Compounded Low-dose naltrexone (LDN)

Ranges come from the price lists pharmacies in our network share with us for quoting, limited to pharmacies that can take your request, and they are not a quote. Shipping, dispensing fees and the exact prescription change the price; your quotes carry the real numbers and the pharmacy behind each one.

Getting low-dose naltrexone online takes three steps: a prescription, a compounding pharmacy to make it, and delivery. Naltrexone is prescription-only but not a controlled substance, so any licensed prescriber, including a telehealth provider, can write it, and a compounding pharmacy in one state can ship it to you in another.

Commercial naltrexone comes only as 50 mg tablets, so the 0.5 mg to 6 mg doses used for LDN must be compounded. Bundled telehealth subscriptions include the prescriber visit and the medication for a monthly fee; the a la carte route is a one-time prescriber visit and then whichever compounding pharmacy quotes the best price for your strength, count and filler. A prescription is yours to fill anywhere, so you are never tied to the prescriber's pharmacy.

If you already have a prescription, or a prescriber ready to write one, request quotes below. We send the request to compounding pharmacies that make LDN and ship to your state and email you their prices, usually within one to two business days.

Compounded LDN in the USA is low-dose naltrexone prepared by a licensed compounding pharmacy when a prescriber needs a low strength or dosage form that is not commercially available. Standard naltrexone tablets are commonly manufactured at 50 mg, while LDN prescriptions are often written for much lower strengths such as 0.5 mg, 1.5 mg, 3 mg, or 4.5 mg.

A valid prescription is required. Compounding Finder does not prescribe LDN or decide whether LDN is appropriate for a patient; that decision belongs to the patient's licensed clinician and dispensing pharmacist.

The most common compounded LDN form is an oral capsule. Pharmacies may also prepare oral liquid for patients who need slower titration, sublingual tablets or troches for patients who prefer a dissolving form, and topical preparations when specifically prescribed.

Prescriptions should state the exact strength, dosage form, quantity, directions, and any inactive ingredient requirements. This matters for patients who need dye-free, gluten-free, lactose-free, or other excipient-specific formulations.

LDN pricing varies by strength, dosage form, quantity, pharmacy workflow, shipping, and whether the prescription requires special inactive ingredients. A 30-day capsule prescription is usually priced differently from a titration liquid or a 90-day supply.

The pricing range on this page is based on active pharmacy price listings tracked by Compounding Finder. It is not a guaranteed quote. Submit your prescription details to compare current prices from licensed pharmacies that can evaluate the actual formulation.

FDA says compounded drugs are not FDA-approved, which means FDA does not verify the safety, effectiveness, or quality of each compounded preparation before it is marketed. Patients should use licensed U.S. pharmacies, avoid sellers that ship without a prescription, and ask the pharmacy about quality standards for the dosage form being dispensed.

LDN is often discussed for immune, pain, and inflammatory conditions, but off-label use should be evaluated by a clinician who knows the patient's history, medications, and opioid exposure risk.

Prices for the same compounded prescription often differ widely between pharmacies — on almost half of the requests we compared (all medications combined), the highest quote was at least double the lowest. Factors that affect pricing include the pharmacy’s location, their ingredient sourcing, and compounding volume.

By comparing quotes from multiple licensed pharmacies, you can find the best combination of price, quality, and convenience without spending hours making phone calls.