For any questions on formations, please call our Pharmacist at 800-788-8123

Rx

Compounded Medication

1) Generic name of Active Ingredient(s) Strength or Dose (i.e., mg or %) _________

2) Dosage Form:     (i.e., Medicine B, Medicine B) ___________________________

3) Quantity:   ex 10

4) Directions for Use:

 

 

* prescription should begin the phrase “Compounded Medication”