HOW TO PRESCRIBE
Custom Compounded Products

Writing a compounded prescription is very similar to a standard medication. The most complex part is choosing the active pharmaceutical ingredient(s) (API) and the dosage form. Please visit our Compounded Specialties page or call us if you have questions.

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Please include the following information:

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• Patient name and date of birth

• Patient phone number

• Active drug name(s)

• Dose/Strength/Concentration of each drug

• Dosage Form (i.e. Oral Tablet, Vaginal Cream, Rectal Suppository, etc.)

• Directions for use

• Quantity to be dispensed

• Number of refills authorized

• Contact information for prescriber