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REQUEST FOR COMPOUNDED MEDICINES Form & Prescription: Fax 09 888 2110 OR scan/email: pharmacist@weledapharmacy.co.nzRequesting Pharmacy Name: ___ Delivery Address (not PO Box)Phone: Email: Fax:Postcode: Payment:
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How to fill out request for compounded medicines

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How to fill out request for compounded medicines

01
To fill out a request for compounded medicines, follow these steps:
02
Gather all necessary information: Start by gathering all the necessary information, such as the patient's name, date of birth, address, and contact information. Also, gather information about the prescribed medication, including the name, dosage, and any specific requirements.
03
Consult with a healthcare professional: It is important to consult with a healthcare professional, such as a doctor or pharmacist, to determine if a compounded medicine is necessary and appropriate for the patient's condition. They can provide guidance on the specific requirements for the request.
04
Contact a compounding pharmacy: Find a reputable compounding pharmacy in your area and contact them to discuss the request. They will guide you through the process and provide any necessary forms or documentation.
05
Provide all required information: Fill out the request form provided by the compounding pharmacy, and make sure to provide all the required information accurately. This may include details about the patient, the prescribed medication, any allergies or sensitivities, and any special instructions.
06
Submit the request: Once the form is complete and all necessary information is provided, submit the request to the compounding pharmacy. They will review the request and contact you if any additional information is needed.
07
Follow up: After submitting the request, it is important to follow up with the compounding pharmacy to ensure that the medication is being prepared according to the request. Stay in communication with them and provide any additional information or clarification if needed.
08
Pick up or receive the medication: Once the compounded medication is prepared, you can either pick it up from the pharmacy or arrange for it to be delivered to your location, depending on the pharmacy's policies.
09
Follow dosage instructions: It is crucial to follow the dosage instructions provided by the healthcare professional and any additional instructions provided by the compounding pharmacy. If you have any questions or concerns, consult with your healthcare provider.
10
Store and handle the medication properly: Follow the storage and handling instructions provided by the pharmacy to ensure the medication's efficacy and safety. If you have any doubts, seek guidance from the pharmacist or healthcare professional.
11
Monitor and report any issues: Keep a close eye on the patient's response to the compounded medication and report any issues or side effects to the healthcare provider or compounding pharmacy. They can provide further guidance or make any necessary adjustments to the medication.

Who needs request for compounded medicines?

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Request for compounded medicines may be needed by individuals who have specific medication requirements that cannot be met by commercially available medications. This includes individuals with allergies or sensitivities to certain ingredients, patients who require customized dosage forms or strengths, or those who need medication formulations that are not commercially available. It is important to consult with a healthcare professional to determine if a compounded medication is necessary and suitable for the individual's condition.
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Request for compounded medicines is a formal application submitted to a pharmacist or healthcare provider to prepare a customized medication that is not commercially available.
Patients who need personalized medications or healthcare providers who prescribe compounded medicines are required to file the request for compounded medicines.
To fill out a request for compounded medicines, patients or healthcare providers need to provide details of the medication needed, dosage requirements, any allergies or sensitivities, and any specific instructions for compounding.
The purpose of request for compounded medicines is to ensure that patients receive customized medications that meet their specific needs and requirements.
Information such as the patient's name, desired medication, dosage, instructions for compounding, any allergies or sensitivities, and the prescriber's information must be reported on the request for compounded medicines.
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