The pharmacy partner matched to what you prescribe.
Northstra Health is contracted with leading compounding pharmacies across the United States. Most practices already purchase compounded medications. The question is whether their pharmacy carries what they prescribe, ships on a schedule the clinic can absorb, and holds up under a board inspection.
Contracted with leading U.S. compounding pharmacies
active 503B outsourcing facilities registered with the FDA.
FDA outsourcing facility list, June 2026projected yearly growth of the U.S. 503B market through 2035.
Market estimates, April 2026projected yearly growth of the U.S. 503A market through 2035.
Towards Healthcarethe year USP chapters 795, 797, and 800 became officially enforceable.
USP, effective November 1, 2023Contracted with leading U.S. compounding pharmacies.
We hold contracted partnerships with leading compounding pharmacies across the country, so every practice we work with is matched to a partner that has already been qualified.
- State board licensureActive and in good standing in every state the practice is in.
- USP 795, 797, and 800Non-sterile, sterile, and hazardous compounding standards met.
- FDA registration and inspectionsRegistration and inspection history reviewed for outsourcing facilities.
- Turnaround and shippingDelivery schedules a clinic can plan around.
- Catalog depthCoverage across the categories our practices prescribe.
- Written agreementsEvery partnership documented and compliance-reviewed.
How the pharmacy channel works
Prescriptions and office-use orders routed to the facility type the medication requires.
Compounded to the standard the medication requires.
Sterile and non-sterile, patient-specific and office-use. The facility type follows the prescription, never the other way around.
What the team does.
A dedicated pharmacy partnerships team works both sides of the relationship: the practice that prescribes and the pharmacy that compounds.
- 01Practice matchingEach practice matched to 503A and 503B partners by prescribing and administration.
- 02Formulary transitionsThe current formulary mapped against partner catalogs, including moves from incumbent pharmacies.
- 03OnboardingAccount setup, ordering workflow, and the first several orders handled with practice staff.
- 04Account managementOngoing support so service standards hold as volume grows.
What we route.
The therapeutic categories our pharmacy partners compound for physician practices.
Compounding in the United States
Estimated market size, 2026 and 2035, in billions of dollars.
Sources: Towards Healthcare (503A); market estimates reported April 2026 (503B)
Why partner quality matters
Of the 71 outsourcing facilities registered with the FDA in 2014, only 20 were still registered in 2022.
Source: KPMG analysis of FDA registration data
Where the 503B market is concentrated
Projected shares of the U.S. outsourcing facility market in 2026.
Source: Coherent Market Insights, U.S. 503B compounding pharmacies market, 2026
A partner is only as good as its last inspection.Northstra Health pharmacy partnerships
Built for practices and pharmacies.
The partnership only works if it works for both.
The right partner, without the guesswork
Qualification against catalog, facility type, turnaround, and inspection history, with one point of contact through the transition.
Qualified prescribers and territory growth
Introductions to practices whose prescribing matches the catalog, prioritized by a proprietary provider scoring model and supported through onboarding.
503A and 503B, side by side.
Two categories of facility operating under two different regulatory frameworks.
From our pharmacy practice.
How we think about routing and partner quality.
The compounding decision most practices get wrong.
Routing is the decision that matters: patient-specific prescriptions belong at a 503A pharmacy, office-use stock at a 503B outsourcing facility. Many practices need both and find out only after onboarding stalls.
Partner quality is a safety decision.
Outsourcing facilities enter and leave the federal registry more often than most practices realize. We qualify every partner on licensure, inspection history, turnaround, and catalog depth before a practice places its first order.
Tell us what you prescribe.
A short conversation about prescribing and administration is usually enough to establish whether we can help.