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Alvarado Pharmacy Compounding FAQs
Q: What is compounding and what are its benefits?
Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy; yet, compounding’s presence in the pharmacy profession has changed over the years. In the 1930s and 1940s, approximately 60 percent of all medications were compounded. With the advent of drug manufacturing in the 1950s and ‘60s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms. ( Wiki History Article)
Within the last two decades, though, compounding has experienced a resurgence as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs.
There are several reasons why pharmacists compound prescription medications. The most important one is what the medical community calls “patient non-compliance.” Many patients are allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a physician’s consent, a compounding pharmacist can change the strength of a medication, alter its form to make it easier for the patient to ingest, or add flavor to make it more palatable. The pharmacist also can prepare the medication using several unique delivery systems, such as a sublingual troche or lozenge, a lollipop, or a transdermal gel or cream that can be absorbed through the skin. For those patients who are having a hard time swallowing a capsule, a compounding pharmacist can make a liquid suspension instead.
Compounding pharmacists have the opportunity to work with a variety of practice specialties, such as hospice, pediatrics, pain management, and OB/GYN, which in turn broadens the scope of their practices and creates other opportunities to provide other pharmacist care services. Your pharmacy can become a compounding pharmacy – one that is committed to providing high-quality compounded medications in the dosage form and strength prescribed by the physician. This triad relationship between the patient, the physician, and the pharmacist is vital to the process of compounding so all three can work together to solve unique medical problems.
Q: Why would a physician request a compound?
Physicians often prescribe compounded medications for reasons that include (but are not limited to) the following situations:
- When needed medications are discontinued by or generally unavailable from pharmaceutical companies, often because the medications are no longer profitable to manufacture;
- When the patient is allergic to certain preservatives, dyes or binders in available off-the shelf medications;
- When treatment requires tailored dosage strengths for patients with unique needs (for example, an infant, see next FAQ);
- When a pharmacist can combine several medications the patient is taking to increase compliance;
- When the patient cannot ingest the medication in its commercially available form and a pharmacist can prepare the medication in cream, liquid or other form that the patient can easily take; and
- When medications require flavor additives to make them more palatable for some patients, most often children.
Q: Can children or the elderly use compounded medication?
Yes. Children and the elderly are often the types of patients who benefit most from compounding. Often, parents have a tough time getting their children to take medicine because of the taste. A compounding pharmacist can work directly with the physician and the patient to select a flavoring agent, such as vanilla butternut or tutti frutti, which provides both an appropriate match for the medication’s properties and the patient’s taste preferences.
Compounding pharmacists also have helped patients who are experiencing chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. Working with their physician’s prescription, a compounding pharmacist can provide them with a topical preparation with the anti-inflammatory or analgesic their doctor has prescribed for them. Compounded prescriptions often are used for pain management in hospice care.
Q: What kinds of prescriptions can be compounded?
Almost any kind. Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices, which can take the form of solutions, suspensions, suppositories, sprays, oral rinses, lollipops and even as transdermal gels. Compounding applications can include: Bio-identical Hormone Replacement Therapy, Veterinary, Hospice, Pediatric, Ophthalmic, Dental, Otic (for the ear), Dermatology, Medication Flavoring, Chronic Pain Management, Neuropathies, Sports Medicine, Infertility, Wound Therapy, Podiatry, Erectile Dysfunction(ED) and Gastroenterology. (click on any word for a wiki definition link)
Q: Is compounding legal? Is it safe?
Compounding pharmacies are licensed and regulated in the 50 states and the District of Columbia by their respective state boards of pharmacy.
Compounding has been part of health care since the origins of pharmacy, and is widely used today in all areas of the industry, from hospitals to nuclear medicine. Over the last decade, compounding’s resurgence has largely benefited from advances in technology, quality control and research methodology. The Food and Drug Administration has stated that compounded prescriptions are both ethical and legal as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy. In addition, compounding is regulated by state boards of pharmacy.
Our vendor’s Quality Control department is exhaustively devoted to assuring the quality of the chemicals received for our usage in preparing your custom compound. In part our vendor's take steps include obtaining a Certificate of Analysis for all chemicals received, verifying the identity of every bulk chemical received both before repackaging and completing a second identity test after repackaging, conducting regular tests of all chemicals in inventory, and verifying all unique identifier numbers prior to shipping them to us to be used..
As a repackager of unformulated chemicals for pharmacy compounding, PCCA is registered and inspected by the FDA and DEA. The company is also licensed in the state of Texas and other states where licensure is required. ( Wiki Information)
Q: Are doctors or Veterinarians aware of your compounding services?
We go out of our way to make many Physicians and Veterinarians aware of the options for their patients. As a matter of fact we get most of our business through "word of mouth" referrals from Physicians, Pain Management clinics, Veterinarians and Veterinary Clinics.
If you are a Veterinarian or a Veterinary Clinic we invite you to see our Veterinary page and feel free to call our compounding pharmacist with your question at 619.287.5107. |
Q: Is it covered by my Insurance?
Some insurance companies are aware of "custom" or compounded medications and do pay for them, but in most cases since it is a specialty preparation most insurance companies do not cover them. We will give you a price at the time you drop off the prescription. Since these are special preparations we require a credit card to be on file before we begin.
Q: Do you ship?
If we have been provided with a valid prescription we can ship ANYWHERE in the United States.
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