How to Write a Compounded RX

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Below is guidance on how to write for a compounded medication. If you have any questions or would like additional information, please call the pharmacist directly at (919) 467-7110.

RX

Patient Info: _______________________

Please Compound Medication:

-Generic name of active ingredient

- Concentration or dosage (X mg, X%, etc)

- Quantity to dispense and refills

- Directions for use