To request a refill of your medication, please fill out the form below. You will receive an email confirming that we have received your request. We will begin processing your refill immediately and your prescription should arrive in 2-3 business days. If you have any questions please call BCPS at 800-512-7429 or 757-320-5141.
What is Compounding?
Compounding is the Art and Science of Creating Personalized Medications
Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are made based on a practitioners prescription in which individual ingredients are mixed together in the exact strength and dosage form required by the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customize a medication to meet the patient’s specific needs.
Find out more about compounded medications:
- Specialty Compounding: Compounding is a useful tool in varied areas of medicine
- Alternative Medication Forms: Making medications more effective and easier to take
- Compounding Answers: Answers to common compounding questions
A Brief History of Compounding At one time, nearly all prescriptions were compounded. With the advent of mass drug manufacturing in the 1950s and ‘60s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms, and most pharmacists no longer were trained to compound medications. However, the “one-size-fits-all” nature of many mass-produced medications meant that some patients’ needs were not being met. Innovative Compounding Technology & Techniques Meet Patient Needs Fortunately, compounding has experienced a resurgence as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs. Trained, BCPS pharmacists can now personalize medicine for patients who need specific:
- Dosage forms
- Ingredients excluded from medications due to allergies or other sensitivities
Pain-related conditions that can be treated with Compounded Pain Creams
CARPAL TUNNEL SYNDROME
FAILED BACK SYNDROME (FBS)
REFLEX SYMPATHETIC DYSTROPHY (RSD)
Conditions that Wound Care Cream can aid WOUND CARE CREAM can be used for wounds caused by:
- CHEMICAL OR PHYSICAL SCALDS AND BURNS
- ADVERSE EFFECTS OF MEDICATIONS
- METABOLIC DISEASES, SUCH AS DIABETES
- SURGICAL PROCEDURES
Conditions that Compounded Scar Cream can treat SCAR CREAM can be used on both old and new scars caused by:
- SURGICAL PROCEDURES
- SEVERE TRAUMA
SCAR CREAM can also help prevent the following scarring disorders:
Cosmetic conditions that can be improved with Compounded Cosmetic Cream
Compounded Pain Cream
COMPOUNDED PAIN CREAM is specifically designed to target and treat the site of pain with customizable formulations, while avoiding many of the complications common to other pain treatment methods. Pain Cream provides a flexible, convenient, and effective solution for a variety of pain-related conditions. Targeted Relief PAIN CREAMS ARE DESIGNED to administer high concentrations of pain medication directly onto the site of pain for targeted relief. Furthermore, our pharmacists can work with your doctor to create a custom formulation, designed to meet your unique needs. As a result, you get the combined benefits of precise dosing, personalized treatment, and the combined effect of multiple ingredients working together for optimal pain relief. Fewer Risks & Side Effects BECAUSE OUR PAIN FORMULATIONS are applied topically, they do not circulate throughout the entire body. This means you have powerful pain medication where you need it and less where you don’t. As a result, Pain Creams are less likely to interact with other medications being taken and cause fewer side effects than other pain medications. Finally, since Pain Cream is not absorbed throughout the entire body, the risk of dependence and addiction is virtually eliminated. PCCA Lipoderm® ALL OF OUR PAIN CREAMS are formulated using the anhydrous silicone base, PCCA Lipoderm®. Lipoderm® is the only transdermal base designed and proven to effectively deliver pain medication. Furthermore, Lipoderm® has been tested and proven to deliver up to 4 drugs simultaneously and to deliver medications more effectively and more quickly than other topical bases. Active Ingredients in COMPOUNDED PAIN CREAM
BACLOFENMuscle Relaxant / Antispasmodic. Helps reduce pain by relaxing muscles. Since topical use causes much less systemic absorption, the typical side effects (drowsiness, increased urination, mental confusion, constipation and fatigue) are usually not seen.
CYCLOBENZAPRINEMuscle Relaxant. Helps control muscle spasms and tightness. A common side effect of this medication when taken orally is drowsiness, but this risk is reduced with transdermal medication.
DICLOFENACAnti-inflammatory (NSAID). Helps reduce inflammation and pain. Transdermal application reduces the risk of side effects, such as GI upset, and lowers the possibility of stomach ulceration. The FDA requests that physicians measure liver function periodically in patients receiving long-term therapy with diclofenac.
GABAPENTINAnticonvulsant. Works by 3 mechanisms to treat neuropathic pain (pain typically caused by damaged or misfiring nerve fibers). Best combined with ketamine for maximum synergistic effect.
KETAMINEAnalgesic (an agent used to relieve pain without loss of sensation). Helps reduce pain by interfering with the transmission of pain signals to the brain. Extensive research has been performed on the topical use of ketamine.
KETOPROFENAnti-inflammatory (NSAID). Helps reduce hormones which cause inflammation and pain. There is extensive research on transdermal delivery of ketoprofen.
LIDOCAINETopical Anesthetic. Helps reduce pain. The most common transdermal side effects are tingling and numbness at the site of application.
TRAMADOLA mild opioid-like pain reliever.
Wound Care Cream
WOUND CARE CREAM is custom compounded and specially designed to protect wounds and aid the body’s healing process, for quicker recovery and reduced risk of infection or other complications. Spira-Wash™ Gel ONE OF THE SECRETS behind the effectiveness of Wound Care Cream is Spira-Wash™ Gel, the base used in all of our Wound Care Formulations. Spira-Wash™ is specifically designed to aid the body’s healing process by acting as a protective barrier against the air, blocking out potentially harmful microorganisms and environmental toxins. Along with guarding against contaminants, Spira-Wash™ also creates a moist environment for the wound to heal in, which has been proven to speed healing by up to 50%. And unlike many comparable products, which protect the wound but also inhibit proper washing, Spira-Wash™ is water-washable, making cleaning and debridement of the wound as easy as possible. Meadowsweet Extract SPIRA-WASH™ GEL CONTAINS organic Meadowsweet Extract which can potentially provide antioxidant and additional healing properties. Meadowsweet Extract may also act as an anti-inflammatory and antiseptic. Research also suggests that Meadowsweet Extract possesses antimicrobial properties. Customization ALONG WITH THE NUMEROUS healing qualities found in every Wound Care Formulation we create, Wound Care Cream can also be customized at the request of your doctor. Our pharmacists will work with you and your physician to create a formulation that best suits your needs. Customized formulations can include antifungal protection, pain reduction, antimicrobial coverage (for gram-positive and gram-negative), and increased healing properties.
Compounded Scar Cream
SCAR CREAM is designed to soften, smooth, flatten, lighten and dramatically improve the overall appearance of both old and new scars. Scarring Disorders SCAR CREAM, while improving the appearance of preexisting scars, can also help prevent scarring disorders, including hypertrophic and keloidal scarring. Both hypertrophic and keloidal scars are the result of excessive collagen produced in the healing process. Due to the excess scar tissue, scars will appear raised, thick, and darker than typical scars. While hypertrophic scars remain confined to the area of the original wound, keloids extend into the surrounding tissue. Scar Cream is designed to prevent the excessive collagen production which causes these disorders. PracaSil™-Plus PRACASIL™-PLUS is the silicone base used in our Scar Cream. It is specifically designed for use in scar and skin treatments. PracaSil™-Plus reduces inflammation and buildup of scar tissue. It is also designed to create a resilient film on the skin, so that your scar receives as much exposure to the medication as possible. Pracaxi Oil PRACASIL™-PLUS CONTAINS Pracaxi Oil, which is derived from the pracaxi tree, found in the Amazon rainforest. Pracaxi Oil is rich in beneficial fatty acids and has historically been used for a variety of medicinal and cosmetic purposes. It can have anti-inflammatory, antioxidant, antibacterial, and antifungal properties. It is also used in hair and skin products to condition and smooth. Active Ingredients in COMPOUNDED SCAR CREAM
PENTOXIFYLLINEIncreases blood flow in the peripheral blood vessels. Pentoxifylline also blocks transforming growth factor beta 1 (TGF-β1), an enzyme which plays a role in cell growth, and decreases the formation of collagen, an important factor in scar tissue growth.
TRANILASTAn anti-allergic drug.Can inhibit collagen synthesis, reducing keloids and hypertrophic scars.
VERAPAMILA calcium channel blocker / vasodilator. Calcium is responsible for fibroblasts, which produce collagen, an important part of skin tissue growth. Fibroblasts also produce collagenase, which breaks down collagen. As a calcium channel blocker, verapamil decreases collagen and increases collagenase, to help break down scar tissue and halt its growth.
Compounded Cosmetic Cream
COMPOUNDED COSMETIC CREAM is designed to lighten dark spots on the skin, resulting from a variety of factors. Active Ingredients in COMPOUNDED COSMETIC CREAM
BUTYLATED HYDROXYTOLUENEAn antioxidant.
SODIUM METABISULFITEAn antioxidant and disinfectant.
TRIAMCINOLONEA synthetic corticosteroid. Helps reduce inflammatory reactions.
Compounding Success Stories
Compounding is the art and science of creating personalized medicine. For patients, it can be life-changing, even lifesaving. It’s highly rewarding for pharmacists and practitioners as well, helping them solve some of health care’s toughest challenges.
And it makes for some really good stories. Stories of new beginnings and happier endings. Stories of strength, comfort and confidence. Stories of hope. Stories that illustrate just how powerful personalized medicine can be. You can see even more compounding success stories on www.ItsPersonal.net.
One of my favorite stories is about a five-year-old autistic boy who we helped. His mom came in the store frantic, asking for help, because he would not take his medicine. It was a fight each and every day for her.
I asked her what his main challenge was with taking the medicine, and she said texture and taste. Things have to have a certain feel in his mouth, and he likes lemon flavor – but just the right lemon flavor. So Jenny, my tech, and I went to work. It took several tries. I sat on the floor where I could be at eye level with him as we tried different versions. I cannot explain the feeling that came over me when we got it right. His whole demeanor immediately changed. His face brightened, his eyes sparkled and he just looked at me with this huge smile. It was great, and it still makes me cry five years later. (Source: PCCA Apothagram, March 2015)
I have had great success with PCCA Formula #9957. Dentists and hygienists love this formula for pre-injection numbing. I’ve had requests to make the gel thicker and it’s worked well. We also have special requests to make it colorless or to add phenylephrine 2% to extend its duration of action (PCCA Formula #9849, Lidocaine HCl 10%/Phenylephrine HCl 2%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel).
The feedback from dentists is that the gel doesn’t cause tissue sloughing when it’s left on the skin too long like manufactured topical dental anesthetics do. The hygienists love it because their pediatric patients don’t feel the pain from the needle at all. (Source: PCCA Apothagram, January 2014)
Below is a patient testimonial we received after providing the following compounded prescription: flurbiprofen 10%/ketamine 10%/gabapentin 6%/cyclobenzaprine 2%/bupivicaine 1% in PCCA Anhydrous Lipoderm®. The patient was directed to apply 1-3 grams three times daily for pain:
“I’m a 64-year-old wood craftsman who has been in the construction industry and fine furniture business long enough to know a thing or two about working with old injuries. I have many aches and pains that I manage on a daily basis; I often have neck, elbow and back pain, but it’s endurable. I have an old knee problem that I’m awaiting surgery for. And the pain has been getting worse – swelling and hurting enough to make me wince.
I did as I was instructed with the medication – I applied three grams to my right knee and rubbed it in well, but gently. Within four or five minutes, I noticed that the entire affected area felt cooler. I continued doing my chores and tasks at my wood shop. Within a few more minutes, I noticed that I was able to walk around and go up a flight of stairs without my usual expectation of pain. After 30 or 45 minutes had gone by, I felt as if the swelling had gone down, and I was working at my usual shop pace. About three or four hours later, I went to apply a second dose and was pleasantly surprised to see that my knee appeared to look less swollen and felt less stiff. In the evening, my leg felt less stiff lasting throughout the night, so I was able to sleep without any discomfort. On the second day, I applied the medication twice and had the same results; my knee felt cooler and less stiff. I was able to work the entire day doing my usual shop chores. On the third day, I applied the medication in the morning because the swelling had returned. I felt relief within five to 15 minutes and worked in the shop all day. On the fourth day, I only had to apply the medication in the morning. And on the fifth day, I applied the medication in the morning and didn’t have to apply it again in the afternoon. Now the swelling and pain are gone!” (Source: PCCA Apothagram, January 2014)
I had a gentleman call to thank us for saving his marriage. Apparently, he and his wife were just about to throw in the towel when she met with a physician that “put her on hormones.” After several months, he stated that they observed that each week had been progressively better than the last and that she was becoming happier and healthier all the time. The patient used compounded oral progesterone capsules, compounded oral thyroid capsules, and compounded topical estradiol cream. (Source: PCCA Apothagram, January 2014)
We had a new mom call on the telephone, frantic that she could not find a place to make Lansoprazole 3 mg/mL Oral Suspension (Flavorless) (BUD Study) (PCCA Formula #9673). She said she had been to other big box stores and they did not have all the ingredients to make this compound. She was almost in tears on the phone, wondering what she was going to do if she could not get this medication for her newborn who had gastric reflux.
At the time, I also was a new mom and knew how crazy you can feel, so we made this compound up right away for her. She walked in to get the medication and immediately began crying. She was so thankful that we were able to make this – and provide it to her child in a timely manner to relieve his suffering! (Source: PCCA Apothagram, February 2013)
We had a 5-month-old infant come into our pharmacy with severe second-degree burns on her face. It was terrible to see such a young child with an injury that would likely leave behind permanent damage. However, after only eight days of using PCCA PracaSil™-Plus (PCCA #30-4655), her burns had vanished. We compounded PCCA Formula #10413 to treat her scarring. We also compounded PCCA Formula #5536 for her treatment. Our entire pharmacy was practically in tears! Days like that make me realize how much I love my job and how much we are able to help patients. (Source: PCCAApothagram, April 2014)
We received this testimonial from a patient who is using a diclofenac sodium/cyclobenzaprine/baclofen/tetracaine cream:
“I’ve suffered from severe knee pain for more than 10 years. I would wake up in the middle of the night with intense pain in my knee that would radiate down to my ankle. I had X-rays taken and an MRI test, but the doctors couldn’t find anything wrong. Over-the-counter pain medications didn’t really seem to help, nor did physical therapy. When I heard about a compounded pain cream I was skeptical, but I was willing to try anything that might work. The compounded cream has brought me so much relief that I would recommend it to anyone suffering from chronic pain. Now I can sleep through the night – without the pain.” (Source: PCCA Apothagram, April 2014)
We worked with a patient who has multiple sclerosis. Her compounded glycyrrhizic acid capsules helped her to remain mobile and perform daily activities. She was a lieutenant colonel in the Air Force and was very instrumental in our struggle with TRICARE’s threat to stop paying for compounds. We were in touch with national organizations through her contacts and she was featured in a local news story filmed in our pharmacy. In her story, she discussed why compounded medication was important to her. She explained how it helped her well-being, her ability to get out of bed, and helped to give her a normal life when living with such a debilitating disease. (Source: PCCA Apothagram, March 2014)
Do you have questions about pharmacy compounding? We have answers.
Pharmacy compounding is a long-established tradition that offers customized care to meet the specific needs of individual patients. Have you ever wished your child’s medicine tasted better, so they would accept it without a fuss? Or struggled to cut a prescription tablet in half because the pill wasn’t manufactured in the strength you required? Perhaps an ill loved one could have benefited from having multiple medications combined into a single dose. Compounding pharmacists provide solutions to all these problems, and more. Ask your prescriber or pharmacist today about customized compounding, or read on for more information…
There are several reasons why prescribers and pharmacists provide compounded medications for patients. The primary reason for compounding is to avoid patient non-compliance, which means the patient is either unable or unwilling to use the medication as directed. Many patients are allergic to preservatives or dyes, or require a dosage that is different from the standard drug strengths.
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 flavor to make the medication more palatable
- Prepare medications using unique delivery systems. For patients who find it difficult to swallow a capsule, a compounding pharmacist may prepare the drug as a flavored liquid suspension instead. Other medication forms include topical gels or creams that can be absorbed through the skin, suppositories, sublingual troches, or even lollipops.
Almost any kind! Compounded prescriptions are ideal for any patient requiring unique dosages and/or delivery devices.
Compounding applications can include:
- Hormone replacement therapy (HRT)
- Pain management
- Otic (for the ear)
- Medication flavoring
- Sports medicine
- Wound therapy
- And many more!
MOST MAJOR INSURANCE PLANS will cover your medication. For those who are not covered, we offer a competitive cash payment option. IF YOU HAVE ANY QUESTIONS regarding your medication or insurance coverage our Customer Care Representatives are available Monday – Friday 9 am to 5 pm (EST). PLEASE CALL 757-320-5141/800-372-5163 to speak to a representative.
Are compounded medications approved by the FDA? The FDA was created in the 1930’s for the express purpose of regulating manufacturers who produce drugs that would be distributed to the mass population. Compounding pharmacists do not mass distribute and are regulated by individual state laws. The chemicals used by compounding pharmacies are obtained from FDA inspected and approved facilities. Aren’t FDA products safer and more effective? Not necessarily. FDA approved manufacturers have drug product recalls often. These recalls range from wrongly packed and mislabeled medications to improper potency to ineffective and dangerous medications. These recalls can affect thousands of people. Two recent examples of drug product recalls for safety are Rezulin and Propulsid. A recent example of a recall for incorrect packaging is MS Contin. Duragesic patches were most recently recalled for a manufacturing defect. Why don’t all pharmacies compound prescriptions? Most do. According to the American Pharmacy Association and the National Association of Community Pharmacists, compounding is done to some degree in 90% of all hospital pharmacies and 80% of all independent pharmacies. All pharmacists are permitted by law to compound as part of the practice of pharmacy; however, compounding pharmacists have learned skills above and beyond those they were taught in school. Compounding also requires a substantial commitment on the part of the pharmacy owner of time (each prescription is individually made in the pharmacy, not just transferred from one bottle to another) and money (for additional training and purchase of the specialized equipment that is required to make a quality product). There are now about 400 compounding only pharmacies in America, and many more in countries around the world. Compounding quality does vary along with the skill of the compounding pharmacist, and has an excellent safety record. What about quality control? A good compounding pharmacy like Bedei Compounding Pharmacy Services (BCPS) has in place stringent quality control procedures, some of which include non-sterile product testing and environmental controls. Detailed records should be kept for each and every compound. With detailed records, the lot number and expiration date of each chemical used can be traced if needed. Why are there so few studies on compounding? The majority of large studies are funded by drug manufacturers who are required to do so by the FDA in order to get a particular product approved for mass marketing. Some drugs (human hormones, for example) cannot be patented; therefore, there is no monetary incentive for any company to pay for an expensive drug study. Furthermore, there are published studies done for many ingredients used in compounded products. Will human hormones eventually prove to be as dangerous as synthetics? The hormone questions will always be with us. Hundreds of compounding pharmacists, thousands of physicians, and millions of patients believe that human hormones, in normal body ratios and amounts, are both safe and healthy. Many believe that hormone replacement therapy can help both women and men live longer and healthier lives. The key is to work with your health care provider and your compounding pharmacist to find the unique balance that is right for you.