2104 KIMBALL AVE, WATERLOO, IA 50702
319-433-0393, FAX 319-234-5627
SUGGESTIONS FOR FAMILY PRACTICE SETTING:
5-FLUOROURACIL/SALICYLIC ACID WART PASTE – ONCE DAILY WART TREATMENT
CIMETIDINE/2DDG/IBUPROFEN WART CREAM – TWICE DAILY NON-TOXIC, PAIN FREE WART TX
ITRACONAZOLE/TEA TREE OIL/IBUPROFEN NAIL SOLUTION – TWICE DAILY FOR ONCHOMYCOSIS
ALL PURPOSE NIPPLE OINTMENT (PRESCRIBED AS APNO) – EXCELLENT FOR NURSING MOMS
(MUPIROCIN, BETAMETHASONE, IBUPROFEN, MICONAZOLE IN LANOLIN)
ESTRIOL VAGINAL – INEXPENSIVE TREATMENT FOR VAGINAL DRYNESS/URINARY SYMPTOMS
COMMON RX’S – ESTRIOL/TESTOSTERONE (0.5/0.5)MG/GM VAGINAL CREAM
ESTRIOL/ESTRADIOL MINI TROCHE (0.5/0.02)MG/TROCHE
PROGESTERONE CREAM/CAPSULES/SUPPOSITORIES – HORMONE BALANCE/PREGNANCY
TESTOSTERONE – ORAL TROCHES FOR MEN; CREAM FOR WOMEN
SILDENAFIL – FOR MEN (20MG/DOSE) OR WOMEN (3%) – FOR ERECTION/ORGASM
DILTIAZEM 2% OINTMENT – ANAL FISSURES
TETRACAINE 0.5% LOLLIPOP – SORE THROATS/MOUTH SORES
OMEPRAZOLE OR RANITIDINE – FOR PEDIATRICS WITH REFLUX
METRONIDAZOLE BENZOATE – MORE PALATABLE FORM OF METRONIDAZOLE FOR SUSPENSIONS;
DOSE AS METRONIDAZOLE, WE WILL ADJUST DOSE FOR BENZOATE SALT FORM.
URSODIOL SUSPENSION FOR CHILDREN
KETOPROFEN/CYCLOBENZAPRINE (10/2)% - FOR MUSCLE/JOINT ACHES AND PAINS
AMITRIPTYLINE/KETOPROFEN (2/10)% - AFFORDABLE NERVE FORMULA
AMITRIPTYLINE/KETAMINE/GABAPENTIN (2/5/5)% - FOR NEUROPATHIES
AMITRIPTYLINE/KETAMINE/LIDOCAINE (2/0.5/2)% - MAYO CLINIC FORMULA
CYCLO/KETA/KETO/MAGNESIUM/PIROXICAM/TETRACAINE (2/2/5/10/1/1)% - PLANTAR FASCIITIS
THINGS TO KNOW/TIPS:
WE WILL BILL INSURANCE FOR COMPOUNDS…HOWEVER, MOST INSURANCES WILL NOT PAY FOR
COMPOUNDED MEDICATIONS AND I KNOW OF NONE THAT WILL PAY FOR THE ACTIVE
INGREDIENTS; THEY WILL ONLY PAY FOR THE BASE USED.
PAIN MEDS – NEED TO BE APPLIED 3 TO 4 TIMES DAILY, AT LEAST INITIALLY, TO CALM NERVES
AND/OR INFLAMMATION. AMOUNT APPLIED DEPENDS ON SIZE OF AREA COVERED, BUT NEEDS TO
TAKE MINUTES TO RUB IN.
INSURANCE COMPLICATES THE COMPOUNDING OF PAIN MEDS …MANY OF THE ACTIVE
INGREDIENTS ARE QUITE EXPENSIVE. TO CONTROL COSTS WE CAN DO A FEW THINGS:
FEWER ACTIVE INGREDIENTS AT LOWEST EFFECTIVE DOSE
VARY THE BASE WE USE
GIVE SMALL QUANTITIES FOR TRIAL BASIS
BASES:
PROS
PLO
- INEXPENSIVE, DRIVES MEDICATIONS
CONS
- STICKY, LEAVES FILM BEHIND
VANPEN - NICE FEEL, DRIVES MEDICATIONS
- RUBS IN NICELY, NO STICKY FEEL
LIPODERM – WELL STUDIED, VERY STABLE, REIMBURSEABLE
- EXPENSIVE
ADD DOXEPIN 5% FOR ITCHING, ADD BACLOFEN 2% FOR MUSCLE SPASMS. ADD DILTIAZEM 2% OR
NIFEDIPDINE 2-4% FOR VASCULAR INSUFFICIENCY, OR PENTOXIFYLLINE 3% FOR RED BLOOD CELL
FLOW
TYPICAL CASH PRICE FOR A TOPICAL PAIN MEDICATION IS $38-$45 PER OUNCE. WE DO OUR BEST
TO KEEP COSTS LOW.
TYPICAL CASH PRICE FOR OTHER COMPOUNDS IS $30 - $40/MONTH
VANCOMYCIN USED TO BE LEAST EXPENSIVE WHEN COMPOUNDED USING INJECTABLE. THERE IS
NOW A COMMERCIALLY AVAILABLE SUSPENSION THAT IS LESS EXPENSIVE AND MAY BE PAID BY
PATIENT’S INSURANCE. FIRST VACOMYCIN KIT. ALSO HAS 60 DAYS DATING, AS OPPOSED TO 14
FOR COMPOUNDED.