1. Commonly Requested Dental Compounding Ideas
‒ FOR PCCA MEMBER USE ONLY ‒
Please Contact PCCAʼs Pharmacy Consulting Department With Questions Regarding The Formulations
Dry Sockets
PCCA Formula # 1630 Benzocaine 25% Compound Dental Gel
PCCA Formula # 1155 Benzocaine Compound Ointment
PCCA Formula # 2349 Benzocaine/Eugenol Dressing
PCCA Formula # 1955 Benzocaine 16.7% Dry Socket Paste
PCCA Formula # 1438 Benzocaine Compound Socket Paste
PCCA Formula # 0523 Lidocaine HCl 15%/Prednisolone 0.5%/Compound Eugenol
Socket Liquid
Dry Mouth
PCCA Formula # 5414 Pilocarpine Hydrochloride 5 mg Sorbitol Lollipop™ Base
PCCA Formula # 1433 Pilocarpine HCl 2 mg Base A Troche
PCCA Formula # 2850 Pilocarpine 10 mg/ml Oral Spray
PCCA Formula # 1330 Electrolyte Base A Troche
PCCA Formula # 0206 Saline/Glycerin Oral Suspension
Burning Mouth Syndrome
PCCA Formula # 2634 Salicylic Acid 0.3% Mouthwash
PCCA Formula # 3327 Capsaicin 0.25 mg Base A Troche
PCCA Formula # 5539 Salicylic Acid 0.3% Mouthwash, Alternate
PCCA Formula # 9959 Amitriptyline HCl 2%/Gabapentin 6%/Lidocaine HCl 0.5% Oral Rinse
Anesthetic
PCCA Formula # 9957 Lidocaine HCl 10%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel (FormulaPlus™ BUD Study)
PCCA Formula # 9201 Lidocaine HCl 20%/Tetracaine HCl 4%/Phenylephrine HCl 2% Dental Gel
PCCA Formula # 9849 Lidocaine HCl 10%/Phenylephrine HCl 2%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel
PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base
Anesthetic (Non-Caine)
PCCA Formula # 7440 Dyclonine HCl 1% Oral Dental Solution
PCCA Formula # 2841 Dyclonine HCl 1% Oral Gel
The 30 mL Collapsible Bottle
Anti-Gag Reflex (PCCA #35-1283) is used for
PCCA Formula # 3811 Electrolyte Polyglycol Troche™ Base Lollipop
the Polyox Bandage.
PCCA Formula # 1330 Electrolyte Base A Troche
PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base
Mouth Ulcers
PCCA Formula # 0093 Polyox 301 Bandage A variety of drugs may be incorporated into this formula.
See Patient Instructions for Use of Oral Mucosal Bandage, PCCA Document #97763.
PCCA Formula # 1687 Oral Adhesive Paste A variety of drugs may be incorporated into this formula.
PCCA Formula # 2186 Polyphenol Sulfonic Acid Complex
PCCA Formula # 0522 Tetracycline HCl 125 mg/Nystatin 60417 units/Diphenhydramine HCl 12.5 mg/
Hydrocortisone 2.3 mg Base A Troche
PCCA Formula # 3135 Tetracycline HCl 1.25%/Nystatin 12000 u/mL/Hydrocortisone 0.05%/Chlorpheniramine Maleate 0.02% Mouthwash
PCCA Formula # 3720 Misoprostol 0.0024%/Diphenhydramine HCl 0.1%/Compound Oral Rinse (Radiation Burn Mouth Rinse)
PCCA Formula # 7035 Morphine Sulfate 1 mg/mL Oral Gel
PCCA Formula # 3210 Triamcinolone in Oral Adhesive Paste
Halitosis
PCCA Formula # 0529 Chlorophyllin 0.2% Mouthwash
PCCA Formula # 3396 Sodium Hypochlorite 0.12% Mouthrinse
Root Canal
PCCA Formula # 5270 EDTA 17% Dental Solution
PCCA Formula # 3929 EDTA/Urea Hydrogen Peroxide Dental Cream
© 2011 PCCA. All Rights Reserved.
No claims are made as to the safety, efficacy or use of these formulations.

2. Commonly Requested Dental Compounding Ideas
‒ FOR PCCA MEMBER USE ONLY ‒
Please Contact PCCAʼs Pharmacy Consulting Department With Questions Regarding The Formulations
Teeth Whitening
PCCA Formula # 4068 Urea Hydrogen Peroxide 17% & 35% Gel
PCCA Formula # 7855 Carbamide Peroxide 22%/Potassium Nitrate 5%/
Sodium Fluoride 2% Dental Gel
PCCA Formula # 9218 Carbamide Peroxide 16% Dental Gel
Nausea
PCCA Formula # 9491 Promethazine HCl 25 mg/Gm Topical Lipoderm®
(FormulaPlus™ BUD Study)
PCCA Formula # 8986 Ondansetron 4 mg/0.1 mL Topical Lipoderm®
Periodontal Treatment
PCCA Formula # 4135 Metronidazole 25% Dental Gel
PCCA Formula # 3934 Hydrogen Peroxide 15 mg/mL Oral Gel
PCCA Formula # 4350 Minocycline HCl 2% Periodontal Gel
PCCA Formula # 9604 Metronidazole 45.5%/Ciprofloxacin HCl 45.5%/Minocycline HCl 9% Dental Paste (3 Mix MP)
PCCA Formula # 6035 Poloxamer 407 30% Gel Delivery system for drugs in periodontal use.
Use this formula instead of the pre-made poloxamer since itʼs for oral use.
Hemostatic
PCCA Formula # 4930 Tranexamic Acid 4.8% Solution For patients on antiocoagulant therapy.
Temporomandibular Joint Disorder (TMJ)
PCCA Formula # 9380 Ketoprofen 5%/Cyclobenzaprine HCl 0.5%/Lidocaine HCl 5%/Bupivacaine HCl 1% Topical Lipoderm®
PCCA Formula # 9384 Ketoprofen 10%/Cyclobenzaprine HCl 2% Topical Lipoderm®
PCCA Formula # 9237 Potassium Chloride 6%/Potassium Citrate 6%/Potassium Nitrate 6% Topical Gel
Angular Chelitis / Angular Chelosis
PCCA Formula # 9442 Clotrimazole 2%/Ibuprofen 2%/Tea Tree Oil 5% Topical Cream
PCCA Formula # 9443 Miconazole 2%/Ibuprofen 1%/Tea Tree Oil 1% Topical Cream
Oral Lichen Planus
PCCA Formula # 7399 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Adhesive Paste
PCCA Formula # 7400 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Rinse
PCCA Formula # 7401 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Polyox Bandage
PCCA Formula # 7402 Tretinoin 1 mg/Clobetasol Propionate 0.5 mg Polyglycol Troche
PCCA Formula # 0321 Triamcinolone 0.1% Oral Rinse (PF)
PCCA Formula # 3210 Triamcinolone in Oral Adhesive Paste
Thrush (Oral Candida)
PCCA Formula # 5954 Amphotericin 100 mg Gelatin Troche
PCCA Formula # 5185 Amphotericin B 100 mg/mL Oral Suspension
Alcohol-Free Chlorhexidine
PCCA Formula # 2146 Chlorhexidine 0.12% Oral Rinse
PCCA Formula # 8226 Chlorhexidine Gluconate 0.2% Oral Rinse, Alternate
Herpes
PCCA Formula # 4963 Acyclovir 2%/Deoxy-D-Glucose (2) 0.2% Lip Balm
PCCA Formula # 0937 Acyclovir 5%/Lidocaine 1% Lip Balm
PCCA Formula # 2266 Acyclovir 10% Flavored Lip Ointment
Pre-Procedure Anxiety
PCCA Formula # 2672 Midazolam 12.5 mg Sorbitol Lollipop™ Base
PCCA Formula # 5413 Ketamine 50 mg Sorbitol Lollipop™ Base
© 2011 PCCA. All Rights Reserved.
No claims are made as to the safety or efficacy of these formulations.