Provider Information
As a compounding pharmacy, we are able to produce unique dosage forms of medications based on your preferences and/or restrictions. Examples include dye-free, preservative-free, alcohol-free, and/or sugar-free forms of medications. To learn more about our ability to customize medications, contact us today at 912-629-0444.
Writing a Compounded Prescription
Rx: Patient Name DOB
Address Phone Number
Compounded Medication*
Generic Name of Active Ingredient(s) / Strength of Dose (i.e. mg or %)
Dosage Form (i.e. cream, suppository, capsule, etc.)
Quantity
Directions for Use
Refills, if any
____________________
(Physician Signature)
Prescriptions accepted via phone, fax, or e-scribe.
Our pharmacists are happy to answer any questions about formulations.
For hand written compound prescriptions, please begin with the phrase “Compounded Medication”