Hospice compounding, made to the prescriber's order.

Under 21 CFR 1306.11 a Schedule II prescription must be written and signed, and EPCS electronic prescribing is accepted where your system supports it. E-prescribe to Bayview Pharmacy, 3844 Post Rd, Warwick, RI 02886, NCPDP 4106882, or fax 401-284-4506. A facsimile serves as the original written prescription with no follow-up hard copy required in three situations: a Schedule II narcotic compounded for direct parenteral administration by IV, IM, subcutaneous, or intraspinal infusion; a resident of a long-term care facility; and a patient enrolled in a hospice program certified or paid for by Medicare or licensed by the state. Note hospice status on the prescription.

Subcutaneous tissue absorbs only roughly 3 mL per hour, so a patient whose ordered hourly dose is high cannot receive it subcutaneously at commercially available dilute concentrations. Concentrated preparations exist to keep the ordered dose within that volume. Preservative-free matters because benzyl alcohol irritates continuous subcutaneous infusion sites. Turnaround depends on the preparation, the components on hand, and the sterile compounding required, so call the pharmacy with the specific order. Beyond-use dates are assigned per the applicable USP <797> category and the testing performed, and are printed on the label.

E-prescribe by searching Bayview Pharmacy, Warwick, RI (NCPDP 4106882) and using the compound, custom, or free-text option; fax a signed order to (401) 284-4506 (alternate (401) 210-2757); or call (401) 284-4505. A valid prescription is required.

The catalog covers concentrated preservative-free opioid infusions for continuous subcutaneous or IV administration, midazolam, ketamine, dexmedetomidine, and haloperidol infusions, oral and buccal concentrates, ABH-type syringes, and sublingual atropine. Bayview is a 503A pharmacy, so every item is compounded for an identified individual patient on a valid prescription. We do not supply office-use stock, agency stock, or fillable hospice kits. An agency that needs non-patient-specific stock generally requires a 503B outsourcing facility.

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.