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Writing Prescriptions

 

Click here for a printable version of “How to Write for Compounded Prescriptions”

 

Rx     Patient: _____________________________

             Date:____________________

             Address: ____________________________

             City/St/Zip: _______________________

             Home phone:____________________

             Work Phone: _______________________

             Allergies: ____________________________

Compounded Medication
(please indicate it’s a compounded prescription)

Generic name of active buy lasix online pharmacy ingredient(s) / Strength or Dose (i.e. % or mg)

____________________________________________________

 

Dosage Form (i.e., Transdermal, suppository, capsule, troche)

_______________________________________________

 

Quantity _____________________

Sig _____________________________________________ 

 

Physician (print): ________________________________

Physician phone: ________________________________

Physician signature: ______________________________

 

Please contact our pharmacy for specific questions regarding formulations: 989.791.1691 or 866.883.8868 (toll free)

Check out the photos of where our tote bag has traveled!

Watch Mike Collins R.Ph. and Amy Dwyer R.Ph. , Nutritionist on the PBS, Life After 50 program
Mike Collins R.Ph., FIACP speaks about pain medications
Amy Dwyer R. Ph. Nutritionist speaks about supplements
Mike Collins R.Ph., FIACP speaks about the art of compounding

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PHYSICIAN REFERRAL LIST

 

Keri Topouzian Anti-Aging & Functional Medicine, Naturopathic, Holistic, Alternative and Homeopathic Medicine

Memberships

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International Academy of Compounding Pharmacists

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*Products not intended to diagnose, treat, cure or prevent any disease. Statements have not been evaluated by the FDA.