Prescriber Resources

How to Write a Prescription for a Compounded Medication

Unavailable and Discontinued Medications

Medications may be commercially unavailable for a variety of reasons, the most common being:

  • back-ordered due to a manufacturing problem
  • discontinued due to decreased usage or declining manufacturer profits, which may be related to the introduction of a newer drug

(Note: Drugs are also withdrawn from the market due to health risks, and we do not compound medications that were discontinued due to safety concerns.)

Sometimes only certain doses and dosage forms of a particular drug, or specific combinations are discontinued.

Our compounding pharmacists can help by obtaining the Active Pharmaceutical Ingredient (API) and compounding the needed drug in the most appropriate dose, dosage form, and flavor for each patient. We can also compound medications that are free of problem-causing additives such as sugar, alcohol, preservatives, dyes, and gluten. We utilize the finest FDA approved chemicals, follow current USP guidelines, and are licensed and regulated not only by our State Board of Pharmacy but also the Pharmacy Compounding Accreditation Board (PCAB).

Shortages of Oral and Topical Medications

  • Acetaminophen Suppositories
  • Armour Thyroid®
  • Betamethasone 0.6 mg/5 mL Oral Syrup
  • Dichloralphenazone / Isometheptene / Acetaminophen capsules
  • Diclofenac gel (brand name Voltaren®)
  • Disulfiram (Antabuse®) Tablets
  • Ergotamine Tartrate 1 mg/Caffeine 100 mg Capsules
  • Levothyroxine sodium Tablets
  • Mebendazole tablets (brand name Vermox®)
  • Metformin HCl 100 mg/ml Oral Solution
  • Methazolamide
  • Methylprednisolone
  • Metronidazole Tablets
  • Mexiletine Capsules
  • Neomycin Sulfate 25 mg/ml Oral Solution
  • Nystatin 100,000 U Suppository
  • Oxsoralen® (methoxsalen 1% topical lotion)
  • Panafil® ointment
  • Reserpine Tablets
  • Sinemet® (carbidopa-levodopa) 25 mg/100 mg Tablets
  • Sulfadimethoxine Capsules
  • Tetracycline capsules
Shortages of Veterinary Medications
  • Cisapride
  • Ivermectin 3 mg
  • Selegiline
Shortages of Injections, Ophthalmic Preparations, and other Sterile Medications
  • Acetylcysteine 20% Inhalation Solution
  • Acyclovir Sodium Injection
  • Amikacin 50 mg/ml Injection Solution (PF)
  • Alprostadil (Caverject®)
  • Aminocaproic Acid Injection
  • Ammonium Chloride 5 mEq/mL Injection Solution (PF)
  • Arginine HCl 100 mg/ml Injection Solution (PF)
  • Atropine Sulfate Injection
  • Betamethasone Acetate/Betamethasone Sodium Phosphate Injection Suspension
  • Bupivacaine Hydrochloride Injection
  • Buprenorphine Injection
  • Calcitriol 1 mcg/ml Injection
  • Calcium Chloride Injection
  • Calcium Gluconate Injection Solution
  • Cyanocobalamin 1000 mcg/ml Injection Solution
  • Dapiprazole 0.5% Ophthalmic Solution
  • Dexamethasone Phosphate 4 mg/ml Injection Solution
  • Dextrose Injection
  • Diazepam Injection
  • Diphenhydramine 50 mg/ml Injection Solution
  • Famotidine Injection Solution
  • Fentanyl Citrate Injection Solution
  • Fluorouracil 50 mg/ml Injection Solution
  • Furosemide 50 mg/ml Injection
  • Gentamicin 40 mg/ml Injection Solution
  • Hyaluronidase 150 U/ml Injection Solution
  • Ketorolac Tromethamine Injection Solution
  • Leucovorin 10 mg/ml Injection (PF)
  • Lorazepam 2 mg/ml and 4 mg/ml Injection Solution
  • Magnesium Sulfate Injection
  • Methocarbamol 100 mg/ml Injection Solution
  • Methylene Blue 10 mg/ml Injection Solution
  • Methylpyrazole (4-) 50 mg/mL Injection Solution (Canine)
  • Metoclopramide injection
  • NaCl 23.4% Injection Solution
  • Papaverine Hydrochloride Injection
  • Phentolamine Mesylate Injection Solution
  • Phytonadione Injectable Emulsion (Vitamin K)
  • Potassium Chloride Injection 2 mEq/mL
  • Promethazine HCl Injection Solution
  • Rifampin for Injection
  • Sodium Bicarbonate 8.4% Injection Solution (PF)
  • Succinylcholine Chloride Injection Solution
  • Sulfacetamide Ophthalmic Ointment
  • Sulfamethoxazole 80 mg/mL/Trimethoprim 16 mg/mL Injection Concentrate
  • Urokinase® Injection
  • Verapamil Hydrochloride Injection
  • Vitamin A Palmitate 50,000 Units/ml Injection Emulsion
  • Vitamin B-6 Injection
  • Vitamin B-12 Injection
Discontinued Medications:
  • Achromycin® Ointment
  • Actifed®, Actifed-C® Liquid
  • Azulfidine Liquid
  • Butazolidin
  • Cafergot®
  • Chlorpromazine Oral Solution and Suppositories
  • Chlortrimeton® Solution
  • Cortef® Suspension
  • Cromolyn
  • Decaspray®
  • Desonide® Otic
  • Dexamethasone - various
  • Dilantin® Suspension
  • Hydergine® Liquid
  • Indomethacin Suppositories
  • Isoniazid Liquid
  • Levsin®/Pb
  • Meclan® Cream
  • Midrin®
  • Minocycline Suspension
  • Mycelex-G® Vaginal Tablets
  • Negatan®
  • Nystatin Suspension
  • Paregoric
  • Robaxisal®
  • Thioridazine Suspension
  • Topicycline®
  • Triamcinolone Acetonide
  • Trimethobenzamide Suppositories
  • Vancomycin Liquid
  • Whitfield’s Ointment

In addition to the above, there are countless products and “remedies” that are no longer commercially available, but that physicians and patients report are very useful in treating a specific problem. Ask our compounding pharmacist for more information.


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Insurance Coverage - Fingertip Formulary®

is a simple-to-use tool that allows you to determine formulary drug status for health plans in your area. We offer formulary information on the most commonly prescribed drugs. Simply select a drug and health plan and formulary results will be displayed.

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4021 Cascade RD SE, Suite 50 •  Grand Rapids, MI 49546 •  Phone Number 616-974-9792