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Prepared to order

Acne and PMOS (formerly PCOS)

Face creams prescribers use for acne, including acne and unwanted facial hair linked to PMOS (formerly PCOS).

  • Cream
PricingQuoted when we call to confirm your order
Get started Prescribers: order forms (portal)

Prescribers: e-prescribe this prescription · Licensed to fill prescriptions for patients in California

  • Face creams, 30 g
  • Spironolactone, finasteride and azelaic acid options
  • Strengths set by your prescriber
  • Prepared for one patient

Compounded medications are made for one patient from a prescriber's order. They are not FDA approved. This page is for general information, not medical advice.

About acne and PMOS

Polyendocrine metabolic ovarian syndrome (PMOS) is the new name for polycystic ovary syndrome (PCOS), announced in 2026. It is a hormone and metabolic condition. Higher androgen levels can lead to acne and unwanted facial hair (hirsutism). Your prescriber diagnoses the cause of acne and decides on treatment.

We compound only when there is a clinical reason a commercially available product won't work for you, such as a strength or combination that isn't made commercially, a different base because of an allergy or sensitivity, or a different form.

Formulas we commonly prepare

Your prescriber chooses the formula. Creams are dispensed in 30 g unless noted.

  • Azelaic Acid 5% / Clindamycin 2% Cream
  • Spironolactone 5% Cream
  • Finasteride 0.25% Facial Cream
  • Azelaic Acid 5% / Spironolactone 2% / Progesterone 0.25% Cream
  • Spironolactone 5% / Clindamycin 1% / Niacinamide Cream

In GHK-Cu Peptide Cream Base (15 g or 30 g)

  • Spironolactone 5% / Progesterone 0.25%
  • Levocarnitine 2%

Don't see what your prescriber wrote? Call us at 626.631.6150.

How to use

Follow the directions on your label. Most of these are applied as a thin layer to the affected areas once or twice a day. Wash your hands after applying.

Before you start

Finasteride and spironolactone are not for use during pregnancy. If you could become pregnant, talk with your prescriber about birth control before using them. Anyone who is pregnant should not handle finasteride products.

Progesterone is a hormone. Tell your prescriber if you are pregnant, planning a pregnancy or breastfeeding.

Clindamycin is an antibiotic. Tell your prescriber if you have had colitis or a reaction to clindamycin.

Stop and call your prescriber if you have severe redness, burning, swelling or a rash.

Step 1

Send your prescription

Your prescriber e-prescribes to EpitomeRx, faxes the prescription to 626.631.6151, or calls it in. Already have a prescription elsewhere? We can transfer it.

Step 2

We review and call you

A pharmacist checks the prescription for accuracy and formulation needs, then we call you to confirm details, pricing, timing and delivery. Payment is collected before we compound.

Step 3

We compound it

Your medication is prepared in our Arcadia laboratory to your provider's exact instructions and checked before it is dispensed.

Step 4

Delivered to your door

We ship anywhere in California. Local pickup in Arcadia is available by calling ahead.

For prescribers

Order on the dermatology order forms (in the prescriber portal), by e-prescription, fax or phone. Spironolactone, finasteride and progesterone are NIOSH hazardous drugs and are compounded under USP <800>. For items with a similar commercially available active, include the reason for compounding. Call 626.631.6150 for other strengths or formulas.

Common questions

Do I need a prescription?

Yes. Your prescriber writes the prescription. We do not prescribe.

What is PMOS?

Polyendocrine metabolic ovarian syndrome, the new name for PCOS announced in 2026. It is the same condition; the name now reflects its hormone and metabolic features.

Is topical spironolactone the same as the spironolactone pill?

It is the same drug, but applied to the skin as a cream instead of taken by mouth. Your prescriber decides which form fits your care.

Can women use finasteride cream?

Prescribers sometimes use finasteride cream for unwanted facial hair in women. It is not for use during pregnancy, so your prescriber will talk with you about birth control if you could become pregnant.

Why would my prescriber choose a compounded cream?

We compound only when there is a clinical reason a commercially available product won't work for you, such as a combination or strength that isn't made commercially, or a different base because of an allergy or sensitivity. Your prescriber decides what's right for you.

How long is it good for?

Use it by the date on your label, usually 35 days after it is made.

Are compounded medications FDA approved?

No. Compounded medications are prepared by a pharmacy for one patient from a prescription, and FDA has not reviewed their safety, effectiveness or quality. We prepare them following USP standards for nonsterile and hazardous drug compounding.

How does my prescriber send the prescription?

By e-prescription, fax or phone. See how to e-prescribe.

Do you ship?

We ship within California only. Free standard shipping on orders of $99 and up; $10 under $99. Local pickup at our Arcadia pharmacy is by appointment.

Licensed service area

Serving patients across California

EpitomeRx is licensed by the California State Board of Pharmacy. We ship anywhere in California. Local pickup in Arcadia is available by calling ahead.

Serving Arcadia, Pasadena, Monrovia, San Marino, Temple City, the San Gabriel Valley and all of California.

Shipping times and pickup details

Arcadia
Licensed service areaOur pharmacy