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Compounding is the practice of preparing a medication tailored to an individual patient's prescription. Instead of a mass-produced product, a compounding pharmacy makes the medication to the specific strength, form, or combination your provider orders.
Examples on this site include medications compounded as liquids for people who cannot swallow pills, thyroid capsules made to a T3/T4 ratio no manufactured product offers, and all-purpose nipple ointment, which combines three actives that are not sold together commercially.
Compounded medications are not FDA-approved. They're prepared by a licensed pharmacy pursuant to a valid prescription for an individual patient, under USP standards. The FDA does not review compounded medications for safety or effectiveness.
Providers can submit a prescription three ways:
A valid prescription is required, and compounded medications are not FDA-approved.
Bayview Pharmacy specializes in customized medications that are not commercially available, including sterile and non-sterile compounded preparations.
Compounding allows customization of strength, dosage form, ingredients, and combinations not available commercially.
In practice that looks like a custom oral suspension for a patient who cannot swallow a tablet, fortified eye drops at a concentration no commercial drop is made in, or a topical pain cream that puts several actives in one base. Compounded preparations are not FDA-approved and require a valid prescription.
Yes. We prepare veterinary compounds for dogs and cats, including oral suspensions, topical creams and transdermal gels, with flavoring options that make a course of treatment realistic to finish.
Veterinary compounding solves much the same problems as human compounding. An animal may need a strength no commercial product offers, a dosage form it will actually accept, or a drug free of an ingredient that is unsafe for that species — xylitol, for instance, which appears in some human liquid medications and is toxic to dogs.
A compounded veterinary preparation requires a prescription from a licensed veterinarian, exactly as a human prescription does. Everything is prepared to your veterinarian’s order.
Never give an animal a medication dispensed for a person, or a person a medication dispensed for an animal. Doses and formulations are not interchangeable and some drugs that are safe for one species are dangerous in another. You can read more on our veterinary compounding page.
Preparations with their own pages include methimazole transdermal gel for cats, pimobendan and trilostane for dogs, ursodiol, and cisapride.
Yes. All of our medications require a valid prescription from a licensed provider. We're a dispensing and compounding pharmacy, so we don't provide consultations or write prescriptions. If you don't have one yet, you'll need to find and see a provider first.
Yes. Your provider can send your prescription to Bayview Pharmacy by e-prescribe, fax, or phone, or you can transfer an existing prescription from another pharmacy.
Yes. Our staff contacts every patient after receiving a prescription.
Yes. Patients may contact us to discuss options and pricing in advance.
Yes. Our pharmacists are available to discuss formulation options, dosing, and alternatives.
Yes. We routinely assist providers in selecting appropriate compounded formulations.
Search your e-prescribing system for Bayview Pharmacy, 3844 Post Road, Warwick, RI 02886 — NCPDP 4106882.
Use your system’s compound, custom, or free-text option rather than forcing the order into a commercial NDC. An NDC-based entry describes a manufactured product, not the preparation you want, and it usually means we have to call you back.
Include the complete formulation: every active ingredient with its strength or concentration, the base or vehicle, the dosage form, the total quantity, full directions, and the number of refills. The more complete the order, the less likely we are to interrupt you for a clarification.
Controlled substances must come through EPCS. Non-controlled prescriptions can also be faxed to 401-284-4506 (alternate 401-210-2757) or called in to 401-284-4505.
If you would like help wording a formulation before you send it, call us and one of our pharmacists will work through it with you.
Often, yes. Send us the complete formulation — every active ingredient with its strength or concentration, the base or vehicle, the dosage form, the total quantity and the directions. A photograph of the previous label, or the other pharmacy’s formula sheet if your patient has it, is genuinely useful.
Our pharmacists will review whether we can prepare it as written and whether the ingredients are available. Occasionally a base or vehicle we stock differs from the one used elsewhere; where that happens we will tell you what we propose and confirm it with you before compounding. We will not change a formulation on our own.
We do need a new prescription written to Bayview. We cannot continue dispensing on another pharmacy’s prescription, and for a controlled substance the prescription must come through EPCS.
Call us at 401-284-4505 if you would like a pharmacist to look at a formulation before you write it.
Most prescriptions are completed within 1 to 3 business days. Sterile preparations may require additional time.
Yes. Expedited service may be available depending on the medication.
No. Most compounded medications are prepared after receiving a prescription.
Typically within the same business day.
Yes. Urgent requests are prioritized when clinically appropriate.
Yes, upon request.
Medication name, strength, dosage form, directions, patient demographics, and prescriber information.
In many cases, yes.
Betahistine, for instance, is not manufactured in the United States at all, and cisapride is prepared for veterinary patients because no commercial version is available in North America. Whether we can prepare a particular one depends on the ingredient being available from a licensed supplier and on the drug not appearing on the FDA’s list of products withdrawn for safety reasons. Call us at 401-284-4505 and we will check before you write the prescription.
Yes, when appropriate and legally permissible.
Yes, prescriptions can be transferred directly to us by completing this transfer prescription form.
Our pharmacy counter in Warwick is open Monday through Friday, 9:00 am to 6:00 pm, and Saturday, 9:00 am to 2:00 pm. We are closed Sunday. We observe most major US holidays and may close or run reduced hours on some of them; when that happens we update our phone greeting and post a notice on the site.
During open hours you can drop off a paper prescription, pick up a compounded medication, or ask to speak with a pharmacist about your therapy, side effects or dosing.
Outside those hours an on-call pharmacist is available for urgent clinical questions about medications we have already dispensed. Call 401-284-4505 and follow the prompts to reach the on-call pharmacist or leave a message. Prescription processing, compounding and shipping happen during regular business hours only.
For any life-threatening emergency, call 911 before contacting the pharmacy.
Phone and text: 401-284-4505 · Fax: 401-284-4506 · Email: info@bayviewrx.com · 3844 Post Road, Warwick, RI 02886
Pricing varies depending on ingredients and formulation complexity.
Yes. We always confirm pricing with patients before compounding.
Most compounded medications are not covered by insurance. We can always try and run your insurance prior to compounding your prescription if you wish.
Yes.
Yes.
No. All pricing is disclosed upfront.
No. Shipping costs vary depending on medication requirements, due to environmental and logistical variables.
Sterile preparations often cost more due to specialized requirements, such as third-party testing, environmental monitoring, and regulations.
Yes.
No. Once a compounded prescription has been dispensed it cannot be returned, exchanged, or refunded.
This is a safety rule rather than a business preference. A compounded preparation is made specifically for one patient, and once it leaves the pharmacy we can no longer verify how it was stored or handled. That means it cannot be restocked or supplied to anyone else. The same principle applies to dispensed prescriptions across pharmacy generally.
It is also why we quote the price before we begin compounding, so you know what a preparation costs before we make it. If you are starting a new therapy and are unsure about it, ask your prescriber whether a smaller initial quantity makes sense.
A problem with the medication itself is a different matter. If your preparation arrives damaged, does not look right, or you think you have received the wrong item, call us at 401-284-4505 right away and we will look into it.
Once your prescription is verified, we prepare your medication and ship it discreetly in plain packaging either via UPS or USPS. A pharmacy technician confirms the details with you before it goes out, and we're available if you have any questions.
Yes, we partner with USPS and UPS for shipping prescriptions. We also offer expedited shipping for an additional charge.
Yes.
Medications are packaged to protect stability and integrity.
When necessary, medications are shipped with temperature protection.
Typically 1 to 2 business days.
Yes.
Contact us and we will resolve the issue promptly.
Call us at 401-284-4505 before you use it. Do not assume a delayed or warm package is fine, and do not assume it is ruined either — that judgment depends on the preparation.
Tell us the tracking number, when it actually arrived, and what condition it was in. If it shipped with cold packs, tell us whether they were still cold or fully thawed. A pharmacist will assess it against what the preparation is, how long it was in transit, and what temperatures it likely saw.
Many room-temperature preparations tolerate a shipping delay without any issue. Refrigerated preparations are more sensitive, and that is where the assessment matters most.
If tracking has stalled, or shows delivered when nothing arrived, call us and we will open a trace with the carrier. We ship via USPS and UPS, and we would rather start chasing a package early than have you wait it out.
Bayview fills and ships prescriptions for patients in Rhode Island, Massachusetts, Connecticut, New Jersey, New Hampshire, Florida, New York, and Maine.
One exception applies in New York: we do not ship controlled substances to New York addresses at this time. Non-controlled medications, including most of our compounded preparations, ship normally, and we are working to expand what we can offer patients in New York.
If you are not sure whether your prescription is affected, call us at (401) 284-4505 and we will check before anything is prepared.
Not at this time. Bayview does not dispense or ship controlled substances to New York addresses, so please do not send controlled-substance prescriptions for patients at a New York address — we will not be able to fill them.
Non-controlled prescriptions for New York patients are filled and shipped normally. Every other state we serve — Rhode Island, Massachusetts, Connecticut, New Jersey, New Hampshire, Florida, and Maine — is unaffected for both controlled and non-controlled medications.
If you have a question about a specific patient or prescription, call our pharmacists at (401) 284-4505.
Yes. We are licensed and regulated by the state board of pharmacy.
We compound and dispense controlled substances in Schedules II through IV. Preparations we make routinely include morphine, hydromorphone and methylphenidate (Schedule II), ketamine and testosterone (Schedule III), and clonazepam and diazepam (Schedule IV).
Controlled substance prescriptions must be sent electronically through EPCS. They cannot be phoned or faxed to us, and they cannot be transferred to us by phone or fax either. Your DEA registration must be valid and the prescription must meet the requirements for its schedule.
One coverage limit to note: we do not ship controlled substances to New York addresses at this time. Non-controlled prescriptions for New York patients are unaffected.
If you are not sure whether we can prepare a particular controlled formulation, call us at 401-284-4505 before you send it and we will confirm.
Use the oral syringe or dosing device that came with your prescription. Household spoons vary widely in size and are not accurate enough for a compounded liquid, where the strength has been prepared specifically for you.
If your label says to shake the bottle, shake it thoroughly right before every dose. Many suspensions settle between uses, and an unshaken bottle can deliver too little medication early in the course and too much at the end.
Draw the dose to the marked line with the syringe at eye level, and check the number against your label before taking or giving it. If your dosing device is lost or damaged, call us at 401-284-4505 rather than switching to a kitchen spoon.
Yes. Our pharmacists provide counseling when needed.
Yes.
It depends on the medication, so check your label and any information sheet that came with your prescription first.
As a general rule, do not take a double dose to make up for a missed one. For many medications the right step is to take the missed dose as soon as you remember unless it is nearly time for the next one, in which case you skip it and carry on as normal. That is not true for every therapy though — some have a specific catch-up schedule, and some should not be taken late at all.
If you are unsure, call us at 401-284-4505 and a pharmacist will tell you what applies to your prescription. If you have missed several doses in a row, let your prescriber know as well.
Only if it was prescribed for that child by name. Never split an adult’s prescription or give a child a preparation dispensed for a sibling, even at what seems like a smaller dose.
Compounding is often used specifically for children, and for good reasons: a strength that is not made commercially, a liquid instead of a tablet a child cannot swallow, a flavor that makes a course of treatment finishable, or a formulation without a dye or preservative a child reacts to. If your child has been prescribed something compounded, that is usually why.
Use the oral syringe supplied with the prescription and measure carefully. Pediatric doses are often calculated by weight, which means the margin between doses is narrower than it is for an adult and a measuring error matters more.
Call us at 401-284-4505 with any question about how to give it, how to store it, or what to do if your child spits out a dose. Our pharmacists would far rather answer that call than have you guess.
Always follow the storage instructions printed on your label. They are specific to your preparation and they override any general advice, including this answer.
Most compounded medications are stored at controlled room temperature, roughly 68 to 77 °F, in the original container with the cap closed tightly, away from heat, direct light and moisture. A bathroom cabinet is usually a poor choice because of the humidity. Some preparations must be refrigerated, and the label will say so. Do not freeze a medication unless the label tells you to, and never warm one in a microwave.
Every compounded preparation carries a beyond-use date on the label. That date is assigned under USP standards and reflects how long the preparation is expected to stay stable. Do not use it past that date, even if there is medication left in the container.
Keep all medications out of reach of children and pets. Controlled substances should be stored secured and out of sight. If you are not sure how to store something, call us at 401-284-4505.
Do not put unused compounded medication in your household trash, and do not flush it, unless your label or one of our pharmacists specifically tells you to.
For most medications the safest route is an authorized drug take-back location. Many pharmacies, hospitals and police departments host permanent collection kiosks, and the DEA maintains a public locator for authorized collection sites.
Controlled substances carry additional requirements, and hospice patients follow their hospice’s written disposal policy rather than the general guidance above. If you have unused controlled medication, call us at 401-284-4505 before you do anything with it and we will walk you through the right steps for your situation.
If you are unsure which category your medication falls into, call us and we will tell you.
Some variation between batches is normal. Compounded preparations are made in small quantities from bulk ingredients, so color, thickness and scent can differ slightly from one fill to the next without anything being wrong. A few formulations simply smell strong by nature — sulfur-based preparations, for example, are expected to.
That said, stop and call us at 401-284-4505 before using it if you notice any of the following: the preparation has separated and will not mix evenly when shaken, crystals have formed, the color has changed, it looks cloudy or is leaking, or the odor is noticeably stronger or different from when it was dispensed.
We would far rather check a preparation for you than have you use one that has changed. Tell us the medication and when you received it, and a pharmacist will tell you what to do next.
Yes. Keep it in the original container with the pharmacy label on it — that label is what identifies the preparation as legitimately dispensed to you, and it is what a screener, a clinician, or another pharmacist will ask for.
Pack medication in your carry-on rather than checked luggage. Cargo holds swing widely in temperature, and a checked bag that goes missing takes your prescription with it. TSA allows medically necessary liquids, gels and creams in quantities above the usual 3.4-ounce limit; declare them at the checkpoint and expect them to be screened separately. If your preparation needs refrigeration, carry it in an insulated bag with cold packs and plan for the whole journey, including delays.
Check the beyond-use date before a long trip. If it falls while you are away, call us beforehand rather than after — we cannot ship a refill to you on short notice everywhere.
We fill and ship for patients in Rhode Island, Massachusetts, Connecticut, New Jersey, New Hampshire, Florida, New York, and Maine, and we do not ship controlled substances to New York addresses. Carrying a medication we have already dispensed with you to another state is a different matter from having a refill sent there, so call us at 401-284-4505 before you travel if a refill will come due.
For international travel, check the destination country’s rules well in advance. Some countries restrict or prohibit medications that are entirely routine here, particularly controlled substances.
That decision belongs to you and your prescriber, and it has to be made for your specific medication and situation rather than from a general rule.
Some compounded preparations are used routinely during pregnancy and lactation. Others contain ingredients that are avoided. And a few carry handling precautions that matter even when you are not the person taking the medication — certain hormone creams, for instance, can transfer through skin contact.
Tell your prescriber and our pharmacists if you are pregnant, trying to become pregnant, or breastfeeding before you start a new compounded medication. Our pharmacists are glad to review your formulation and talk it through with your prescriber. Call us at 401-284-4505.
Patients should contact their provider and pharmacy immediately.
Call 911 first for anything life-threatening: trouble breathing, chest pain, swelling of the face or throat, fainting, a seizure, one-sided weakness or trouble speaking, or sudden loss of vision. Do not wait to reach the pharmacy.
Call your prescriber for anything about the treatment plan — whether the therapy is working, whether the dose should change, new or worsening symptoms, and any decision to start or stop a medication.
Call Bayview at 401-284-4505 for anything about the medication itself: how to take or apply it, how to store it, whether a side effect is expected, whether the preparation still looks right, drug interaction questions, and refills or shipping.
Outside our posted hours, an on-call pharmacist is available for urgent clinical questions about medications we have dispensed. Call the main number and follow the prompts.
If someone has swallowed a medication that was not prescribed to them, call Poison Control at 1-800-222-1222.
Call us at 401-284-4505 or email info@bayviewrx.com. Tell us which medication it is, when the problem started and what you noticed. Our pharmacists document every report, review the preparation, and contact your prescriber when the situation calls for it.
Please tell your prescriber as well — they may want to adjust the therapy, and they are the one who can.
You can also report a side effect directly to the FDA through MedWatch, its voluntary reporting program. Reporting to the FDA does not replace telling us and your prescriber, but it does help build the safety picture for compounded preparations generally.
If the reaction is severe, get emergency care first and tell us afterward.
That depends on the medication, not on the fact that it was compounded. A compounded preparation contains the same active ingredients as any other medication, and the long-term considerations are the ones that belong to those ingredients.
Your prescriber decides how long a therapy should continue and whether anything needs watching along the way. Some ingredients warrant periodic monitoring at higher doses or over longer courses; others do not. That judgment is theirs to make with your history in front of them.
Tell your prescriber about every medication and supplement you take, including anything filled at another pharmacy, and keep them updated as that list changes. Long-term therapy is where interactions tend to surface.
One thing that is specific to compounding: the beyond-use date applies to the container you have, not to the therapy. A long course simply means more refills, each with its own date. Call us at 401-284-4505 if you have questions about your preparation.
Yes. Compounded preparations contain the same active ingredients as commercially manufactured drugs, so they carry the same interaction potential — with prescriptions, over-the-counter products, and supplements alike.
Give us your complete medication list, including anything filled at another pharmacy. This matters more than people expect. If we are not your only pharmacy, we cannot see the full picture on our own, and neither can they. Supplements are worth naming specifically; patients often leave them out, and several interact meaningfully with prescription therapy.
Our pharmacists screen for interactions when we prepare your medication and will contact your prescriber if something needs attention before we dispense.
If you start anything new while you are on a compounded therapy, call us at 401-284-4505 and we will check it against what you are taking.
Sometimes, and it is your prescriber who decides. It depends on the ingredients, the dose, and how long you will be on the therapy.
Some therapies routinely involve periodic testing — hormone therapy is the common example, where levels are often checked to guide dosing. Some individual ingredients prompt specific monitoring: a few can affect potassium, others can affect blood pressure. Many topical preparations need little or no monitoring at all.
We do not order labs. Your prescriber orders them, interprets them, and adjusts your therapy accordingly. Follow the schedule they set, and tell them about any new medication you start, since that can change what needs watching.
If you are unsure whether your particular preparation calls for monitoring, ask your prescriber, or call us at 401-284-4505 and we can tell you what is typical for that formulation.
It depends entirely on the therapy. Some compounded medications work within minutes — a topical anesthetic, for example. Others are measured in weeks or months, which is typical for hormone therapy, dermatology preparations, and hair and skin treatments where the effect depends on a biological cycle rather than a single dose.
Each of our formulation pages gives a realistic timeframe for that specific preparation. Your prescriber’s instructions come first, because they know your history and what they are aiming for.
Two things hold generally. Give a therapy the full trial period your prescriber recommended before judging it — stopping early is one of the commonest reasons a treatment appears not to work. And if you see nothing at all by the point they told you to expect a change, tell them then rather than waiting out a longer course.
Tell your prescriber. Compounding exists precisely because a standard product does not suit everyone, and that same flexibility applies to a compounded preparation that is not working out.
A formulation can often be adjusted. The strength can change, the base or vehicle can be swapped for something better tolerated, a dye or preservative can come out, the dosage form can move from a capsule to a liquid or from a cream to a gel, and the flavor can change if taste is the barrier. Our pharmacists can talk the options through with your prescriber and suggest alternatives based on what we have made for similar cases.
Any change has to be authorized by your prescriber — we cannot alter a formulation on our own. Start the conversation with them, and ask them to call us at 401-284-4505 if it would help to discuss it directly.
Refills are coordinated with your prescriber and your prescription. You can request a refill through our website or by calling us, and we'll handle the rest as long as you have refills remaining on a valid prescription. You can also opt into automatic refills on non-controlled substances, with no need to worry about running out of your medication. We can either ship it to you automatically, or ready for pickup.
Yes. Patients can refill their prescription online, or by calling us directly.
In most cases yes, for a non-controlled prescription with refills remaining. Ask the new pharmacy to contact us — prescription transfers are initiated by the receiving pharmacy, not by the one holding the prescription, so starting at their end is faster.
Controlled substances are different. Under federal law a Schedule II prescription cannot be transferred at all, and other schedules carry limits on transfers and refills. If your prescription is for a controlled substance, call us at 401-284-4505 and we will tell you what is possible.
There is one thing worth knowing before you start. A compounded prescription is a specific formulation, not a stock product, so the receiving pharmacy has to be able to compound it. A standard retail pharmacy generally cannot. If you are moving or changing pharmacies, it is worth confirming the new pharmacy compounds before transferring, so you are not left without your medication mid-course.
Call us if you would like help working out the right route.
Yes. We follow USP 795, 797, and 800.
Yes.
Our sterile laboratory operates under USP 797. Preparations made there include fortified gentamicin, tobramycin and vancomycin eye drops, low-dose atropine drops, and preservative-free hydromorphone infusions for hospice and palliative care.
We follow strict compounding procedures and quality controls, as well as conduct rigorous third-party testing.
Beyond-use dates vary by formulation and preparation.
Yes. We only use Active Pharmaceutical ingredients from licensed, vetted suppliers.
Providers choose Bayview Pharmacy for our expertise, quality, and personalized service.
Bayview is a HIPAA-covered entity, and our full Notice of Privacy Practices sets out how your health information may be used and disclosed and what rights you have over it.
In practice: we discuss your prescription with you, with your prescriber, and with anyone you have authorized — and not with anyone else. Provider order forms run through a HIPAA-secure system with electronic signature. Prescriptions ship in discreet, plain packaging with nothing on the outside indicating what is inside.
The notice also covers rights people often do not realize they have: you can request a copy of your records, ask for a correction, ask us to restrict certain disclosures, and ask us to contact you a particular way — a specific phone number, or mail to a different address.
If you have a question about your information or want to make one of those requests, call us at 401-284-4505 or email info@bayviewrx.com.
No. Bayview is a 503A compounding pharmacy, which means every preparation we make is compounded pursuant to a valid prescription for an identified individual patient.
We do not supply office-use stock, clinic or agency stock, or pre-filled kits held for whichever patient needs them next. Non-patient-specific stock is the role of a 503B outsourcing facility, and Bayview is not one.
What we can do is turn patient-specific orders around quickly. Standard compounding is 24 to 48 business hours once we have a valid prescription and any clarifications, and expedited handling is available when a case genuinely cannot wait. For practices that order the same preparations regularly, our pharmacists are glad to work through the timing so your patients are not left waiting.
Call us at 401-284-4505 to talk through how this would work for your practice.
Yes — contact us with the preparation and the prescription number or dispense date, and we will provide what we have for that preparation.
For context on how we work: active pharmaceutical ingredients come from licensed, vetted suppliers. We compound to USP standards, specifically USP 795 for non-sterile preparations, USP 797 for sterile preparations, and USP 800 for hazardous drugs. We conduct third-party testing as part of our quality program.
If you need something specific for a chart, a credentialing file, or a P&T review, tell us what the requirement is rather than what document you assume exists. Our pharmacists can usually tell you straight away whether we hold it and in what form.
Call 401-284-4505 or email info@bayviewrx.com.
Beyond-use dates are assigned under USP standards — USP 795 for non-sterile preparations and USP 797 for sterile preparations — and depend on the dosage form, the ingredients, the container the preparation is dispensed in, and the storage conditions it will be kept under. The date is printed on the label.
A beyond-use date is not the same thing as a manufacturer’s expiration date, and the difference is worth understanding. An expiration date on a commercial product comes from stability studies run on that exact product in that exact sealed package. A beyond-use date on a compounded preparation is assigned conservatively from established standards, because a preparation made for one patient is not put through its own multi-year stability program.
Discard the preparation on its beyond-use date even if medication remains in the container.
Some preparations carry a second, shorter clock once opened. A multi-dose sterile eye drop, for example, is typically discarded 28 days after first opening or on the beyond-use date, whichever comes first. Where that applies, the label says so.
