Better Value Pharmacy offers Non-Sterile and Hazardous Compounding. We offer many different forms of compounded medications, such as solutions, suspensions, capsules, dissolvable tablets, creams, ointments, troches, lollipops, suppositories, etc. We ask for patients to allow a 24-48 hours for us to complete their compounded orders.

Pharmacy Compounding is the art and science of preparing customized medications for patients.  Its practice dates back to the origins of pharmacy; yet compounding’s presence throughout the pharmacy profession has changed over the years.   In the 1930’s and 1940’s, approximately 60 % of all medications were compounded. With the advent of drug manufacturing in the 1950’s and 1960’s, compounding in the local pharmacy rapidly declined.  The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms. Within the last two decades, though, compounding has experienced a resurgence, as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs.  Today, an estimated one percent of all prescriptions are compounded daily by pharmacists working closely with physicians and their patients.

In the simplest terms, we help Physicians and Patients solve medication problems:

• Unique medication strengths: A medicine may be available only in one or two strengths. However, your doctor may find that the best dose is not one of those. We can prepare a dosage form that will contain whatever amount your doctor orders. You don’t have to take too much medicine which could cause adverse effects or too little which may not work for you.
• Unique dosage forms: Medicines often are available only in tablets or capsules. But infants and individuals with swallowing difficulties may need a liquid, suppository or other dosage form. We can make these dosage forms to contain the medicines people need.
• Unavailable medications: Pharmaceutical companies may stop making products for which there is a limited demand. If we can obtain the medicine in its chemical form, we can compound it for you.
• Bad tasting medicine: Some individuals will not take a medicine because of bad taste. This is a special problem when a medicine must be taken for several months or years to control a chronic health problem. We can prepare dosage forms in flavors that people like. We have 40 different flavours (from peppermint to orange-guava-melon).
• Allergies: Commercial medicines may contain flavors, preservatives, dyes and binders. If a patient is allergic to any one of these ingredients using that medicine could result in unpleasant or life-threatening reactions. We can prepare medicines that are free of materials to which a patient is known to be allergic.

Diabetic Compounding

Better Value Pharmacy can help you manage your diabetes.  

At Better Value Pharmacy, we are committed to helping our diabetic patients manage their self-care.  We truly believe that we can help improve our patient’s lives through choices, knowledge and support. That is way we have a special section in our pharmacy dedicated to diabetic patients.

At Better Value Pharmacy you can find all of your medications and supplies as well as meal planners, nutritional literature, and diabetes wellness brochures. But most importantly, you will find our knowledgeable, caring pharmacists to support and encourage you each time you walk through our door or call for information.

And when you need help of a more serious nature, such as circulation, wound healing or pain management, our specialized compounding pharmacists are available to work with you and your physician to prepare custom-made medications to meet your needs. 

For a list of prescription compound medications suited for diabetic’s needs, click here.

Prescription Compound Treatment Options

Enhance Circulation
Nifedipine 2% – 16%

Topical Ulcers
Misoprostol/Phenytoin

Pain Management
C/G/K, Ketoprofen, etc.

Skin Lesions
Topical Arginine

In addition to a diabetic patient’s special diet there are important nutritional supplements that could improve your health.  

We understand that a diagnosis of diabetes is a life-changing event for most people. We want to help. Our mission is to encourage you to make the right lifestyle choices and stay on track with your treatment plan to create a healthier, happier life.

Compound Medications for Podiatrists

Pharmacy compounding is the art and science of preparing customized medications for patients. We specialize in customizing medications to meet unique patient and unique physicians needs. We work closely with physicians helping them formulate unique combinations both in strength and dosage form.

¨ Unique medication strengths: A medicine may be available only in one or two strengths. However, your doctor may find that the best dose is not one of those. We can prepare a dosage form that will contain whatever amount your doctor orders. You don’t have to take too much medicine which could cause adverse effects or too little which may not work for you.

¨ Unique dosage forms: Medicines often are available only in tablets or capsules. We are able to compound a medication in may different forms including an oral liquid, suppository, topical creams, gels, solutions, lozenges, troches, mini troches, rapid dissolve tablet, and more.

¨ Unavailable medications: Pharmaceutical companies may stop making products for which there is a limited demand. If we can obtain the medicine in its chemical form, we can compound it for you.

¨ Bad tasting medicine: Some individuals will not take a medicine because of bad taste. This is a special problem when a medicine must be taken for several months or years to control a chronic health problem. We can prepare dosage forms in flavors that people like. We have over 40 different flavors (ex: banana cream, butterscotch, pina colada, cheesecake, grape, english toffee, etc)

¨ Allergies: Commercial medicines may contain preservatives, dyes, flavors, and fillers. If a patient is allergic to any one of these ingredients using that medicine could result in unpleasant or life-threatening reactions. We can prepare medicines that are free of materials to which a patient is known to be allergic.

Onchomycosis treatment: Onychomycosis accounts for one-third of fungal skin infections; because only about one half of nail dystrophies are caused by fungus. Dimethylsulfoxide (DMSO) base: Penetrates to nail and skin and has efficient delivery of drug to the site of action. There are a number of topical antifungals available like flucanozole, itraconazole, ketoconazole, undecleynic acid, tea tree oil etc. Ibuprofen has a synergistic action with “azole” antifungals. Bulk chemical source of antifungal agent allows for addition to cream, ointment, gel, and liquid preparations. They can also be combined with other agents such as steroid, anti-pyretic, anti-viral or additional anti-fungal for additive coverage The patient applies Urea cream 40% on the affected nail, to softens the nail, which allows for easier penetration of medication. Then apply the topical fungal compound for 3 to 6 months. The topical fungal compound can have 3 to 5 antifungal antibiotics such as miconazole, ketoconazole, itraconazole, sporanox and also ibuprofen. This eliminates the load on liver and kidneys.

D11A	Urea 40%		App HS
D11	Ketoconazole 2% + Ibuprofen 2% + Miconazole 2% + Lamisil 1% in DMSO/ Benzoyl alcohol solution	15ml	App BID for 14 wks
D12	Ketoconazole 2% + Ibuprofen 2% + Miconazole 2% in DMSO/ Benzoyl alcohol solution	15ml	App BID for 14 wks
D12A	Ketoconazole 2% + Ibuprofen 2% + Miconazole 2% + Sporanox1% in DMSO/ Benzoyl alcohol solution	15ml	App BID for 14 wks

Pre-treatment for Onchomycosis: Urea 40% ointment –apply to nail at bedtime and occlude. Nail will soften and thin for optimal absorption of medication. Nail may come off in a week or two.

Warts: The Human Papilloma Virus causes this. Classic treatments include the use of caustic keartolytic agents of wart tissue. Agents most commonly used are 2-Deoxy-D-Glucose, Cimetidine, Cantharidin, Trichloroacetic acid, 5-FU, podophyllin, Salicylic Acid up to 80%, Squaric Acid,

D4	Canthardin Solution 70mg/10ml
D4A	Cantharidin + Podophyllin + TCA + 2-Deoxy-D-Glucose
D4C	Cantharidin + Podophyllin + TCA + Salicylic acid
D4D	2-Deoxy-D-Glucose 0.19%	gel

Foot Odor:

• Drying agents
• Adsorbent base-talc, Starch, Microcrystalline cellulose, Alcohol
• Antibacterial agents

In powder, cream, spray, solution, or roll-on dosage form.

Topical Anesthetics: Main ingredients contain – Benzocaine + Lidocaine + Tetracaine. We call it “Fort BLT”. Many dermatologists use this for laser hair removal and minor in office procedures to provide a local anesthetic effect. We can compound as solution, spray or gel for local anesthesia. Any combination of anesthetics in many choices of bases is available to be compounded.

P9

BLT Gel – Benzocaine 20% + Lidocaine 8% + Tetracaine 4%

Gel

30g

App 20 minutes prior to procedure

Wound care is critical because without it, loss of morbidity or death from overwhelming systemic infection can occur, especially in immunocompromised patients or those with lymphedema or peripheral vascular disease. Even newer antibiotics require a special vehicle to reach the site of injury. It has been found that if an effective base is used, only topical preparations are necessary to heal wounds unless the patient has underlying health problems. Some of the formulations that have given excellent results are:

• Misoprostol 0.0024 %(a gastric antisecretory and antiulcer agent that exerts a protective effect on the

gastro-duodenal mucosa), Metronidazole 2 %( for odor control), and lidocaine 2% (for pain relief) in a

gel base.

• Nifedipine gel encourages vasodilation, epidermolysis and possible microvascular neogenisis in the

area surrounding the ulcer.

• Phenytoin 5 % (for wound healing), misoprostol 0.0024% (a gastric antisecretory and antiulcer agent

that exerts a protective effect on the gastro-duodenal mucosa).

D19A	Gabapentin 1% + Lidocaine 1% + Ketoprofen 2% + Phenytoin 2% + Misoprostol 0.0024% Burn cream
D19C	Misoprostol/Phemnytoin/Tobramycin cream
D19D	Misoprostol 0.0024% + Metronidazole 2% + Lidocaine 2%
D19E	Misoprostol 0.0024% + Phenytoin 5%

Diabetic Neuropathy: Neuropathic agents applied transdermally to treat pain avoid systemic side effects, efficiently deliver the drug to the site of application and may also be able to administer multiple drugs in one dosage form. Agents used to increase the circulation are:

• Nifedipine transdermal
• Pentoxifylline transdermal
• Alpha lipoic acid: Modulates the nitric oxide within the cell, stimulates the glucose uptake from free radicals and also helps prevent diabetic neuropathy by decreasing lipid peroxidation of nerve tissue.

P6P	Lidocaine 10% + Ketoprofen 10 % + Ketamine 10% + Gabapent 10%	Gel	60g	App 2 to 3 times a day
P6P1	Lidocaine 10% + Ketoprofen 10 % + Ketamine 10% +Gabapent 10% + Nifedipine + Pentoxyfylline + Alpha lipoic acid	Gel	60g	App 2 to 3 times a day
P7	Lidocaine 5% + Ketoprofen 20% + Ketamine 2% + Carbamezapin 5% + 0.2% 2-Deoxy-D-Glucose + 3% Acyclovir	Gel	60g	App 2 to 3 times a day

Pain and Inflammation: Compounding with transdermal bases enables the delivery of drug to the site of action while avoiding systemic side effects as with NSAIDS, narcotics, Pentoxyfylline, Neuropathic pain agents. They may be combined with muscle relaxants such as Cyclobenzaprine, Baclofen etc as needed. The major advantage is that it avoids drowsiness and gastric upsets.

P1	Ketoprofen 10 %	Gel	60g	App 2 to 3 times a day
P2	Ketoprofen 10% + Cyclobenzaprine 1% + Lidocaine 4%	Gel	60g	App 2 to 3 times a day
P3	Diclofenac 5% + Lidocaine 4% + Prilocaine 2% + Gabapentin 3% + Baclofen 1%	Gel	60g	App 2 to 3 times a day
P5	Lidocaine 5% + Ketoprofen 20% + Ketamine 2% + Carbam 5%	Gel	60g	App 2 to 3 times a day

Hyperhidrosis:

• Local anesthetics:
• Lidocaine 5% + Prilocaine 5%
• Other agents: Methenamine 5%, Formaldehyde 5-20%, Glutaraldehyde10%, Atropine or Scopolamine 0.25%
• Iontophoresis with tap water
• Deodorant additives—tea tree oil, triclosan chlorhexadine etc.

Our commitment to our patients and physicians is always our priority. We hope to help you to help your patients!

Custom-Made Compounded Dental Medications

Better Value Compounding Pharmacy works with dentists and dental patients to formulate unique dental medications to meet patient needs.

Examples of Dental Compounds:

Mouth rinse for oral ulcerations (canker sores) containing a combination of various medications like antibiotics, antihistamines, antifungals, anesthetics, antivirals, corticosteroids, misoprostol, phenytoin, etc.

Transdermal preparations for pain syndromes such as neuralgias and temporomandibular joint disorders (TMJ).  These dental compounds might contain anti-inflammatory agents, either alone or in combination with a pain drug such as ketamine. For more information on pain medication, ( pain management page )

Cosmetic dental formulations such as bleaching gel or mouthwashes.

Commercially unavailable medications and dosage forms.

Special flavoring

Preparation of medications for intraoral infections such as periodontal disease and candidiasis.

Electrolyte troches for dry mouth.

Discontinued or out-of-stock medications

Combinations of drugs (topical & oral)

Sugar-free, dye-free, preservative-free medicines

Prescription Compounds for Wound Care

Wound Type	Medication	Base Choices
No Odor / No Pain	Misoprostol 0.0024% Phenytoin 5%	Emollient Cream: Good for most decubitus wounds, very hydrating
Odor / No Pain	Misoprostol 0.0024% Phenytoin 5% Metronidazole 2%	Protective Barrier Ointment:  Good for areas with potential for soiling
No Odor / Pain	Misoprostol 0.0024% Phenytoin 5% Lidocaine 4%	Gel: Good for tunneling areas or dry wounds
Odor / Pain	Misoprostol 0.0024% Phenytoin 5% Lidocaine 4% Metronidazole 2%	Polyox Bandage: Goo

Contact us today if you have any questions!

Phone: 626-960-4723

Fax: 626-813-7648

Email: Team@bettervaluerx.com