What is prescription compounding?
Prescription compounding is the Art and Science of Creating Personalized Medications. The compounding pharmacists play a critical role, enabling providers to take a functional and well-designed approach to the patient’s medication. This mostly entails the compounding of custom medication, but in many cases also involves being more involved in the patient’s program for health, than just the perfunctory dispensing of commercially available medication, it may also involve medication therapy management, lifestyle coaching, and the using of high-quality professional line supplements.
The compounding itself gives the prescriber latitude to address a patient’s needs specifically, and address any sensitivity, allergies, or other restrictions if they exist.
A prescription is written by physicians and prepared by a pharmacist who is often specially trained, for individual patients. These preparations are not commercially available; rather, they are prescribed by a physician, dentist, veterinarian or other legally authorized prescriber and prepared to meet the individual’s unique needs. Examples include:
- The patient is a child who cannot take a pill and needs a liquid version of a medication, or a smaller dose than is available through mass manufacturing.
- The patient cannot tolerate one or more of the components of a manufactured drug (such as preservatives, sugar or gluten)
- A manufacturer decides to stop making a medication for economic reasons.
We pride ourselves on taking the extra time, and making the extra effort to work closely with our prescribers and patients, we take these relationships very seriously. And carry that over into all aspects of our organization.
Are compounded drugs covered by insurance?
In most cases, insurance companies cover prescriptions. When we receive your prescription, a Case Manager will contact you and verify your insurance coverage and exact co-pay.
What are the benefits of compounding?
Sometimes, the health needs of a patient cannot be met by an FDA-approved medication. Customized medications make available many products and benefits not found in commercially available medications, such as:
- Alternative dosage forms
- Doctor specific formulations
- Combination drug therapies
- Modified dosages
- Cost effective therapy
- Backordered and/or discontinued medications
- if a patient has an allergy and needs a medication to be made without a certain dye; or
- if an elderly patient or a child can’t swallow a pill and needs a medicine in a liquid form that is not otherwise available.
Can my child (or my elderly parent) take 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.
Is compounding expensive?
Not necessarily. Its cost depends on the type of dosage form and equipment required, plus the time spent researching and preparing the medication. Fortunately, compounding pharmacists have access to pure-grade quality chemicals which dramatically lower overall costs and allow them to be very competitive with commercially manufactured products.
Are Compounding Pharmacies Safe? Legal?
Compounding has been part of healthcare since the origins of pharmacy and is used widely 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.
Generally, state boards of pharmacy will continue to have primary responsibility for the day-to-day oversight of state-licensed pharmacies that compound drugs in accordance with the conditions of section 503A of the FDCA, although FDA retains some authority over their operations.
In every field of medicine, there are some patients who don’t respond to traditional methods of treatment. Sometimes they need medicine at strengths that are not manufactured by drug companies. Sometimes they simply need a different method of ingesting a medication. Pharmaceutical compounding meets these needs. It provides a way for doctors and compounding pharmacists to customize an individual prescription for the specific needs of their patient.
What are examples of compound drugs?
Almost any kind. Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices, which can take the form of solutions, suppositories, sprays, oral rinses, lollipops and even as transdermal sticks. 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, and Gastroenterology:
- Physician-specific formulations
- Combination drug therapies
- Modified dosages
- Cost effective therapy
- Backordered and/or discontinued medications
- Clotrimazole in DMSO solution
- Cyclobenzaprine/Ketoprofen transdermal gel
- Dexamethasone iontophoresis solution
- Fluconazole/Ibuprofen topical gel
- Ketamine/Gabapentin transdermal gel
- Ketoprofen 10% transdermal gel
- LAT topical gel
- Lidocaine/Hydrocortisone “rectal rocket” suppository
- Nutritional Supplements
- Rehydration Drinks
Does Valuecare pharmacy have the experience to meet my needs?
Valuecare pharmacy was established in 2010 to meet the growing need for high quality compounding services. Through diligent effort and attention to precision, Valuecare pharmacy was soon recognized as the premiere compounding pharmacy in New York.
- Pain management
- Dermatology and Wound care
- Bio Identical Hormone Replacement (BHRT)
- Compounds for Autism
- Colorectal Compounding
Pain varies from person to person, which means effective pain management must be flexible. Because there are many types and causes of pain, the most effective treatment plans consider all aspects of a patient’s situation, including:
- The type of pain (acute or chronic)
- The cause of pain
- The patient’s medical history
Finding the Right Treatment Path
Individualized medicine offers unique treatments for pain that can enhance your current treatment plan, attack your pain from various angles and improve your quality of life.
With a prescription from your physician, our pharmacists offer customized medication options – along with the ability to combine multiple medications and customize dosing – possibly making a significant difference in managing pain.
Dermatological and Wound Care
Valuecare Pharmacy Compounding prepares a variety of skin-care compounds for various dermatological conditions.
Moreover, our pharmacy offers these compounded products for our dermatology practitioners:
- Scar Formulations
- Triamcinolone with Camphor, Menthol and/or Phenol
- Lactic and/or Salicylic Acids
- Retinoic Acid
Please ask us about private labeling opportunities.
Our compounding professionals can prepare individualized therapies for a myriad of dermatologic problems. Compounding pharmacists continue to improve both the aesthetic and therapeutic aspects of customized medications, offering alternatives and advantages for dermatology. We can compound medications into cosmetically appealing creams, topical sprays, and powders.
We work together with prescriber and patient to solve problems, and all formulations are customized per prescription to meet the unique needs of each patient. Therapeutic results depend not only on the selection of drug, but also the use of a proper base and preparation technique. Please contact our compounding pharmacist to discuss the dosage form, strength, and medication or combination that is most appropriate for your patient.
The following list is just a few of the preparations that we can compound for dermatology.
- Alpha Lipoic Acid cream
- “BLT” gel (benzocaine, lidocaine, and tetracaine)
- Cholestyramine ointment
- 2Deoxy DGlucose (2DDG) in various dosage forms such as creams, lip balms, and oral rinses
- Dapsone cream
- Kojic Acid, Hydroquinone, Retinoic Acid gel
- Pseudocatalase cream
- Tamoxifen topical
- Trichloroacetic Acid/Lactic Acid/Azelaic Acid topical solution
- Urea 40% ointment
Bio Identical Hormone Replacement
Bio Identical Hormone Replacement (BHRT) is a complex task a practitioner in close collaboration with the patient attempts to complete in order to re-balance the patient’s hormones, whether the patient be a female or male.
The most common cases are female patients who encounter moderate to severe hormonal decline/imbalance around menopausal years coming up with a whole array of unpleasant symptoms requiring medical help.
The terminology is still controversial despite the proven facts. Every single hormonal component used in BHRT has the identical molecular structure to the one a human body produces.
There are FDA approved commercially available bio-identical hormonal products, such as Estradiol presented in different brand names, different strengths, different dosage forms and different routes of administration: Climara cream, Estring vaginal ring, Estrace tablet or cream, Femring vaginal ring, Vivelle cream, etc. Same goes for Progesterone presented as Prometrium capsules.
Then one might wonder why there is a need for a compounding pharmacy for BHRT. The answer is simple: customization. Every single individual is unique, particularly when it is about hormonal re-balance.
Biologically identical hormones (the same molecular structure as our own body makes) are a safer version for attempting to correct the imbalance compared to synthetic ones that can have more severe negative side effects. The key to success is proper assessment and an individualized, holistic approach.
BHRT with the help of a compounding pharmacy
Our hormone response is as unique as our fingerprints. Therefore there is no magic hormone or combination of hormones that can be indiscriminately used by all women. Each woman is an individual and hormonal balance must be the ultimate goal for all women.
Joseph Collins, N.D.
Using a compounding pharmacy is currently the only way to get a customized approach for the purpose of correcting the imbalance.
As a compounding pharmacy with many years of experience, particularly on this topic, we offer not only a large variety of BHRT products that can satisfy the most sophisticated practitioner or patient, but we also offer thorough BHRT education for practitioners willing to learn about it and implement BHRT in their practice.
Compounds for Autism
The autistic population is affected by many food and medication allergies. Valucare pharmacy Compounding can custom formulize prescriptions that are free of common problem causing ingredients such as yeast, gluten, wheat, casein, dye or sugar.
The difficulty of getting children to take their medication can become even more challenging when the child suffers from Autism.
We can prepare the medications in the following forms:
- Nasal Spray
The compounded medications are sugar free, dye free, gluten free. We can custom compound unique doses and dosage forms.View more
Each patient’s colorectal health problems are unique, and our flexible treatment plans address many different conditions, including:
- Anal fissures
- Post-surgical pain
Bellevue pharmacists understand these conditions are both painful and personal. Our cutting-edge solutions, like topical Nifedipine and Lidocaine creams, help provide fast pain relief and promote complete healing.
Topical Treatments for Colorectal Health
Topical formulations can be a great option for treating colorectal issues. Combining multiple medications provides potentially significant flexibility for the physician and relief for the patient. Here are some benefits of treating topically:
- High quality Active Pharmaceutical Ingredients (APIs)
- Ideal absorption
- Flexible dosing and ease of administration