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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
Prepared to a prescriber's order for one patient. Not FDA-approved.
This is a compounded suspension containing biotin, prepared to a prescriber's order for one patient. Compounded preparations are not FDA-approved.
These listings cover every salt or ester form of each drug in the FDA National Drug Code Directory.
No FDA-approved product lists biotin as its only active ingredient; in approved products it appears in multivitamin injection kits.
Liquid bases can be aqueous or nonaqueous, and USP <795> classifies the preparation by its water activity. Aqueous preparations carry shorter default beyond-use dates than nonaqueous ones. The date printed on the label is the one to follow.
Biotin is a B vitamin, also called vitamin B7, sold as a dietary supplement, that a pharmacy may compound when a prescriber orders it.
Biotin, also called vitamin B7, is a water-soluble B vitamin and essential nutrient. It acts as a helper (cofactor) for five carboxylase enzymes the body uses to process fats, sugars and amino acids, and it also plays roles in gene regulation and cell signaling. Biotin is sold as a dietary supplement on its own, in B-complex products and in multivitamins. No stand-alone FDA-approved biotin drug was found on DailyMed. Biotin is one of the vitamins in Infuvite Adult, a manufactured multiple-vitamin injection indicated to prevent vitamin deficiency in adults and children aged 11 and older who receive parenteral (intravenous) nutrition. Deficiency is rare but occurs with the inherited disorder biotinidase deficiency. A prescriber might order biotin compounded in a strength, dosage form or combination that is not available. Compounded preparations are not FDA-approved and require a prescription.
Biotin has no FDA-approved drug label and no boxed warning. The main safety concern is lab test interference. FDA warns that biotin can make some lab results falsely high or falsely low, including hormone tests and troponin, a heart test; a falsely low troponin could lead to a missed heart attack. Tell everyone who orders your lab work that you take biotin, including hair, skin and nail supplements. No upper intake level has been set because there is no human evidence of toxicity, and MedlinePlus lists no known toxic symptoms. Long-term use of seizure medicines such as carbamazepine and phenytoin is linked to lower biotin levels. Biotin status can become marginal in pregnancy, and breast milk levels decline during lactation. Talk to your prescriber or pharmacist about side effects or a lab result that seems wrong.
Biotin is a cofactor for five carboxylases in fatty acid, glucose and amino acid metabolism and participates in histone modification, gene regulation and cell signaling. Oral free biotin is absorbed at 100%, even at pharmacologic doses. Deficiency signs include hair thinning or loss, a scaly red periorificial rash, conjunctivitis, brittle nails, seizures, acidosis and neurological symptoms. Risk factors include biotinidase deficiency, chronic alcohol exposure, raw egg white intake (avidin binds biotin), pregnancy and long-term anticonvulsant therapy. Labeled use: biotin is a component of Infuvite Adult, indicated for prevention of vitamin deficiency in patients receiving parenteral nutrition. Use for hair, skin and nails is not an FDA-approved indication; ODS describes the evidence as limited to small studies and case reports. FDA notes that high doses have been prescribed for conditions such as multiple sclerosis, which is also not an FDA-approved indication. Dosing is per prescriber. High biotin intake interferes with biotin-streptavidin immunoassays, including thyroid hormone, vitamin D and troponin tests; case reports describe falsely indicated Graves' disease. Ask patients about biotin, tell the laboratory, consider interference when results do not fit the clinical picture, and report events to the test manufacturer and FDA.
Shake the bottle well before every dose so the medication is evenly mixed. Measure with the oral syringe or dosing cup provided, using the milliliter markings, and never a kitchen spoon. Take it by mouth as your label directs. Rinse the syringe after use and recap the bottle.
Water-based suspensions are aqueous preparations. Under USP <795>, a preserved suspension usually carries a beyond-use date of up to 35 days at room temperature or refrigerated; an unpreserved one is refrigerated for up to 14 days. Oil-based suspensions are nonaqueous and may carry up to 90 days. Your label states storage and the beyond-use date. Keep out of reach of children and discard after that date.
This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.
A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.
Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.
Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.
Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.
Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.
Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.
Take orally
