Writing a Prescription for a Compounded Medication – Providers

When Writing A Prescription for a Compounded Medication the Following Information Should be Included:

1) Patient identifications (examples: name, date of birth, address) 2) Date when prescription is written 3) Allergies 4) Indicate prescription is to be compounded 5) Generic name of all of the active ingredients 6) Strength or Dose of medication (examples: %, milligram, grams) 7) Formulation desired (cream, gel, troches, capsule, suppository, ODTs, etc.) 8) Quantity desired and/or days supply needed 9) Directions for use 10) Medical condition being treated 11) Refills, if any. If you have any specific questions regarding formulations, do not hesitate to contact our pharmacy.