Application request form

Order STASKA Compounded Medications for Office Use

FDA-registered 503B Office-use ordering No patient-specific Rx

STASKA Pharmaceuticals is an FDA-registered 503B compounding outsourcing facility in Bennet, Nebraska. We supply sterile compounded medications for office use, to licensed healthcare facilities — hospitals, surgery centers, clinics, and IV-hydration and medical-spa providers.

Because STASKA is a 503B outsourcing facility, approved healthcare providers can order in bulk for in-office administration without a patient-specific prescription. Product pricing is displayed after logging in to your approved account.

Start your application

How It Works

  1. 1.

    Apply

    Complete the short application below with your facility and contact details.

  2. 2.

    We Verify

    Our team will review your application and reach out with further information to set up your account.

  3. 3.

    Account Activated

    Once approved, we create your portal login and assign your account its pricing.

  4. 4.

    Order Online

    Log in to browse the catalog, see your pricing, and place and reorder online anytime.

Who Can Order

Licensed healthcare facilities

Products intended for office use by licensed healthcare facilities. Not for individual patient dispensing.

Active provider license

The purchasing provider on the account must hold a valid, active state license.

Tax-exempt accounts

All STASKA accounts are tax-exempt — you are purchasing prescription medications.

What You'll Need

Have these ready — it makes verification fast
Facility name & typeHospital, surgery center, clinic, IV / med-spa, etc.
Purchasing providerName and a valid, active medical license number.
Shipping addressWhere orders deliver — note any cold-chain receiving requirements.
Billing contactName, email, and phone for the account.
Account emailThis is how your team logs in to the ordering portal.

Application request form

Complete the application below to request an ordering account.

Submitting this form does not create an order or trigger any charges. Our team will review your application and reach out with further information to complete your account setup.