Q: What is compounding?
Pharmacy compounding is the art and science of creating customized medications for patients. Although it has been a cornerstone of pharmacy practice since its origins, the role of compounding has evolved over time. In the 1930s and 1940s, around 60 percent of all medications were compounded. However, with the rise of mass drug manufacturing in the 1950s and 60s, compounding declined as pharmacists transitioned from medication preparers to dispensers of manufactured forms. In recent decades, advances in technology and research have led to a resurgence of compounding, allowing pharmacists to tailor medications to individual patient needs. Today, approximately one percent of all prescriptions are compounded daily by pharmacists working closely with physicians and patients.
Q: How does compounding benefit me?
Compounding offers several advantages, particularly in addressing “patient non-compliance.” Many patients are allergic to preservatives or dyes, or may be sensitive to standard drug strengths. With a doctor’s approval, a compounding pharmacist can adjust the strength of a medication, change its form for easier ingestion, or add flavors to make it more palatable. Additionally, medications can be prepared using unique delivery systems like sublingual lozenges, lollipops, or transdermal gels. For patients who struggle with swallowing pills, compounded liquid medications are also an option.
Q: Can my child (or my elderly patient) take compounded medications?
Yes, compounded medications are often ideal for children and the elderly. Children may have difficulty taking medicine due to taste, but a compounding pharmacist can work with the physician to select a flavor, such as chocolate, mint, or bubblegum, that suits both the medication and the patient’s preferences. Elderly patients, particularly those experiencing chronic pain, can benefit from compounded preparations, such as topical analgesics, that avoid gastrointestinal side effects. Compounded medications are also widely used in pain management for hospice care.
Q: What kinds of prescriptions can be compounded?
Almost any prescription can be compounded. Compounded medications are particularly useful for patients requiring specific dosages or delivery methods. These can include solutions, suppositories, sprays, oral rinses, lollipops, and transdermal sticks. Some common applications include: Bio-identical Hormone Replacement Therapy, Veterinary Medicine, Hospice Care, Pediatric Care, Ophthalmic Treatments, Dental Care, Dermatology, Medication Flavoring, Chronic Pain Management, Neuropathy, Sports Medicine, Infertility, Wound Care, Podiatry, and Gastroenterology.
Q: Will my insurance cover compounded medications?
While compounded medications lack the National Drug Code (NDC) numbers assigned to manufactured products, many insurance companies allow reimbursement for compounded prescriptions through claims forms. Though you may need to pay the pharmacy directly for compounded prescriptions, most insurance plans will reimburse the patient for the cost.
Q: Is compounding expensive?
The cost of compounded medications depends on the dosage form, required equipment, and the time needed for preparation. Compounding may or may not be more expensive than conventional medications. Fortunately, pharmacists have access to high-quality raw materials, which can lower costs and help them remain competitive with commercially manufactured products.
Q: Is compounding legal? Is it safe?
Compounding has been an integral part of healthcare since the early days of pharmacy and continues to be used widely in hospitals and specialized medicine. Advances in technology and quality control have improved compounding practices in recent years. According to the FDA, compounded prescriptions are legal and ethical when prescribed by a licensed healthcare provider for an individual patient and prepared by a licensed pharmacy. Compounding is regulated by state boards of pharmacy to ensure safety and quality.
Q: Does my doctor know about compounding?
Compounding is becoming an increasingly important aspect of many physicians’ practices. However, due to aggressive marketing from drug manufacturers, some doctors may not be fully aware of the extent to which compounding has advanced in recent years. If you’re interested in compounded medications, ask your doctor, then consult a compounding pharmacy that is committed to providing high-quality, personalized prescriptions tailored to your needs. The collaboration between patient, physician, and pharmacist can address complex medical conditions and find solutions for unique health challenges.
Is custom compounding right for you?
To learn more about the benefits of personalized prescription compounding, talk to your physician or pharmacist today.