MD Custom Rx is an independent family
owned pharmacy and differs from traditional pharmacies in that it does not dispense
commercially manufactured pharmaceuticals. At MD Custom Rx, all prescriptions
are custom made for patients based on physician orders. The pharmacy is stocked
with raw pharmaceutical grade ingredients used in the preparation of medications. Unique
equipment such as an ointment mill, powder blender, electronic balance, encapsulation
machine, powder containment hood, incubators, convection oven, and laminar flow hood
are used by Monica and her staff to prepare custom prescriptions. Sterile products
are produced in a state of the art clean room which was custom built for MD Custom
Rx.
The types of prescriptions compounded by Monica and her staff are endless. They
include topical pain gels for neuropathy, topical gels for nausea, capsules and tablets
for arthritis and inflammation, suppositories for infertility, injectables for impotency
and injectables for high risk pregnancy just to name a few. Compounded prescriptions
for animals are also prepared at MD Custom Rx.
Monica consults with patients and physicians on issues involving symptoms of hormone
imbalance. Based on test results and physician orders, Monica and her staff
prepare compounded prescriptions using bio-identical hormones. She has worked
with hundreds of female and male patients and their physicians to help them safely
reduce or eliminate symptoms associated with menopause, peri-menopause, pms and andropause. Her
consultations are by appointment.
At MD Custom Rx you will find a staff of professional and caring pharmacists and technicians
who are devoted to the patient-physician-pharmacist triad, which consists of the philosophy
that by working together we can best meet the individual needs of the patient. Our
pharmacists strive to obtain the highest standard of continuing education in order
to be the most up to date in their knowledge of drug manipulation and compounding techniques. Secondly,
you can expect to find the most state-of-the-art compounding laboratory complete with
USP <797 compliant clean room with concomitant ante and prep room facilities. We
ensure in-house environmental testing and scheduled sterility and potency testing on
all of our sterile compounded products and scheduled testing on all compounded preparations.
MD Custom Rx is the only pharmacy of its type in Wisconsin. Monica encourages
patients and physicians to consult with her on issues pertaining to medication and
therapy challenges.
Compounding is achieved through an essential triad relationship -- patient, physician
and pharmacist. This enables patients to receive the type of personalized care they
deserve and allows independent community pharmacists the opportunity to provide superior,
patient-oriented services. This triad relationship between the patient, the physician,
and the pharmacist is vital to the process of compounding so all three can work together
to solve unique medical problems. Every patient is a unique human being and as
such must choose a therapeutic approach that meets his/her own personal needs and expectations.
Working together, the patient, healthcare provider and compounding pharmacist can identify
options from which the patient can choose. The compounding pharmacist can help customize
the therapy to fit a patient’s needs/preferences regarding dose, dosage form,
and flavoring. It only makes sense that the patient, healthcare provider and compounding
pharmacist work together, melding their individual knowledge and skills, to produce
the best possible therapeutic outcome.
 Monica
Zatarski PharmD, RPh has been exposed to pharmacy innovation ever since she can remember. The
daughter of John Waclawski RPh, CDE owner of Ye Olde Pharmacy in Glendale, WI, Monica
has worked in her father’s pharmacy since the age of 14, being mentored by one
of the finest innovative pharmacists in the state. Monica graduated from the
University of Wisconsin Madison with a Doctor of Pharmacy Degree in May 2004 and immediately
continued her work at Ye Olde Pharmacy now as a Registered Pharmacist specializing
in prescription compounding and bio-identical hormone therapy. November 1st, 2005 she
opened MD Custom Rx in which she specializes in the art of working together with a
patient and their physician in order to make customized prescriptions.
- Devoted just to customized prescription compounding
- State-of-the-art laboratory and clean room facility (for sterile compounding)
- We meet USP <795> and <797> requirements
- 2 onsite pharmacists certified in Aseptic Compounding
- Modern equipment and advanced training allows us to ensure a quality preparation
- Offer FREE saliva hormone testing
- Onsite bio-identical hormone specialist
- Offer It’s All About Balance: A Hormone Consultation Program
- Carry Pharmaceutical Grade and Whole Food Nutritional Supplements
- Standard Process
- Phyto Pharmica
- Carlson
- Thorne
- Pure Encapsulations
- We work closely with patient and physicians in order to meet individual needs
- Electronic Balances with Printers
- Hot Plate with Magnetic Stirrer
- Powder Containment Hood
- Jaansun 100 & 300 count capsules machines
- Ointment Mill
- Convection Oven
- Laminar Flow Hood
- Incubators
- Suppositories Molds, including the Rectal Rocket
- Lollipop Mold
- Troche Molds
- Electronic Mortar and Pestle
WHAT TO LOOK FOR IN
A COMPOUNDING FACILITY
 In
order to ensure your safety, it is important to follow USP <795> regulations
(for non-sterile preparations) and USP <797> (for sterile preparations). Here
is a list of important questions you should be prepared to discuss with the pharmacist:
- Do you follow USP <795>? – The pharmacist should know what you
are talking about and feel comfortable answering this question.
- Does each preparation have its own identifying lot number? – A lot
number serves as a means of tracking how the preparation was made and what was used
to make the preparation in case a raw ingredient ever needs to be recalled or if
a problem should arise with your prescription.
- Does the pharmacy keep Certificates of Analysis on file for all raw ingredients
used in prescription compounding – Certificates of Analysis guarantee
the potency and water content of raw ingredients. This is important in ensuring
the correct weight needed to make your prescription.
- How does the pharmacy guarantee correct weights of raw ingredients? – For
example at MD Custom Rx we have a printer, which is connected to our balance. The
weight of each chemical is then printed and attached to the corresponding log sheet. This
way we can always verify that the prescription was correctly compounded.
- Does the pharmacy keep and follow updated Standard Operating Procedures? – USP <795> requires
that the pharmacy write and update Standard Operating Procedures on how every function
is performed in the pharmacy.
- Does the pharmacy have scheduled testing performed on all compounded preparations? – Outside
potency testing ensures that policies, procedures, and personnel are capable of producing
a quality product.
- What professional compounding organizations do you belong to? – Support
from professional compounding organizations offers important information on legal
issues and can offer insight on stability, compatibility, and medical evidence for
compounded formulations.
- What continuing education avenues are pursued for advancement in prescription
compounding – Compounding education is and should be endless. It
is important to ensue that personnel are up-to-date with chemical manipulation
and compatibility.
For information on USP <797> regulating sterile compounding please see - http://www.mic4.com/regulations/USP-797.pdf#search=%22usp%20797%22
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