications may be prescribed to support management of:
- Chronic and acute otitis conditions
- Post-procedural ear care
- Nasal congestion and inflammatory conditions
- Chronic rhinitis and sinus symptom management
- Oral mucositis
- Burning mouth syndrome
- Oral lichen planus
- Procedure-related discomfort requiring topical anesthesia
Formulations are individualized to support both clinic workflows and at-home patient use.
ENT Compounds We Prepare
The following examples represent a few of our ENT medications routinely compounded by Massey Drugs.
Otic Compounding
- Levofloxacin 0.5%/Mupirocin 2%/Hydrocortisone 1% Otic Suspension
- Levofloxacin 0.5%/Mupirocin 2%/Otic Suspension
- Clotrimazole 2% Otic Solution
- Clotrimazole 1%/Hydrocortisone 1% Otic Solution
- Clotrimazole 1%/Ciprofloxacin 0.3%/Dexamethasone 0.1% Otic Solution
- Prednisolone Sodium Phosphate 1%/Moxifloxacin HCl 0.5% Ophthalmic Solution
- Voriconazole 1% PF Ophthalmic Solution
- Moxifloxacin HCl 2%/Clotrimazole 2%/Hydrocortisone 1% Ear Powder
- Moxifloxacin HCl 2%/Clotrimazole 2% Ear Powder
- Boric Acid Ear Powder
- Betahistine HCl 8mg and 16mg Capsules
Nasal Compounding
- Budesonide in Loxasperse Caps and Vials
- Compounded Acetylcysteine Caps
- Tobramycin 300mg/4ml Ampule
- Compounded Mometasone
- Cefixime 400mg Capsules
- Mupirocin 2% Ointment
- Voriconazole 30mg Capsule
- Flucytosine Capsules
- Gentamicin 0.17% / Dexamethasone Sodium Phosphate 0.017% Nasal Spray – 48mL
- Estradiol (Estrogen) Nasal Spray for PET or HHT
Oral Rinses & Mouthwashes
- Diphenhydramine HCl 0.1%/Lidocaine HCl 1%/Hydrocortisone 0.025% in MucoLox
Acyclovir 3%/Clotrimazole 1%/Lidocaine HCl 1%/Diphenhydramine HCl 0.1%/Hydrocortisone
0.025% in MucoLox- Diphenhydramine HCl 0.08%/Lidocaine HCl 0.67% Suspension
- Diphenhydramine HCl 0.06%/Lidocaine HCl 0.5%/Dexamethasone 0.0025% Suspension
Gabapentin 6%/Amitriptyline HCl 2%/Lidocaine HCl 0.5% in MucoLox
- Lidocaine HCl 2%/Tacrolimus 0.03% in MucoLox
- Lidocaine HCl 2%/Azelastine HCl 0.1% in MucoLox
- Mupirocin 0.2%/Moxifloxacin HCl 0.2%/Clotrimazole 1%/Lidocaine HCl 1%/Diphenhydramine HCl
Procedure Support
- Tetracaine HCl nasal gels, lollipops and throat sprays
- Customized delivery devices available
Insurance and Pricing Transparency
Some compounded ENT medications may be covered by insurance depending on the patient’s plan and formulation. Current pricing and formulation availability are accessible through the Practitioner Portal, allowing prescribers to discuss costs with patients in advance.
Budesonide Nasal Irrigation – Evidence and Clinical Outcomes
This overview summarizes the clinical evidence and real-world outcomes supporting budesonide nasal irrigation in the management of chronic rhinosinusitis (CRS) and post-operative care. As the most extensively studied corticosteroid used in high-volume irrigation protocols, budesonide demonstrates consistent improvements in symptom burden, mucosal healing, and overall disease control. The data presented here reflects findings from systematic reviews and controlled studies commonly referenced in ENT practice.
Why Otolaryngologists Choose Massey Drugs
ENT-focused compounding expertise for otic, nasal, and oral therapies
Flexible dosage forms including drops, sprays, powders, capsules, and rinses
Fast 24–48 hour turnaround to keep treatment on schedule
FREE Ground Shipping on all ENT compounded medications
NABP accredited compounding pharmacy
Direct pharmacist access for formulation and clinical support
Transparent pricing available through the Practitioner Portal
States We Serve
Massey Drugs is licensed to compound and ship ENT compounds to patients in the following states:
Alabama, Mississippi, Tennessee, Georgia, Kentucky, Illinois, Florida, North Carolina, Ohio, Pennsylvania, New York, Louisiana, South Carolina, Indiana, Texas, and Connecticut.
How To Prescribe
Download Rx Blank from the Practitioner Portal and send to Massey Drugs:
FAX: 800.637.2601
Phone: 833.540.3500
OR
e-Scribe: NPI#: 1295756245 | NCPCP#: 0127553
Massey Drugs | Cloverdale Road
Upon receipt of prescription, Massey Drugs contacts the patient to confirm shipping address and credit card payment.
Medication ships to patient UPS Ground (FREE) or other required shipping method once processed.
Massey Drugs provides competitively priced compounded medications with transparent, prescriber-accessible pricing.
All compound pricing can be viewed in our Practitioner Portal so costs can be communicated to patients before prescribing.
Speak with a Pharmacist
If you have questions about ENT compounds, dosing considerations, or appropriate clinical use, our pharmacists are available to consult.
Call 833-540-3500 to speak directly with a pharmacist.
Frequently Asked Questions
When should an otolaryngologist consider prescribing a compounded ENT medication?
Compounded ENT medications may be considered when commercially available treatments are ineffective, discontinued, poorly tolerated, or unable to deliver medication to the desired site of action. Providers may also prescribe compounded therapies when a specific concentration, combination therapy, or customized dosage form is needed to support treatment goals.
How long do patients typically use compounded ENT medications?
Duration of therapy depends on the condition being treated and clinical response. Some compounded ENT medications are used short-term for post-procedural care or acute infection management, while others may be prescribed for longer courses in chronic sinus, otic, or mucosal conditions. Prescribers individualize treatment duration based on follow-up and symptom improvement.
Can compounded ENT medications be culture-directed?
Yes. When culture, PCR, or other diagnostic testing identifies a causative organism, compounded ENT medications can be tailored to include targeted antimicrobial or antifungal agents. This approach may help support management of refractory infections or complex sinus and ear conditions.
What should patients expect after an ENT prescription is sent to Massey Drugs?
After the prescription is received, a team member contacts the patient to confirm clinical details, shipping preferences, and payment arrangements. Once the medication is prepared and verified, it is shipped directly to the patient’s home or designated location with instructions for use.
Are compounded ENT medications appropriate for pediatric or sensitive patients?
Compounded ENT medications may be helpful for patients who require alternative strengths, flavoring, preservative-free formulations, or modified dosage forms that improve tolerability and adherence. Prescribers determine appropriateness based on patient age, diagnosis, and treatment goals.
Can compounded ENT therapies be used alongside standard treatments?
In many cases, compounded ENT medications are prescribed as part of a broader treatment plan that may include commercially available drugs, procedural care, or supportive therapies. Providers determine how compounded formulations fit into the overall clinical strategy for each patient.
