Patients sometimes ask us at our compounding pharmacy: “Why does my medication typically take a day to be ready and sometimes longer?”
There are several factors that can affect how quickly each medication is made at a compounding pharmacy. These factors include:
- The number of orders ahead of a patient’s prescription
The number of prescriptions a compounding pharmacy receives on any given day is one factor we can’t always predict.. At Koshland Pharm, we do our best to catch up when we are especially busy by taking measures such as bringing our staff in on weekends to make medications.
- The dosage form of the medication ordered
Capsules, for example, are one of the most time-consuming medications to make. Each capsule is hand-packed, and a random capsule weight check is performed on each finished batch to ensure each capsule holds the proper amount.
- The availability of specific ingredients
At a compounding-only pharmacy like Koshland Pharm, we stock the active ingredients of the medications we most often make; sometimes, however, a customized medication is prescribed with an active ingredient that we need to order before making.
- Communication needed between the doctor, pharmacist, and patient
Because each medication is formulated specifically for an individual patient, sometimes the prescribing doctor and pharmacist need to talk to clarify or adjust an order. This can make the process take a little bit longer. Also, because each prescription is made from scratch and by hand, we only begin the process after both receiving the prescription (or refill authorization) from the doctor and also verifying with the patient that we should go ahead with the order.
It always helps compounding pharmacies like ours to have as much advance notice as possible when filling a customized prescription. We greatly appreciate any advance planning that is possible, especially for refills. We also encourage patients to choose our expedited, trackable shipping option if they are going out of town and needing the medication on an exact date.
Much like the slow food movement, the “slow medicine” movement prioritizes processes that sometimes take longer but lead to successful health outcomes. Compounding pharmacies that make individualized prescriptions for specific patients with only the highest quality standards are a part of this “slow medicine” philosophy. While we want to make medications in a timely fashion, especially when it is an antibiotic or another medication that is immediately needed, we know we must always follow the best procedures that have been developed and tested within the industry to ensure quality.
Krista Shaffer, Outreach Director at Koshland Pharm