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Compounding Pharmacy

A compounding pharmacy produces customized pharmaceuticals tailored to the individual needs of human and veterinary patients. These specialized compounds are made according to prescription order after consultation between the pharmacist and the medical, dental, podiatric, or veterinary practitioner. While commercially available medications fit the needs of most patients, sometimes a patient cannot or will not take medications in their manufactured form. When such drug adherence issues arise, compounding pharmacists might assist in making dosing easier -- or once again feasible if the preferred pharmaceutical therapy is on the drug shortage list.

There are many reasons why practitioners and patients might seek customized pharmaceutical care. Palatability adjustments might help if the medication has a foul taste or off-putting scent, color, or texture. Tweaking the route of administration might help ease dosing (from oral tablet to liquid suspension, for example) – or rerouting altogether, such as from oral to a transdermal administration. The commercially available drug might not match patient size or dosing sensitivity so a customized strength might help, especially if dosing would otherwise entail dividing an unscored tablet. Lurking among the inactive ingredients might be fillers, preservatives, and dyes to which the patient is allergic or intolerant, so elimination of those components might help with dosing.

Animals can present some of the biggest dosing challenges, and veterinary prescriptions figure prominently among the customized prescriptions that a compound pharmacist can fill. Hard-to-pill pet? A compounding pharmacy might be able to assist with palatability or route-of-administration adjustments by prescription. Extremely large or small animal? A customized strength might help.

One of the largest recent dosing hurdles arises from drug shortages. With record numbers of pharmaceuticals on the back-order and discontinuation lists, compounding pharmacies have been busy producing unavailable medications by prescription order. When the preferred pharmaceutical therapy is off market but still FDA approved, practitioners can contact a compounding pharmacy to explore their prescribing options. Often such a specialty pharmacy can produce the medication until manufacturing resumes.

Monument Pharmacy has compounded veterinary and human prescriptions since 1995. We offer free 1st-class shipping, rapid response, friendly customer service -- and our pledge to beat others’ compound prices by 10%. Our 15-state service area includes AZ, CA, CO, ID, IL, KS, MO, MT, NM, NY, OH, OR, PA, TX, UT, and WA. Call our compounding pharmacy toll-free at 800-595-7565, email us at, or visit our website at for more information.