Most pharmacies do not carry compounded lidocaine cream because lidocaine cream is a prescription medication that is a low tissue irritant, does not cause any damage to nerves, is easy to eliminate, and is easy to use. Therefore, it is commonly used for anesthesia on the surface of the skin, such as in pediatric patients where it can be rubbed on the skin in advance of venipuncture. Lidocaine cream is a prescription drug and can only be purchased with a prescription from a licensed physician and a licensed physician assistant, there are also some internet pharmacies where it can be purchased, but they all require a prescription from a licensed physician or a licensed physician assistant to purchase it.