Sterile Compounding

Trust our A&O Compounding Pharmacy for safe, precise sterile compounding. We prepare individualized medications with the highest quality standards and patient safety in mind.

Customized Sterile Compounding for Your Unique Needs

When it comes to sterile compounding, precision and compliance are non-negotiable. A&O Compounding Pharmacy is one of the few facilities in California that is fully compliant with <USP 797> and certified by the FDA to produce sterile compounded medications. Our Class 7 cleanroom is both ISO- and CAP-certified, ensuring every preparation meets the most stringent standards of purity and safety.

From injectable medications to ophthalmic and veterinary sterile compounds, A&O Compounding Pharmacy delivers clinical precision trusted by healthcare professionals throughout Monterey Bay, the Peninsula, and Silicon Valley.

Gloved clinician selecting a prescription bottle from a pharmacy medication drawer
Custom Compounded Medication Capsules – A&O Compounding Pharmacy

What Is Sterile Compounding?

Sterile compounding involves preparing medications in a contamination-free environment under controlled conditions. These formulations are used when patients require customized sterile medications that are unavailable through standard pharmaceutical manufacturing — such as injectable therapies, ophthalmic preparations, and intranasal solutions.

A&O Compounding Pharmacy follows rigorous aseptic technique protocols to ensure safety and efficacy in every formulation.

Exceeding Compliance Standards

Clinical Insight

Our facility’s USP <797> compliance, FDA certification, and ISO-classified environment allow us to deliver advanced sterile compounds tailored to precise therapeutic requirements — supporting hospitals, clinics, and research centers across California.

Quality & Safety

Advanced Facility Standards and Quality Controls

Every formulation produced in our sterile suite is compounded in a Class 7 ISO-certified cleanroom, monitored for environmental quality, and verified through independent testing. Our processes include:

  • USP <797> and <800> compliance
  • FDA facility certification for sterile compounding
  • CAP certification for lab precision and performance
  • ISO-classified cleanroom airflow and particulate control
  • Continuous microbial and surface monitoring
  • Multi-stage pharmacist verification and sterility testing

These measures ensure each sterile preparation meets or exceeds regulatory and clinical expectations.

Injectable Medication Capabilities

A&O Compounding Pharmacy prepares a range of injectable medications in preservative-free (PF), single-dose, and multi-dose vial (MDV) options to meet provider specifications. Our sterile injectables include:

Intramuscular (IM) drugs
Subcutaneous (SC or S.Q.) drugs
Preservative-free (PF) drugs
Multiple-dose vial (MDV) preparations
Sodium Phenylbutyrate 200mg/ml (PF)
Tri-Mix 30mg/1mg/10mcg/ml
Tri-Mix 30mg/1mg/20mcg/ml
Tri-Mix 30mg/2mg/20mcg/ml
Tri-Mix 30mg/3mg/30mcg/ml
Tri-Mix 30mg/4mg/40mcg/ml
Tri-Mix 30mg/5mg/50mcg/ml
Tri-Mix 30mg/6mg/60mcg/ml
Tri-Mix 30mg/10mg/60mcg/ml

These sterile formulations allow healthcare providers to deliver customized injectable therapies tailored to individual patient needs.

Advanced Treatment Options

Ophthalmic Compounding and Eye Medications

Our sterile ophthalmic preparations are compounded for both human and veterinary use, providing advanced treatment options for inflammation, infection, and ocular surface disease.

Commonly Compounded Eye Medications

A&O Compounding Pharmacy prepares a variety of ophthalmic medications in sterile solutions to treat a range of eye conditions, including infections, inflammation, and dryness.

Commonly compounded eye medications include:

Acetylcysteine 5% and 10% Ophthalmic Drops

Fortified Tobramycin 14mg/ml Ophthalmic Drops

Fortified Vancomycin 25mg/ml and 50mg/ml Ophthalmic Drops

Cyclosporine 0.5% Ophthalmic Drops

Veterinary Sterile Compounding

Veterinary specialists throughout California rely on A&O Compounding Pharmacy for precision sterile formulations designed for animal patients. We prepare advanced sterile ophthalmic medications that support comfort, healing, and vision preservation across a wide range of species.

Veterinary Compounded Sterile Medications:

Tacrolimus 0.02% Ophthalmic
Tacrolimus 0.03% Ophthalmic
Cyclosporine 1% Ophthalmic
Cidofovir 0.5% Ophthalmic
Idoxuridine 0.1% Ophthalmic

All veterinary compounds are produced in compliance with sterile standards and tailored to the prescribing veterinarian’s specifications to ensure safety, consistency, and clinical reliability.

Commonly Compounded Sterile Formulations

Formulation Type
Purpose
Examples
Injectable Therapies
Custom sterile dosing and delivery
Sodium Phenylbutyrate, Tri-Mix formulations
Ophthalmic Solutions
Treats infection, inflammation, and corneal conditions
Fortified Tobramycin, Vancomycin, Cyclosporine
Veterinary Ophthalmics
Supports ocular health and healing in animals
Tacrolimus, Cidofovir, Idoxuridine
Intranasal Sprays
Neurologic and pain management applications
Trigeminal Neuralgia Spray
Sterile Suspensions
Delivers controlled, accurate dosing
Hormone and peptide-based compounds

Partnering with Providers Across California

Physicians, ophthalmologists, veterinarians, and hospital systems across Monterey Bay, the Peninsula, and Silicon Valley trust A&O Compounding Pharmacy for its consistency and commitment to compliance. We serve as a clinical resource for advanced sterile preparations, from prescription guidance to technical support and documentation.

Providers are invited to contact our sterile compounding team directly to discuss formulation needs, clinical collaboration, or custom solutions.

Experience precision, safety, and confidence in every formulation. Contact A&O Compounding at (831) 769-0458 or visit us at our Salinas location 536 Abbott Street, Salinas, CA 93901 or our San Jose location 2449 Forest Avenue, San Jose, CA 19528 for more information about our sterile compounding services and medications. Our FDA-certified facility proudly serves providers and patients throughout Monterey Bay, the Peninsula, and Silicon Valley.