How to Write a Compounded Prescription

Compounded prescriptions are tailored for your patients’ individual needs.  For a compounded prescription, we need the following information:

  • Patient name
  • Date of birth
  • Best day time phone number for patient
  • Active drug name
  • Dose / Strength / Concentration
  • Dosage form (i.e. Oral Tablet, Sublingual Tablet, Cream, Suppository, etc.)
  • Directions for use
  • Quantity to dispense
  • Number of refills authorized
  • Contact information for prescriber
  
 
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Belmar Pharmacy  800.525.9473  I  303.763.5533  I  12860 W. Cedar Drive, Suite 210  I  Lakewood, Colorado 80228