Compounding Timeline
How Compound Medication is Created and Why it Takes 5 to 7 Days to Complete
01
Verification and Clarification
The doctor will either electronically prescribe the medication (e-script), call it in, or you can walk in with a script. The patient’s full address should be on the script, but sometimes doctors omit it. We may need to ask you for it, which might take about 3 minutes. Occasionally, there can be errors on prescriptions, so we may need to call the doctor back to get them corrected, adding another 5 minutes or so. It’s important to note that we cannot change any directions on the prescription without your doctor’s approval first.
02
Inventory and Sourcing
Next, we check if the medications are in stock. If not, we source them from our wholesalers. We then call the patient to quote a price. If they agree, we proceed with ordering the drug. Depending on the wholesaler, the medication can be delivered overnight or within 2 business days. We understand that some delays are out of our hands, but we do our best to expedite the process.
03
Master Formula (New Formulations Only)
A master formula needs to be created for new medications. This formula specifies the equipment used, dosage amounts, compounding instructions, storage requirements, references to scientific research supporting the formula, and the final appearance of the product. Existing medications already have a master formula on file.
04
Documentation
We then create a worksheet with the total volume, lot number, date of preparation, and expiration date (which can be 35 days, 90 days, or 6 months, as per federal law).
05
Labeling and Billing
The prescription is typed out completely, including your full name, address, doctor’s information, shipping information, and billing details (if applicable). This information is stored within your secure personal profile.
06
Creating the Worksheet (Recipe)
We create a detailed worksheet outlining the compounding process. This includes calculations to determine the amount of each ingredient needed per total volume. Each ingredient is then weighed individually.
07
Approval and Compounding
The worksheet and the compounded medication require signatures from both the compounder and the pharmacist before the medication can be dispensed
08
Weighing and Mixing
Each ingredient is precisely weighed out on our scales (which measure in grams). The ingredients are then mixed together, one by one, in an electric mortar and pestle for 2.5 minutes. Creams may require additional milling for about 2 minutes, depending on the volume being made.
09
Ensuring Consistency
The mixture is then returned to the electric mortar and pestle for further mixing to ensure even distribution throughout the final product. This guarantees that you receive the correct dosage with each application (click, pump, drop, etc.).
10
Adding Additional Ingredients (Creams Only)
For creams, additional solvents and inactive ingredients (free of parabens) are incorporated into the formula.
11
Filling and Priming
The medication is then filled into the appropriate packaging (such as a topical clicker, jar, or tube). We ensure all air bubbles are removed, and the medication reaches the bottom of the container. Creams are then primed by clicking them completely to the top, making it easier for you to begin using them.
12
Packaging
The compounded medication is then placed in the appropriate container (tube, topical clicker, ointment jar, capsule, etc.).
13
Labeling and Expiration
Each container is labeled with an expiration date and instructions for storage and application (e.g., room temperature, topical application, shake well, etc.).
14
Documentation and Record Keeping
The original prescription, the completed worksheet, and a sticker with your name, doctor’s name, address, directions, and other relevant information are scanned and linked to your profile. This is done for each compounded medication, including the lot number, manufacturer, expiration date, and NDC number.
15
Final Touches
The final printed prescription label is placed on the package along with the storage and use instructions.
16
Final Check
A pharmacist performs a final check to ensure everything is accurate and complete.
17
Notification and Delivery
We will call you to inform you that your medication is ready for pickup or delivery. If your credit card information is stored in your profile, we will assume you would like it shipped and won’t call for confirmation. Your insurance will be billed if the medication is shipped.
18
Shipping Schedule
Our courier picks up all shipping packages by 3:30