Provider Information

As a compounding pharmacy, we are able to produce unique dosage forms of medications based on your preferences and/or restrictions. Examples include dye-free, preservative-free, alcohol-free, and/or sugar-free forms of medications. To learn more about our ability to customize medications, contact us today at 912-629-0444.

Writing a Compounded Prescription

Rx: Patient Name DOB

Address Phone Number

Compounded Medication*

Generic Name of Active Ingredient(s) / Strength of Dose (i.e. mg or %)

Dosage Form (i.e. cream, suppository, capsule, etc.)


Directions for Use

Refills, if any


(Physician Signature)

Prescriptions accepted via phone, fax, or e-scribe.

Our pharmacists are happy to answer any questions about formulations.

For hand written compound prescriptions, please begin with the phrase “Compounded Medication”