What Koshland Pharm does

Koshland Pharm is a PCAB-accredited custom compounding pharmacy headquartered at 301 Folsom St. in San Francisco, founded in 2009 and operating with 11–50 employees as a private company. The business prepares personalized prescription medications at the direction of licensed healthcare providers, including hormone replacement therapy, sublingual semaglutide, low-dose naltrexone, thyroid medications, dermatologic formulations, pediatric, psychiatric, dental, sinus/ear/throat, and veterinary compounds. Compounded medications are dispensed only within California, and the company's PCAB accreditation is the only such credential held by a compounding pharmacy in San Francisco.

The company operates a dual business model. On the prescription side, it runs a B2B2C prescriber-referral pipeline in which physicians submit customized formulations via a secure online RX order form or fax, with staff verification before compounding. On the consumer side, it sells a curated catalog of vitamins, supplements, and Obagi/SuzanObagiMD professional skincare products directly through an e-commerce storefront, with free shipping and a subscription option that gives a 10% discount on recurring orders. Marketing targets both audiences via email newsletters, Patient Advisory Leaflets, prescriber webinars, and virtual pharmacy tours.

The revenue model is a mix of per-prescription compounded medication sales, one-time OTC purchases, and recurring subscription revenue. Strategic supplier relationships include Pure Encapsulations, Integrative Therapeutics, Metagenics, and Obagi Medical Products. The business is independently owned with no disclosed institutional funding, and its growth levers are product-line expansion (e.g., semaglutide, Tri-Mix/Bi-Mix in 2024–2025) and recurring refills rather than geographic scaling, given the California shipping constraint.

Name

Koshland Pharm

Legal name

Koshland Pharm

Website

https://koshlandpharm.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

Koshland Pharm is a PCAB-accredited custom compounding pharmacy in San Francisco that prepares personalized prescription medications for California patients via prescriber referrals and sells pharmacist-curated vitamins, supplements, and Obagi skincare through an e-commerce subscription storefront.

Ownership category

akta.pro rank

Product category

Custom Compounding Pharmacy

NAICS

Pharmacies and Drug Retailers (456110), Pharmaceutical Preparation Manufacturing (325412), Food (Health) Supplement Retailers (456191)

SIC

Retail-Drug Stores And Proprietary Stores (5912), Pharmaceutical Preparations (2834)

akta.pro primary industry

Specialty Pharmacies (Complex/High-Cost Therapies) (HLAFALAC)

akta.pro secondary industries

Compounding & Customized Medication Management Support (HSABALAL), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG), KOL Engagement & Medical Education (Advisory Boards/CME Support) (HLAGALAM), Primary Care & General Medicine Pharmaceuticals (HLAIAAAA)

Keywords

• Custom compounding pharmacy
• Compounded prescription medications
• Pharmacist-curated supplements
• Medical-grade skincare
• Hormone replacement therapy

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Compounded Prescription Medications: Custom compounded medications prepared at the direction of healthcare providers for individual patient prescriptions. These are not FDA-approved drugs but are prepared following strict quality standards under PCAB accreditation.
2. Over-The-Counter Supplements and Skincare: Curated vitamins, minerals, and skincare products sold through e-commerce with optional subscription model offering 10% discount on recurring deliveries. Free shipping on all online orders.
3. Obagi Skincare Products: Professional-grade skincare products including Obagi 360 System, CLENZIderm MD, ELASTIderm, and SuzanObagiMD product lines sold at various price points with subscription options.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Koshland Pharm is a PCAB-accredited compounding pharmacy that prepares customized prescription medications in personalized dosages, forms, and combinations at the direction of licensed healthcare providers. Offerings span hormone replacement therapy, sublingual semaglutide, low dose naltrexone, thyroid, dermatologic, pediatric, psychiatric, sinus/ear/throat, dental, and veterinary compounds. The company also retails pharmacist-curated vitamins and supplements plus Obagi medical-grade skincare through an online store with a subscription option.

Product overview

Koshland Pharm is a PCAB-accredited custom compounding pharmacy in San Francisco offering two primary product categories: Custom Compounded Medications and Over-The-Counter Products. Custom Compounded Medications include hormone replacement therapy, sublingual semaglutide, Low Dose Naltrexone, thyroid medications, methylene blue, dermatologic medications, Tri-Mix/Bi-Mix injections, pediatric medications, psychiatric medications, sinus/ear/throat medications, dental medications, and veterinary medications - all prepared at the direction of healthcare providers and customized to individual patient needs. Over-The-Counter Products include pharmacist-curated vitamins, minerals, and supplements organized by category (Adrenal Support, Allergy Relief, Bone Health, Brain Health, Cardiovascular Support, Detox, Digestive Support, Immune Support, Men's Health, Metabolism/Weight Loss, Pain/Inflammation, Sleep Support, Thyroid Support, Women's Health, Vitamins/Minerals) plus Obagi medical-grade skincare products. The company also offers a subscription model with 10% discount for recurring orders.

Differentiator

Problem solved

Functional benefit

Products and services

• Custom Compounded Prescription Medications Pharmacist-prepared personalized prescription medications tailored to individual patient needs, including hormone replacement therapy, sublingual semaglutide, low dose naltrexone, thyroid, dermatologic, pediatric, psychiatric, sinus/ear/throat, dental, and veterinary compounds. Dispensed only with a valid prescription from a licensed healthcare provider, accepted via secure online Rx order form or fax.
• Vitamins and Supplements Pharmacist-curated line of vitamins, minerals, and dietary supplements organized by health category (adrenal support, allergy relief, bone health, brain health, cardiovascular support, detox, digestive support, immune support, men's health, metabolism/weight loss, pain/inflammation, sleep support, thyroid support, women's health, vitamins/minerals). Sold via e-commerce with optional monthly subscription at 10% off and free shipping.
• Obagi Medical-Grade Skincare Authorized retail of Obagi and SuzanObagiMD professional skincare product lines, including Obagi 360 System, CLENZIderm MD, ELASTIderm, Professional-C Serums, Obagi Hydrate, and SuzanObagiMD cleansers, toner, IDR, and Retivance. Available for one-time purchase or subscription with free shipping.
• Online Prescription Refill Service Online refill system allowing existing patients to conveniently reorder their compounded prescription medications, with verification by pharmacy staff.

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Five partnerships are on record, tiered minor and core.

• Pure EncapsulationsminorOthersThird-party supplement brand whose products are sold through Koshland Pharm's e-commerce platform. Products include Pregnenolone, Melatonin 20mg, and other professional-grade supplements.
• Integrative TherapeuticsminorOthersThird-party supplement manufacturer whose products are sold through Koshland Pharm. Products include DHEA-5, Cortisol Manager, HPA Adapt, Active B-Complex, Enterogenic Intensive 100, Lipotropic Complex, Pure Omega HP, Pure Omega Ultra HP, Lavela WS 1265, and L-Theanine.
• MetagenicsminorOthersThird-party supplement brand available through Koshland Pharm. Products include HerWellness Estrovera for menopausal symptom relief.
• Obagi Medical ProductscoreOthersProfessional skincare brand partnership for Obagi Skincare products including Obagi 360 System, CLENZIderm MD, ELASTIderm, Professional-C Serums, and Obagi Hydrate. Koshland Pharm is an authorized retailer of Obagi professional skincare products.
• SuzanObagiMDminorOthersProfessional skincare line created by Dr. Suzan Obagi, available through Koshland Pharm including cleansing wipes, foaming cleanser, balancing toner, Intensive Daily Repair, and Retivance complex.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Pavilion Compounding Pharmacy: Atlanta-based PCAB-accredited compounding pharmacy serving patients and prescribers across multiple states. Closely comparable to Koshland in PCAB-accredited, multi-therapeutic compounding with strong prescriber engagement.
• VLS Pharmacy (formerly Village Pharmacy): A Brooklyn-based 503A compounding pharmacy producing custom sterile and non-sterile preparations including HRT, pediatric, and dermatologic compounds. Comparable to Koshland as a multi-therapeutic compounder with prescriber partnerships.
• Wedgewood Pharmacy: One of the largest U.S. compounding pharmacies, focused heavily on veterinary compounding but also serving human prescriptions. Comparable to Koshland in custom-compounding operations, though at much greater scale and broader therapeutic reach.
• The Compounding Center: PCAB-accredited custom compounding pharmacy offering sterile and non-sterile preparations including HRT, men's health, and pediatric compounds. Comparable in scope and accreditation-driven positioning.
• Pharmaca Integrative Pharmacy: Retail pharmacy chain combining prescription dispensing with curated natural supplements and skincare. Closely mirrors Koshland's dual pharmacy + curated OTC/supplements + beauty positioning and pharmacist-curated merchandising.
• Tailor Made Compounding: PCAB-accredited compounding pharmacy offering personalized medications including HRT, thyroid, and weight-loss compounds. Directly comparable to Koshland in service mix, accreditation profile, and prescriber-referral go-to-market.
• Boothwyn Apothecary: A Pennsylvania-based compounding pharmacy offering customized prescription medications across multiple therapeutic areas, with a similar B2B2C prescriber-driven model. Directly comparable to Koshland in core compounding capabilities and prescriber relationships.

Emerging players

• Ro (Roman): Direct-to-patient telehealth and pharmacy platform offering compounded men's health, HRT, and weight-loss products nationwide. Competes with Koshland for the same patient demand categories but with a digital, multi-state operating model.
• CustomMed Apothecary: A smaller specialty compounder offering personalized prescriptions including hormone and wellness formulations. Comparable to Koshland in therapeutic mix but at a smaller scale and narrower geographic footprint.
• Hims & Hers Health: National telehealth and pharmacy platform with growing offerings in HRT, men's health, and weight management. Overlaps with Koshland's patient demand profile and represents a digitally native, well-capitalized competitive threat in California.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Koshland Pharm