How to Prescribe Compounded Medications

For Prescribers

Fax Forms

Access these resources through our prescriber portal:

  • Prescription Forms: Downloadable PDF forms for various specialties and compound types
  • +
    Compound Prescription Builder: Create custom compound prescriptions with your prescriber information pre-filled, patient details, and specific compound formulations. Generates professional PDFs instantly.

You can then fax the completed form to us.

Fax to:
(434) 792-3235

E-Prescribe

To transmit an electronic prescription, input:

Drug field: "Compounded Medication"
Quantity: As appropriate for patient's needs
Notes section: Complete formula with all ingredients and strengths
Directions for Use: Provide appropriate instructions based on the patient's needs.
Refills: Specify number of refills (if any)

Should the patient opt for our pharmacy services, we can be located using our
NPI# 1629313622 or NCPDP# 4844329.

Handwritten Prescription

Should you prefer to write the prescription by hand, please ensure to note "Compounded Prescription" on it and include the following details:

Drug Name and Strength: Complete formula with all ingredients
Dosage Form: Cream, capsule, suspension, etc.
Quantity: As appropriate for patient's needs
Directions for Use: Provide appropriate instructions based on the patient's needs.
Refills: Specify number of refills (if any)

411 Park Avenue, Danville, VA 24541

Patients have the right to choose their preferred pharmacy for fulfilling their prescriptions, ensuring convenience and personal choice in their healthcare decisions.

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