Our compounding combines an ageless art with the latest medical knowledge and state-of-the-art technology, allowing specially trained Pharmacists to prepare customized medications to meet each patient's specific needs. The efficacy of any formulation is directly related to its preparation, which is why THE SELECTION OF YOUR COMPOUNDING PHARMACY IS CRITICAL. At Allz Well Pharmacy our Pharmacists can tweak a formula or develop a unique preparation by taking into account both physical and chemical properties of the active ingredients and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures are in place, stability studies are considered when compounding, and appropriate potency and sterility testing’s are performed.
Compounding is the preparation of a customized medication by a pharmacist according to a doctor’s specifications to meet an individual patient’s need. Compounded medications are made from scratch by combining raw chemicals and powders dispensed through specialized drug delivery devices such as creams, gels, capsules, suppositories or lozenges. Most compounded medications can be made without preservatives, fragrances, dyes, or other allergens.
The right – if not the obligation – to compound exists under the pharmacy laws of each of the fifty states and is pervasively regulated by state pharmacy boards and other governmental agencies. States require that pharmacy schools instruct students on the compounding of pharmaceuticals as part of their core curriculum. Pharmacists are the only health care professionals who study chemical compatibilities and can prepare dosage forms. Even when modern scientific technologies produce new chemical entities, the ability to combine chemicals into new preparations or process the existing dosage form into one that is better suited to the patient’s needs has remained the domain of the pharmacist. The compounding of medications by pharmacists is a long-standing and traditional part of pharmacy. In fact, before the advent of multinational pharmaceutical companies, the majority of medications were prepared at local independent pharmacies.
Yes. Compounding is legal throughout the United States, and the importance of compounding has been Congress. On November 9, 1997, Congress passed the Food and Drug Administration Act of 1997 (“Modernization Act”), amending the Federal Food, Drug, and Cosmetic Act (FDC Act). The Modernization Act includes new section 503A “Pharmacy Compounding,” which recognizes that pharmacy compounding is legal in the United States. In its report on the issue, Congress made it clear that patients must be permitted to have continued access to the important health care services provided by compounding pharmacies. The sponsor of the law, Senator Tim Hutchinson of Arkansas, stated that the purpose of Pharmacy Compounding law is to “ensure that pharmacists and doctors across the country will be able to continue to provide individualized care and treatment of their patients.” Congress passed the Pharmacy Compounding law at the behest of pharmacists who wanted clear Congressional recognition that compounding was an important component of pharmacy practice.
Yes. We use UPS to ship our packages within the continental United States and the US Postal Service to ship to Canada. All medications are expertly packed, shipped and insured for safe arrival. Patients are charged only for the shipping costs actually incurred by us. No extra handling fees are added. When necessary, ice packs and a cooler are used to maintain product stability at an additional cost of $10.00.
We accept Visa, MasterCard, Discover, and American Express. Because the medications we compound are custom made for each individual, we require payment before filling a prescription. Most patients elect to keep their credit card information on file with us so that we can automatically charge their account whenever they place an order. Alternately, patients can pay by check, cash, or money order.
There are several reasons why prescribers and pharmacists provide compounded medications for patients. The primary reason for compounding is to avoid improve compliance. Additionally, many patients are allergic to preservatives or dyes, or require a dosage that is different from the standard drug strengths produced by the pharmaceutical manufacturers.
With a physician’s consent, a compounding pharmacist can:
- Adjust the strength of a medication
- Avoid unwanted ingredients, such as dyes, preservative, lactose, gluten, or sugar
- Add flavour to make the medication taste better
- Prepare medications using unique delivery systems
Yes! Children and the elderly are often the types of patients who benefit most from compounding. It is pretty common for parents to have a tough time getting their children to take medication because of the taste. All Well will work directly with the physician and the patient to select a flavoring agent, such as cherry, bubblegum, grapeor vanilla butternut that works with the patient’s taste preferences.
Compounding pharmacists also can help elderly patients who experience chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. But with an Allz Well pharmacist working hand-in-hand with your physician, we can provide these patients with anti-inflammatory or pain-relieving medications with topical preparations that can be absorbed through the skin. Compounded prescriptions frequently are used to ease pain, nausea and other symptoms for hospice patients as well.
Over the last few decades, compounding’s resurgence has benefited col-lgly 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 pharmacist. In addition, the various states’ boards of pharmacies regulate the practice of compounding medications.
Some insurance plans allow the patient to be reimbursed by sending in claim forms. While you may be paying a pharmacy directly for a compounded prescription, many insurance plans may cover the final cost.
Compounding may or may not cost more than conventional medication. Its cost depends on factors such as the type of ingredients and equipment required, and the time the pharmacist spends researching and preparing the medication. Most compounded medications arevery competitively priced with commercially manufactured products.
The FDA approval process is intended for mass-produced drugs made by pharmaceutical manufacturers. Since compounded medications are customized for individual patients, the federal government has approved the use of compounded medications for those individuals who have received a prescription for that specific compounded medication.
An Allz Well compounding pharmacistcan provide access to discontinued medications and drugs in short supply by compounding the specific drug, based on a physician’s prescription, using pharmaceutical-based ingredients. We have access to the highest quality pharmaceutical ingredients, and can compound a prescribed medication using the latest research, quality control processes and testing technologies.
Is custom compounding right for you? Ask your healthcare practitioner or pharmacist today about the benefits of personalized prescription compounding.
What does compounding offer?
Compounding enables prescribers and pharmacists to meet the specific needs of patients. One of its most important benefits is to those patients who have difficulties with commercially available medication. With the prescriber’s authorization, pharmacists can custom-prepare medications in a variety of unique dosage forms, including:
- Oral liquids
- Troches or lollipops
- Topical preparations
- Eye and ear drops
- Nasal sprays
- Sterile injections
Custom flavouring is also available for most oral medication forms, and unique delivery systems may be employed to help give medication to picky patients.
Medication can also be compounded into customized capsules, especially in cases where an alternate strength is required or to omit potential allergens or irritants, such as dyes, preservatives, or gluten. To lessen the number of pills taken daily, multiple medications often can be combined into a single dosage or made into sustained-release capsules. Vegetarian capsules made from cellulose are available for patients who do not want to take a gelatin capsule.
Many medications can be compounded as oral liquids for those patients who have difficulty swallowing tablets and capsules. Some patients may have problems tolerating the taste of a commercially available liquid, but a compounding pharmacist at Allz Well can make a pleasant-tasting, custom-flavoured oral solution or suspension which can be administered easily and accurately.
Troches and lollipops are used to keep drugs in the mouth when local action is needed there. Troches also may be placed under the tongue and allowed to dissolve, which allows the medication to enter the bloodstream quickly and easily. Some troches can be chewed and swallowed by a patient who cannot or will not take a capsule or tablet. These dosage forms can be enhanced with natural sweeteners and pleasant-tasting flavours, making them ideal for geriatric and paediatric patients.
Topical methods of delivery also are widely used because they allow the absorption of medicine directly through the skin and avoid systemic effects such as stomach upset or drowsiness. Topical medication forms include:
- Creams and lotions
- Stick applicators, such as lip balms
Patients who cannot take medications orally are ideal candidates for compounded suppositories. Suppositories can be given rectally, vaginally or urethrally. By melting or dissolving into the body cavity, suppositories allow medications to pass quickly into the bloodstream. Suppositories can be used for hormone replacement therapy (HRT), to fight nausea or to treat local conditions such as haemorrhoids, infections or inflammation.
Ask your Allz Well Pharmacist today about alternate dosage forms and compounding.
- Variations in dosage form and strength can be made to make the medication more pleasant to take and specific to need.
- Reducing potential side-effects by varying drug formulations based on patients’ tolerance & suitability like lactose, sugar, gluten, preservatives and dyes.
- Making hard to find medications or discontinued medications available.
- Many medications can be compounded into one dose which can be helpful with hospice patients or patients on several medications.