Ketamine Cost: Troches, Nasal Spray, Oral Solution, and Topical Prices
A price-focused guide for compounded ketamine prescriptions from U.S.-licensed compounding pharmacies. Updated August 2026.
Quick Answer: What Ketamine Price Should You Compare?
Compare the total per-fill price for the exact formulation your prescriber wrote: route, strength, quantity, shipping, and any combination ingredients.
In the current Compounding Finder price book, priced ketamine rows range from $19.98 to $704.85 per fill. This is not a guaranteed quote.
Key Questions Before You Request Quotes
Can I get Ketamine compounded?
Possibly. A licensed prescriber has to decide whether Ketamine is appropriate, and a licensed compounding pharmacy has to confirm it can legally prepare the requested strength, form, and quantity.
Is a prescription needed?
Yes. Patient-specific 503A compounding is based on a valid prescription order or prescriber notation for an identified patient.
What affects price?
Strength, dosage form, quantity, ingredient sourcing, sterile versus non-sterile preparation, shipping requirements, and each pharmacy's workflow can all change the final quote.
How fast can I get quotes?
For routable requests, Compounding Finder typically returns quote options by email within 1-2 business days after you submit the request details.
What happens after I submit?
We review the request, route it to eligible licensed pharmacies, collect available options, and email you the quoted choices. You decide whether to move forward with a pharmacy.
Source notes: FDA explains that compounded drugs are not FDA-approved finished products and describes 503A compounding around patient-specific prescriptions. See Compounding and the FDA and Section 503A.
Ketamine Price by Formulation
| Formulation bucket | Observed range | Notes |
|---|---|---|
| Sublingual troches, RDTs, and lozenges | $28.95 to $419.95 | Compare strength, count, total per-fill price, shipping, and beyond-use date. 76 priced options matched. |
| Ketamine nasal sprays | $19.98 to $704.85 | Compare concentration, bottle size, sprays per bottle, and whether shipping is included. 101 priced options matched. |
| Oral solutions and capsules | $34.95 to $303.64 | Often priced around route, strength, fill volume or capsule count, and pharmacy workflow. 22 priced options matched. |
| Topical pain creams and gels | $24.95 to $424.95 | Usually custom combinations, so ingredient mix and tube size can move the price substantially. 145 priced options matched. |
| Other ketamine compounds | $28.95 to $359.9 | Rows that do not clearly map to a common route from the available price-book fields. 47 priced options matched. |
Buckets are inferred from pharmacy price-book fields. A pharmacy quote should still be checked against the prescription, quantity, shipping, and beyond-use date.
Ketamine Pharmacy Price Comparison
Pharmacies share their price lists with us so we can quote for you, not so we can publish them, so prices appear here without the pharmacy name attached. Request a quote and we tell you exactly who quoted what.
Prices as of August 2026. Actual costs may vary by prescription. Pharmacies share their price lists with us for quoting, so we publish the prices without naming the pharmacy — submit a free quote request and we tell you exactly who quoted what.
| Pharmacy | Dosage | Form / Qty | Price | Lead Time |
|---|---|---|---|---|
| Cheapest option Exact pharmacy and price unlocked after request | Dose Unlocked after request | Form / Qty Formulation and quantity unlocked | Price | Lead |
| Fastest option Turnaround, pharmacy, and terms unlocked after request | Dose Unlocked after request | Form / Qty Formulation and quantity unlocked | Price | Lead |
| Best-rated option Rating, pharmacy, and price unlocked after request | Dose Unlocked after request | Form / Qty Formulation and quantity unlocked | Price | Lead |
| Pickup option Pickup availability, pharmacy, and price unlocked after request | Dose Unlocked after request | Form / Qty Formulation and quantity unlocked | Price | Lead |
| Unlock the cheapest, fastest, best-rated, and pickup matches — Get a Free Quote → | ||||
| Pharmacy A | 75MG/ML | NASAL SOLN · 7.5 | $21.95 | — |
| Pharmacy A | 0.02 | DENTAL GEL · 1 | $24.95 | — |
| Pharmacy A | 75MG/ML | NASAL SOLN · 1 | $24.95 | — |
| Pharmacy A | 100MG | SUPPOSITORY · 1 | $28.95 | — |
| Pharmacy B | 12.5mg/0.1ml | Nasal Spray · 15 | $68.50 | — |
| Pharmacy C | — | Troche · 30 | $110.00 | 1 day |
| Pharmacy D | — | Troche / Lozenge · 60 | $120.00 | 1 day |
| Pharmacy E | 200mg | Troche / Lozenge · 40 troches | $155.00 | 3 days |
| Pharmacy F | 100mg/mL | — | $160.00 | — |
| Pharmacy G | — | Troche / Lozenge · 60 | $180.00 | 1 day |
| Pharmacy H | 150mg 2-3x a day | Troche / Lozenge · 75 | $250.00 | 5 days |
| Pharmacy I | — | Troche / Lozenge | $300.00 | — |
| Pharmacy B | 12.5 mg/0.1 mL | Nasal Spray | — | — |
Showing top 25 of 392 options. Get a personalized quote for your specific needs.
What Drives Ketamine Cost Up or Down
Dosage form
Troches, nasal sprays, oral solutions, topical creams, and sterile preparations use different workflows, bases, packaging, and beyond-use dating.
Strength and quantity
Higher strengths and larger fills usually cost more per fill, but the per-dose price can be lower on larger quantities.
Combination ingredients
Topical pain creams may include ketamine plus other analgesics, and each extra ingredient can change the quote.
Shipping and state coverage
Controlled-substance handling, shipping method, turnaround time, and pharmacy licensure in your state can affect the final cost.
Legal and Safety Checkpoints
This page is pricing education, not medical or legal advice. A licensed prescriber decides whether ketamine is appropriate, and a licensed pharmacy decides whether it can fill the prescription.
Ketamine Cost FAQ
How much does compounded ketamine cost?
The price depends on route, strength, quantity, pharmacy, shipping, and whether the prescription is a single-ingredient or combination compound. Use the live pricing table as a comparison range, then request pharmacy quotes for your exact prescription.
Why do ketamine troches and nasal sprays have different prices?
Troches, rapid-dissolve tablets, nasal sprays, oral solutions, topical creams, and sterile preparations use different bases, packaging, beyond-use dates, and compounding workflows.
Can I buy ketamine without a prescription?
No. Ketamine is a controlled substance in the United States. A legitimate U.S. pharmacy requires a valid prescription from an appropriately registered prescriber.
Is compounded ketamine FDA-approved?
No. FDA says compounded drugs are not FDA-approved. A compounded ketamine preparation is made for an identified patient under a valid prescription when compounding conditions are met.
Is compounded ketamine the same as Spravato?
No. Spravato is FDA-approved esketamine. Compounded ketamine is a separate compounded preparation and is not FDA-approved as a finished drug product.
Related Resources
Get Real Ketamine Quotes
Tell us the prescribed ketamine route, strength, and quantity. We will request current prices from licensed U.S. compounding pharmacies that can serve your state.