Patient Knowledge Base | Precision Medicine

A New Era in Pharmacy

Patient Knowledge Base

Please select from the following options (i.e. if you are a resident of Maine select the “Maine” section or if you are prescribed an acyclovir ointment select “Dermatology” and then “Acyclovir Ointment Monograph” for pertinent drug information regarding your prescription)

Index

Acyclovir Topical Monograph

Aloe Hyaluronic Acid Vitamin A Vitamin E Cream Monograph

Aloe Hydrocortisone Ketotifen Vitamin E Cream Monograph

Betamethasone Mupirocin Miconazole Ointment Monograph

Biestrogen (Estriol/Estradiol) Cream Monograph

Clindamycin Hydrocortisone Cream Monograph

Clindamycin Phosphate Cream Monograph

DHEA Cream Monograph

DHEA Estradiol Cream Monograph

Diltiazem Lidocaine Hydrocortisone Topical Monograph

Diltiazem Lidocaine Topical Monograph

Diltiazem Topical Monograph

Estradiol Cream Monograph

Estriol GHK-Cu Tretinoin Niacinamide Hyaluronic Acid Ceramide Cream Monograph

Estriol DMAE Hyaluronic Acid Cream Monograph

Estriol Cream Monograph

Estriol Testosterone Cream Monograph

Estriol Caffeine Niacinamide Panthenol Cream Monograph

Fluocinolone Hydroquinone Tretinoin Cream Monograph

Gabapentin Amitriptyline Baclofen Lidocaine Cream Monograph

GHK-Cu Tretinoin Niacinamide Hyaluronic Acid Ceramide Cream Monograph

Hyaluronic Acid Vitamin A Vitamin E Aloe Cream Monograph

Hydroquinone Ascorbic Acid Niacinamide Cream Monograph

Hydroquinone Tretinoin Hydrocortisone Cream Monograph

Hydroquinone Cream Monograph

Ketamine Lidocaine Cream Monograph

Ketamine Lidocaine Ketoprofen Methocarbamol Cream Monograph

Ketorolac DMSO Olive Oil Gel Monograph

Lidocaine Amitriptyline Cream Monograph

Lidocaine Cyclobenzaprine Cream Monograph

Metronidazole Glycopyrrolate Coconut Oil Full Body Deodorant Monograph

NAD+ Cream Monograph

Nifedipine Lidocaine Topical Monograph

Nifedipine Ointment Monograph

Nitroglycerin Cream Monograph

Nystatin Ascorbic Acid Cream Monograph

Progesterone Cream Monograph

Sildenafil Pentoxifylline Ergoloid Cream Monograph

Sildenafil Theophylline Arginine Cream Monograph

Spironolactone Clindamycin Cream Monograph

Testosterone Cream Monograph

Theophylline DHEA Ergoloid L-Arginine Pentoxifylline Sildenafil Cream Monograph

Tretinoin Azelaic Acid Niacinamide Cream Monograph

Tretinoin Clindamycin Niacinamide Cream Monograph

Tretinoin Niacinamide Cream Monograph

Tretinoin Tranexamic Acid Niacinamide Panthenol Cream Monograph

Precision Compounding Pharmacy - LEP - Language Translation Services Notice

Get Help In Other Languages

If you need help, please notify one of our pharmacists and we will connect you with an interpreter who will assist you at no cost.

English

ATTENTION: If you speak English, language assistance services are available to you at no cost. Please speak with one of our Pharmacists at 855-277-9610. A translated prescription label is available in your language.

Spanish

ATENCIÓN: Si habla español, los servicios de asistencia lingüística están disponibles para usted sin costo alguno. Por favor, hable con uno de nuestros Farmacéuticos al 855-277-9610. Hay una etiqueta de receta traducida a su idioma.

Russian

ВНИМАНИЕ: Если вы говорите по-английски, языковая помощь предоставляется бесплатно. Пожалуйста, поговорите с одним из наших фармацевтов по телефону 888-798-8686. Переведенная этикетка рецепта доступна на вашем языке.

Somali

FIIRO GAAR AH: Haddii aad ku hadasho af-Soomaali, adeegyada kaalmada luqadda ayaa kuu diyaar ah lacag la'aan. Fadlan la hadal mid ka mid ah Farmashiyeyaashayada 888-798-8686. Summada daawaynta ee la turjumay ayaa ku jirta luqadaada.

Arabic

تنبيه: إذا كنت تتحدث الإنجليزية، فإن خدمات المساعدة اللغوية متاحة لك مجانًا. يرجى التحدث مع أحد الصيادلة لدينا على الرقم 855-277-9610. يتوفر ملصق وصفة طبية مترجم إلى لغتك.

Chinese (simplified)

注意:如果您说中文,您可以免费获得语言帮助服务。请与我们的一位药剂师交谈。855-277-9610.有翻译成您的语言的处方标签。

Vietnamese

LƯU Ý: Nếu bạn nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ có sẵn miễn phí cho bạn. Vui lòng nói chuyện với một trong những Dược sĩ của chúng tôi. 855-277-9610. Một nhãn thuốc được dịch có sẵn bằng ngôn ngữ của bạn.

Farsi

توجه: اگر شما به زبان فارسی صحبت می‌کنید، خدمات کمک زبانی به صورت رایگان برای شما در دسترس است. لطفاً با یکی از

داروسازان ما به شماره ۸۸۸-۷۹۸-۸۶۸۶ صحبت کنید. برچسب نسخه ترجمه‌شده به زبان شما در دسترس است.

Korean

주의: 만약 당신이 한국어를 한다면, 언어 지원 서비스가 무료로 제공됩니다. 855-277-9610번으로 저희 약사 중 한 명과 상담해 주세요. 번역된 처방전 라벨이 귀하의 언어로 제공됩니다.

Romanian

ATENȚIE: Dacă vorbiți limba engleză, serviciile de asistență lingvistică sunt disponibile pentru dumneavoastră gratuit. Vă rugăm să discutați cu unul dintre farmaciștii noștri la 855-277-9610. Eticheta prescripției tradusă este disponibilă în limba dumneavoastră.

Swahili

TAARIFA: Ikiwa unazungumza Kiingereza, huduma za msaada wa lugha zinapatikana bure kwako. Tafadhali zungumza na mmoja wa wafamasia wetu kwa simu nambari 855-277-9610. Lebo ya dawa iliyotafsiriwa inapatikana kwa lugha yako.

Burmese

သတိပြုပါ: သင်အင်္ဂလိပ်စာပြောနိုင်ပါက ဘာသာစကားအကူအညီဝန်ဆောင်မှုများကို အခမဲ့ရယူနိုင်ပါသည်။ ကျေးဇူးပြု၍ ကျွန်ုပ်တို့၏ဖားမက်ဆီးတစ်ဦးနှင့် 855-277-9610 တွင်ဆက်သွယ်ပါ။ သင့်ဘာသာဖြင့် ဘာသာပြန်ထားသော အရာခံပေးတင်လက်မှတ်လည်းရရှိနိုင်ပါသည်။

Nepali

सावधानी: यदि तपाईं अङ्ग्रेजी बोल्नुहुन्छ भने, तपाईंलाई भाषा सहायता सेवाहरू निःशुल्क उपलब्ध छन्। कृपया हाम्रो एक फार्मासिस्टसँग 855-277-9610 मा कुरा गर्नुहोस्। तपाईंको भाषामा अनुवाद गरिएको चिकित्सकको लेबल उपलब्ध छ।

Amharic

እባኮትን: እንግሊዝኛ እንዲናገሩ ከሆነ፣ ምንም ወጪ ሳይኖረው በቋንቋ ስለሚሰጥ እርዳታ ስለምትጠቀሙ አሳውቀን። እባኮትን በ 855-277-9610 ስልኩ ከአንዱ ከፋርማሲስታችን ጋር ተወያዩ። በቋንቋዎ ተንታኝ የተሳሳተ ታክሲ ምልክት ስለሚገኝ እንታወቅ።

Pashto

خبرتیا: که تاسو انګلیسي خبرې کوئ، نو د ژبې مرستې خدمتونه ستاسو لپاره وړیا موجود دي. مهرباني وکړئ زموږ له یوه فارمسیسټ سره په 855-277-9610 اړیکه ونیسئ. ستاسو په ژبه کې ژباړل شوی د درملو لیبل شتون لري.

PATIENT GUIDE TO IDENTIFYING INSTABILITY AND CONTAMINATION

STABILITY OF COMPOUNDED PREPARATIONS

Stability is defined as the extent to which a product retains the same properties and characteristics that it had when it was produced throughout its shelf life. Here is Precision Compounding Pharmacy & Wellness’ guide to identifying any instability in your compounded medication. If any sign of instability is seen or even detected, contact the pharmacy for further assistance! The pharmacy’s trained staff will help to determine if the compound may have become unstable, what to do if the cause of instability isn’t clear, how to safely return the compound to the pharmacy, how to properly dispose of the compound, and more.

Here is Precision Compounding Pharmacy & Wellness’ guide to identifying any instability in your compounded medication.

If any sign of instability is seen or even detected, contact the pharmacy for further assistance! The pharmacy’s trained staff will help to determine if the compound underwent an instability, what to do to determine the instability if not easily determinable, how to safely return the compound to the pharmacy, how to properly dispose of the compound, and more.

FACTORS THAT AFFECT THE STABILITY OF COMPOUNDS

Temperature

Storage instructions for compounded medications vary depending on the specific formulation. Some medications are stable at room temperature, while others require refrigeration to preserve effectiveness or texture.

  • Dosage Forms That May Be Stored at Room Temperature (59–86 °F):
    • Capsules
    • Tablets
    • Rapidly Dissolving Tablets
    • Sublingual tablets
    • Creams
    • Ointments
    • Some sterile injections when applicable
  • Dosage Forms That May Require Refrigeration (36–46 °F):
    • Suspensions (especially water-based)
    • Suppositories
    • Troches
    • Some sterile injections when applicable

Always follow the storage instructions on your prescription label. If you're unsure, contact the pharmacy for guidance on how to store your medication properly.

Light

Many compounded medications can be affected by light. Always keep your medication in the container it was dispensed in (amber vials, jars, or pumps help protect from light). If the color of your medication looks different than usual, or changes over time, contact the pharmacy. This may be a sign of light degradation.

Oxidation

A brown or darker color may signal oxidation (a type of breakdown). If this happens, contact the pharmacy.

Heat

Below are the general temperature ranges that compounded medications are to arrive in and be stored at.

Room Temperature (59-86 °F):

Tablets

Capsules

Rapidly Dissolving Tablets

Creams

Ointments

Some sterile injections when applicable

Refrigerated (36-46 °F):

Suppositories

Troches

Sublingual tablets

Suspensions

Some sterile injections when applicable

OBSERVING COMPOUNDS FOR EVIDENCE OF INSTABILITY

Capsules

If capsules appear wet, sticky, clumped, or deformed, or if you see condensation inside the container, contact the pharmacy. Also contact the pharmacy if the capsules seem unusually hard or soft.

Tablets

If there are any signs of crumbling, cracking, softening, or moisture contact the pharmacy. If rapidly dissolving or sublingual tablets show signs of failure to dissolve, contact the pharmacy.

Solutions and Syrups

If you notice solid particles forming (precipitation), dark streaks, cloudiness, or a change in odor (especially with water-based solutions), contact the pharmacy.

Emulsions

If the emulsion appears to separate, such as oil floating or layering apart from the rest of the compound or if the texture has changed, contact the pharmacy.

Suspensions

If there are large visible clumps or crystals, or if the powder settles at the bottom and doesn’t fully remix when shaken (some settling is normal), contact the pharmacy.

Creams

If your compounded cream appears separated, feels gritty, develops dark spots or streaks, or has an unusual odor, contact the pharmacy.

Ointments

If the ointment feels gritty, shows signs of leaking, darkening, or changes in consistency or smell, contact the pharmacy.

Suppositories

If suppositories appear to be melting, are too soft or brittle, or show any visible change in shape or color, contact the pharmacy.

When in Doubt, Contact Us

If you’re unsure about the appearance, texture, or smell of your medication, do not use it until our pharmacy has reviewed it. Store all medications securely, protect them from excess heat or light, and keep containers tightly closed. We’ll guide you on whether it’s safe to use, or how to return or dispose of it properly.

Disclaimer

This guide is for informational purposes only and does not replace medical advice. Always follow the directions on your prescription label and consult your healthcare provider or our pharmacy team if you have concerns.

Missouri

Precision Medicine is licensed and regulated by the Missouri Board of Pharmacy. The Missouri Board of Pharmacy is located at 3605 Missouri Boulevard, Jefferson City, Missouri 65109. The Missouri Board of Pharmacy’s contact information is as follows: Phone: 573-751-0091 Email: MissouriBOP@pr.mo.gov

Patients may notify the pharmacy of any suspected or confirmed irregularities in medication delivery verbally by contacting our toll-free number. This includes concerns related to delivery timeliness, medication integrity upon arrival, failure to receive the correct prescription or medication order, etc. All reports received through the toll-free line are documented and addressed promptly in accordance with our established procedures. Our toll-free number is (855)-277-9610 and a pharmacist will be available from Monday-Friday: 9am-9pm EST and Saturday: 8am-9am.

Detecting if the integrity of a prescription or medication order has been compromised due to improper storage or temperature variations involves careful inspection and following certain steps. Please reference the document titled, “Detecting Integrity Excursions” for a guide to help you with the process.

Maine

Electronic information about this prescription has been provided for you. Please read this information before you take the medication. If you have questions concerning this prescription, a pharmacist is available on Mondays-Fridays from 9am-9pm and on Saturdays from 8am-9am to answer these questions at 855-277-9610.

Complaints concerning the practice of pharmacy may be filed with the Miane Compliance Coordinator, Office of Licensing and Registration, 35 State House Station, Augusta, ME 04333, telephone 207-624-8660, or on the worldwide web at www.MaineProfessionalReg.org.

Georgia

Electronic information about this prescription has been provided for you. Please read this information before you take the medication. If you have questions concerning this prescription, a pharmacist is available on Mondays-Fridays from 9am-9pm and on Saturdays from 8am-9am to answer these questions at 855-277-9610.

Complaints concerning the practice of pharmacy may be filed witht he GFeorgia State Board of Pahrmacy located at:

2 Peachtree St. N.W., 6th Floor

Atlanta, Georgia 30303

You can also visit https://gbp.georgia.gov/ or contact them at 404-651-8000.

Texas

Electronic information about this prescription has been provided for you. Please read this information before you take the medication. If you have questions concerning this prescription, a pharmacist is available on Mondays-Fridays from 9am-9pm and on Saturdays from 8am-9am to answer these questions at 855-277-9610.

La información electrónica sobre esta receta ha sido proporcionada para usted. Por favor, lea esta información antes de tomar el medicamento. Si tiene preguntas sobre esta receta, un farmacéutico está disponible de lunes a viernes de 9 a.m. a 9 p.m. y los sábados de 8 a.m. a 9 a.m. para responder a sus preguntas al 855-277-9610.

Complaints concerning the practice of pharmacy may be filed with the Texas State Board of Pharmacy located at 1801 Congress Ave Suite 13.100, Austin, Texas 78701. YOu can also visit https://www.pharmacy.texas.gov/consumer/complaint.asp or contact them at 512-305-8070 or 800-821-3205.

Wisconsin

Wisconsin law requires the pharmacist to consult with you about any new or changed prescriptions. You may contact the pharmacy about any prescription.

If you have questions concerning this prescription, a pharmacist is available on Mondays-Fridays from 9am-9pm and on Saturdays from 8am-9am to answer these questions at 855-277-9610.

Contact the pharmacy about any delivery concerns including:

Timeliness of delivery

Condition of the prescription drug upon delivery

Failure to receive the proper prescription drug product or device

Any prescription which is damaged or lost due to delivery must be replaced by the pharmacy at no additional cost to the patient. If the timeliness of the replacement leads to an interruption in therapy, the dispensing pharmacy must take steps to reduce patient harm, IF a pharmacist fails to consult or resolve your delivery concern, you may contact:

The Wisconsin Dept. of Safety and Professional Services Division of Legal Services and Compliance at 4822 Madison Yards Way, Madison, WI 53705.

You can also visit https://dsps.wi.gov. You may also contact them by phone at 608-266-2112 or email at dsps@wisconsin.gov

Missouri

Precision Compounding Pharmacy is licensed and regulated by the Missouri Board of Pharmacy. The Missouri Board of Pharmacy is located at 3605 Missouri Boulevard, Jefferson City, Missouri 65109. The Missouri Board of Pharmacy’s contact information is as follows:

Phone: 573-751-0091

Email: MissouriBOP@pr.mo.gov

If you have questions concerning this prescription, believe the integrity has been compromised, or there is any irregularity in the medication delivery, a pharmacist is available on Mondays–Fridays from 9am–9pm and on Saturdays from 8am–9am to answer these questions at 855-277-9610.

Detecting if the integrity of a prescription or medication order has been compromised due to improper storage or temperature variations involves careful inspection and following certain steps. Please refer to the tab named “Detecting Integrity Excursions” for a guide to help you with the process.

Oregon

Notification to Patients

If you are a patient residing in Oregon receiving a controlled substance prescription, the prescription you are receiving will be entered into the Prescription Drug Monitoring Program.

If you have questions concerning this, a pharmacist is available on Mondays–Fridays from 9am–9pm and on Saturdays from 8am–9am to answer these questions at 855-277-9610.

Prescription Readers

Prescription readers are available for visually impaired patients and caregivers.

Please contact the pharmacy team at 855-277-9610 for details

Illinois

Information for residents of Illinois *include illinois graphic on this page*

Monographs

How to Prime Your Pump?

Before your pump can deliver the correct amount of medication, it needs to be primed. Priming prepares the pump so it works properly.

Step-by-Step Instructions

  1. Remove the cap, if your pump has one.
  2. Hold the bottle upright on a flat surface.
  3. Place your finger on the top of the actuator (the part you press).
  4. Press straight down firmly and release.
  5. Repeat this motion several times (approximately 7–15 pushes) until you see a small amount of medication come out.
  6. This may take a few pumps and will vary by product.
  7. Once medication is visible, the pump is primed and ready for use.

Why Priming Matters?

Priming removes air from the pump and ensures each dose is accurate. You only need to prime the pump the first time you use it, or if it has not been used for a while, as directed by your pharmacist.

If Medication Does Not Dispense…

Check that the pump is upright. Press straight down on the actuator, not sideways. Try a few more pumps. If medication still does not dispense, contact your pharmacy.

Medication pump illustration

How to Prepare & Give an Injection

Preparation

Wash hands icon

Wash your hands thoroughly with soap and water.

Check label icon

Check your prescription label and verify the medication name, dose, and expiration date.

Confirm vial icon

Confirm that the solution in the vial matches the description on the label.

Note: Do Not Use if vial is broken, contaminated, off color, expired, etc.

Filling the Syringe

Shake vial icon

Gently shake the vial.

Remove plastic cap icon

If using a new vial, remove the plastic cap.

Clean stopper icon

Clean the rubber stopper with an alcohol pad using one forward swipe.

Hold syringe icon

Hold the syringe in your hand like a pencil, with the needle pointed up. With the cap still on, pull back the plunger to the line on your syringe for your dose. This fills the syringe with air.

Insert needle icon

Remove the cap of the needle. Insert the needle into the cleaned rubber stopper and inject all the air from the syringe into the vial.

Note: Air into the vial keeps a vacuum from forming. If you put in too little air, it will be hard to draw out the medicine. If you put in too much air, the medicine may be forced out of the syringe.

Draw dose icon

With the needle still inserted, turn the vial upside down. Keep the needle tip in the medicine. Slowly pull back the plunger to the line on your syringe for your dose.

Administering the Medication

Remove bubbles icon

To remove air bubbles from the syringe: Keep the syringe tip in the medicine. Tap the syringe with your finger to move air bubbles to the top. Then push gently on the plunger to push the air bubbles back into the vial.

Injection site icon

Choose your injection site and clean it with an alcohol wipe. Allow the skin to dry. Insert the needle, then slowly push the syringe to administer the dose.

The ClarityIQ Injection Type (SQ vs IM):

  • SQ (subcutaneous): inject at 45°–90°, pinch 1 inch of skin
  • IM (intramuscular): inject at 90°, stretch the skin flat

Rotate Injection Sites

Sharps container icon

Dispose of the used syringe in a sharps container or a sturdy, puncture proof container.

Note: Don’t recap needles and don’t throw them in household trash.