Sterile Compounding

Filling vial with yellow filter and syringe - sterile compounding



Compounding is fundamental to the profession of pharmacy and was a standard means of providing prescription medications before drugs began to be produced in mass quantities by pharmaceutical manufacturers. The demand for professional compounding has increased as healthcare professionals and patients realize that the limited number of strengths and dosage forms that are commercially available are unable to meet the unique needs of many patients. These patients may have a better response to a customized dosage form that is "just what the doctor ordered".

Our compounding professionals can prepare:

* unique dosage forms containing the ideal dose of medication for each individual.

* medications in dosage forms that are not commercially available, such as transdermal gels, troches, "chewys", and lollipops.

* medications free of problem-causing excipients such as dyes, sugar, lactose, or alcohol.

* combinations of various compatible medications into a single dosage form for easier administration and improved compliance.

* medications that are not commercially available.

Quality Compounding Maximizes Therapeutic Outcomes

The efficacy of any formulation is directly related to its preparation, which is why THE SELECTION OF YOUR COMPOUNDING PHARMACY IS CRITICAL. Ongoing training for compounding pharmacists and technicians, state-of-the-art equipment, and high quality chemicals are essential. Experience and ingenuity are important factors as well. 

When modifying a formula or developing a unique preparation, the compounding pharmacist must consider physical and chemical properties of both the active ingredient and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures should be in place and appropriate potency testing should be performed.

Our compounding professionals can formulate suitable medications as sublingual drops, oral and nasal sprays, lollipops, rectal solutions and suppositories, and other customized dosage forms. Please contact us to discuss your needs and medication problems.

Compounded Meds and You

A licensed physician has the right to provide you with a prescription based upon his/her knowledge of your health and his/her professional judgment. Depending upon your medical need, the drug that is prescribed for you may be one of two types:

Commercially available drug or a Compounded medication (the term medication is used to further differentiate compounded drugs from commercially available drugs).

A. Commercially available drugs (e.g. Premarin, Lasix, Inderal) are:

1. Manufactured by a U.S. Food and Drug Administration (FDA) inspected firm that is compliant with Current Good Manufacturing Practices enforced by the FDA.

2. Available by prescription and are usually obtained at retail pharmacies such as Wal-Mart, Rite Aid, and CVS.

3. Reviewed and approved by the FDA for safety and efficacy. Additionally, commercially available drugs are approved for one or more indications.

B. Compounded medications are:

1. Prepared by pharmacies that operate under state law, United States Pharmacopeia (USP) requirements and USP Good Compounding Guidelines.

2. Available by prescription only from pharmacies that are equipped to compound medications such as ACRX Specialty Pharmacy.

3. Not reviewed by the FDA or State Boards of Pharmacy for safety and efficacy. The risks and benefits of compounded medications are not established by the FDA or by compounding pharmacies including ACRX Specialty Pharmacy.

4. Your physician will determine if you need a commercially available drug or compounded medication.

Compounded medications are made for specific patients. Understanding your medical condition and informing you of the safety and efficacy of any prescribed commercially available drug or compounded medication is the responsibility of your physician. ACRX Specialty Pharmacy is responsible for compounding the prescribed medication and for assuring the finished medication meets regulatory and compendia requirements.

It is important to note that ACRX Specialty Pharmacy may not be able to provide you with compounded medication indications, usage, contraindications, warnings, precautions, adverse reactions and medication incompatibilities. This information is only available for FDA approved commercial drugs. Please contact your physician if you do not understand why you have received a prescription for a commercially available drug or compounded medication.

Patient’s Responsibility to the Physician and Pharmacist

Communication with your physician and pharmacist is important for improving your well-being. You should provide timely feedback to your physician and pharmacist regarding your medical condition. We must understand your needs, observations and concerns. Your health is of primary concern to us all.

Contact Your Doctor if:

* Your symptoms get worse

* Your symptoms last a long time

After feeling a little better, you develop signs of a more serious problem. Some of these signs are a sick-to-your-stomach feeling, vomiting, high fever, shaking chills and chest pain.

Contact Your Pharmacist if:

You have questions about the medication you are receiving.

Compounding is Custom Medication

Not every patient fits into a standard mold. We are all different, and many of us will not respond to mass-produced drugs. Compounding can offer an option for physicians to prescribe compounded drugs that are personalized just for you.

ACRX Specialty Pharmacy strongly believes in the patient – physician – pharmacist triad of communication to offer you the best personalized medications and care.

Examples of how your compounded medication can be personalized:

* Customized strengths

* Preparation of unique delivery methods

* Combining two or more medications into one convenient medication

* Changing the form of the medication into an easier to use form

* Dye-free, preservative-free, sugar-free formulations

* Common Conditions that May Benefit from Compounded Medications

Compounded medications can offer customized solutions for patients' unique conditions. By utilizing pharmacists with specialized training, highly-trained pharmacy technicians, and customer care representatives, ACRX Specialty Pharmacy can prepare high quality medications specifically for you. A prescription from your physician or practitioner is all we need to get you started.

IV Sterile


We provide our patients with state-of-the-art clean rooms exceeding USP 797 guidelines. ACRx Pharmacy is fully licensed with professional staff and facilities to assist our clients in the Las Vegas area.

In addition, we offer Sterile Injectables, Preservative-Free Formulations, Eye Drops, Intravenous Drugs (I.V.) Intramuscular Drugs (I.M.), Subcutaneous (S.C. or S.Q.) and a variety of other Sterile Compounds.

We test our sterile products for Sterility, Potency, Fungus and pathogens in order to provide our patients with the best product and service.