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Compounding Services

Our Services

At Bayview Pharmacy we compound medications for a wide variety of specialties, made to each prescriber's specifications.
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Your Compounding Pharmacy of Choice

Welcome to Bayview Pharmacy, a compounding pharmacy based in Rhode Island. We serve patients throughout New England and Florida with compounded medications made to their prescriber's specifications.

At Bayview, we compound for nearly every medical specialty, including strengths, combinations, and dosage forms that are not commercially manufactured.

The Art and Science of Compounding

Compounding is a blend of pharmaceutical science and patient-specific pharmacy practice. It is the process of preparing a medication to the specifications a prescriber writes for an individual patient.

Unlike mass-produced drugs, compounded medications are crafted based on specific prescriptions from healthcare providers. They address particular patient requirements that can't be met by commercially available options.

Our pharmacists are trained in the process of compounding. They measure and mix active pharmaceutical ingredients (APIs) to prepare each medication to the prescription.

This process allows us to adjust dosages, combine multiple medications, and create alternate forms of delivery. We can even formulate discontinued drugs that are no longer commercially produced.

The Compounding Process

When your doctor sends a prescription to Bayview Pharmacy, a documented process begins. Here is a deeper look into how we prepare a compounded medication from your doctor's prescription.

From Prescription to Personalized Medicine

1. Prescription Review

Our pharmacists carefully analyze your prescription, considering factors such as your medical history, allergies, and specific needs.

2. Formulation Design

Based on the prescription and patient information, we prepare the formulation. This involves confirming the concentration of active ingredients the prescriber has written, the delivery method they have specified, and compatible inactive ingredients.

3. Ingredient Preparation

In our laboratory, we measure and prepare each ingredient. This step is documented and checked for accuracy.

4. Mixing and Compounding

Using specialized equipment, our technicians combine the ingredients according to the formulation. This process may involve techniques such as trituration, geometric dilution, or emulsification, depending on the medication type.

5. Quality Control

Each compounded medication is checked by our pharmacists against our documented quality program before it is released.

6. Final Preparation

The medication is prepared in its final form. That may be capsules, creams, liquids, or another dosage form, as the prescriber specifies.

7. Patient Education

When you receive your medication, our team is here to provide detailed instructions on its use, potential side effects, and proper storage.

This process allows each preparation to be compounded to the specifications your prescriber has written for you.

Comprehensive Compounding Services

At Bayview Pharmacy, we compound for a wide range of medical specialties. Here is a look at some of our key service areas.

Hormone Replacement Therapy

Hormonal imbalances can significantly impact quality of life. Our hormone preparations are compounded to the strengths and combinations your prescriber specifies. We can compound hormones into forms such as creams, gels, sublingual tablets, or pellets, as prescribed. Testosterone is a controlled substance and is available only on a valid prescription.

Most Popular HRT Formulations

Estradiol 0.01% to 10% Topical Cream
Estradiol 0.01% to 10% Topical Cream
Estradiol 0.01% to 10% topical cream, compounded at the strength your prescriber specifies for hormone replacement therapy.
Progesterone 100 mg Slow Release Capsules
Progesterone 100 mg Slow Release Capsules
Progesterone 100 mg slow release capsules, compounded as prescribed for hormone replacement therapy.
Testosterone 100 mg/ml Topical Gel
Testosterone 100 mg/ml Topical Gel
Testosterone 100 mg/mL topical gel, compounded as prescribed. Contains testosterone, a Schedule III controlled substance; available only on a valid prescription.

Dermatology

Skin conditions sometimes call for a strength, vehicle, or combination that is not available off the shelf. Our dermatological compounds include creams, ointments, and solutions for conditions ranging from acne and eczema to psoriasis and hyperpigmentation, made to prescription.

Most Popular Dermatology Formulations

Tretinoin 0.05%/ Triamcinolone 0.05%/ Hydroquinone 10% Topical Cream
Tretinoin 0.05%/ Triamcinolone 0.05%/ Hydroquinone 10% Topical Cream
Tretinoin 0.05%, triamcinolone 0.05%, and hydroquinone 10% topical cream, combining a retinoid, a corticosteroid, and a depigmenting agent. Compounded to a prescriber's formula.
Benzocaine 20%/ Lidocaine 8%/ Tetracaine 4% Plasticized Gel
Benzocaine 20%/ Lidocaine 8%/ Tetracaine 4% Plasticized Gel
Benzocaine 20%, lidocaine 8%, and tetracaine 4% plasticized gel, a triple local anesthetic preparation for use before procedures under a practitioner's supervision.
Hydroquinone 8%/ Kojic Acid 4% Topical Cream
Hydroquinone 8%/ Kojic Acid 4% Topical Cream
Hydroquinone 8% and kojic acid 4% topical cream, combining two depigmenting agents. Compounded to a prescriber's formula.

We can adjust the concentration of active ingredients and create combinations of medications. We can also formulate them in the base your prescriber selects for your skin type.

Pain Management

Chronic pain is managed by a prescriber and often involves more than one approach. Our pain management compounds can combine multiple active ingredients into a single dosage form when a prescriber specifies it.

Most Popular Pain Management Formulations

Naltrexone HCl 4.5 mg Tablets
Naltrexone HCl 4.5 mg Tablets
Naltrexone HCl 4.5 mg tablets, a low-dose opioid antagonist compounded as prescribed for chronic pain conditions. Prescription only.
Ketoprofen 20%/ Lidocaine HCl 10% Transdermal Gel
Ketoprofen 20%/ Lidocaine HCl 10% Transdermal Gel
Ketoprofen 20% and lidocaine HCl 10% transdermal gel, combining a non-steroidal anti-inflammatory drug with a local anesthetic. Compounded to a prescriber's formula.
Gabapentin 6% Vaginal Gel
Gabapentin 6% Vaginal Gel
Gabapentin 6% vaginal gel, a nerve-stabilizing agent compounded for local vaginal application. Compounded to a prescriber's formula.

We compound topical gels, creams, and patches that deliver pain medication to the site of application. For those who struggle with oral medications, we can compound pain relievers into forms like oral solutions or rapid-dissolve tablets, as prescribed.

Podiatry

We compound medications for a variety of podiatric conditions on prescription, including antifungal creams, wart preparations, and topical analgesic gels.

Most Popular Podiatry Formulations

Cantharidin 1%/ Podopyllum 5%/ Salicylic Acid 30% Topical Liquid
Cantharidin 1%/ Podopyllum 5%/ Salicylic Acid 30% Topical Liquid
Cantharidin 1%, podophyllum 5%, and salicylic acid 30% topical liquid, combining a vesicant, an antimitotic agent, and a keratolytic. For application by a healthcare provider.
Fluconazole 2%/ Ibuprofen 2%/ Terbinafine HCl 2% Nail Solution
Fluconazole 2%/ Ibuprofen 2%/ Terbinafine HCl 2% Nail Solution
Fluconazole 2%, ibuprofen 2%, and terbinafine HCl 2% nail solution, combining two antifungals with an anti-inflammatory agent. Compounded to a prescriber's formula.
Verapamil HCl 15% Topical Gel
Verapamil HCl 15% Topical Gel
Verapamil HCl 15% topical gel, a calcium channel blocker compounded for topical use as prescribed for conditions such as plantar fibromatosis.

Our compounds can often combine multiple active ingredients into a single application, which may reduce the number of separate products a patient applies.

Dental

We compound oral rinses, gels, and pastes for various dental conditions. These might include customized fluoride preparations, medications for oral pain or infections, or dry socket pastes, as prescribed by the dentist.

Most Popular Dental Formulations

Clobetasol Propionate 0.05% Dental Gel
Clobetasol Propionate 0.05% Dental Gel
Clobetasol propionate 0.05% dental gel, a high-potency topical corticosteroid compounded as prescribed for oral lesions.
Misoprostol 0.0024% Oral Rinse
Misoprostol 0.0024% oral rinse, a prostaglandin analog compounded as prescribed for oral use.
A targeted oral rinse for promoting healing and managing inflammation in the mouth.
Pilocarpine HCl 2 mg Polyglycol Troche
Pilocarpine HCl 2 mg Polyglycol Troche
Pilocarpine HCl 2 mg polyglycol troche, a muscarinic agonist that stimulates salivary secretion. Compounded as prescribed.

Ophthalmology

We compound preparations for erectile dysfunction to your prescriber's specifications. This might include customized strengths, combination formulations, or alternative dosage forms for those who have difficulty with commercially manufactured oral tablets.

Most Popular Ophthalmology Formulations

Atropine 0.01% Ophthalmic Drops
Atropine 0.01% Ophthalmic Drops
Atropine 0.01% ophthalmic drops, compounded at the concentration the prescribing optometrist or ophthalmologist specifies for myopia management.
Vancomycin 25 mg/ml Ophthalmic Solution (Fortified)
Vancomycin 25 mg/ml Ophthalmic Solution (Fortified)
Fortified vancomycin 25 mg/mL ophthalmic solution, compounded at the concentration your prescriber orders for bacterial eye infections.
Tobramycin 15 mg/ml Ophthalmic Liquid (Fortified)
Tobramycin 15 mg/ml Ophthalmic Liquid (Fortified)
Fortified tobramycin 15 mg/mL ophthalmic liquid, an aminoglycoside antibiotic compounded at the concentration your prescriber orders.

Erectile Dysfunction

Injectable, urethral, and oral preparations are among the dosage forms we compound for erectile dysfunction. Each is prescribed and dose-titrated by a practitioner.

Most Popular Erectile Dysfunction Formulations

Alprostadil 10 mcg/ Papaverine 30 mg/ Phentolamine 1 mg/ml Injection Solution
Alprostadil 10 mcg/ Papaverine 30 mg/ Phentolamine 1 mg/ml Injection Solution
Alprostadil 10 mcg/mL, papaverine 30 mg/mL, and phentolamine 1 mg/mL intracavernosal injection solution. Prescribed and dose-titrated by a practitioner.
Tadalafil 5 mg Rapid Dissolve Tablets
Tadalafil 5 mg Rapid Dissolve Tablets
Tadalafil 5 mg rapid dissolve tablets, a PDE5 inhibitor compounded in a rapid-dissolve form as prescribed.
Vardenafil HCl 20 mg Oral Dissolve Tablets
Vardenafil HCl 20 mg Oral Dissolve Tablets
Vardenafil HCl 20 mg oral dissolve tablets, a PDE5 inhibitor compounded in an oral-dissolve form as prescribed.

Veterinary

We understand that pets are family too. Our veterinary compounding services prepare medications to a veterinarian's prescription. We can create pet-friendly flavored medications, transdermal gels, or specially sized dosages for animals of all sizes. This is particularly useful for medications that are not commercially available in veterinary formulations.

Most Popular Veterinary Formulations

Methimazole 2.5 mg/0.1 ml To 10 mg/0.1 ml Topical Gel (Vet)
Methimazole 2.5 mg/0.1 ml To 10 mg/0.1 ml Topical Gel (Vet)
Methimazole 2.5 mg/0.1 mL to 10 mg/0.1 mL topical gel, an antithyroid agent compounded for feline hyperthyroidism at the strength the veterinarian orders.
Cisapride 5 mg/ml Oral Liquid (Vet)
Cisapride 5 mg/ml Oral Liquid (Vet)
Cisapride 5 mg/mL oral liquid, a prokinetic agent compounded for veterinary patients as prescribed by a veterinarian.
Hydrocodone Bitartrate 1mg/ Homatropine 0.3mg/ml Oral Suspension (Vet-Beef)
Hydrocodone Bitartrate 1mg/ Homatropine 0.3mg/ml Oral Suspension (Vet-Beef)
Hydrocodone bitartrate 1 mg and homatropine 0.3 mg/mL beef-flavored oral suspension, an antitussive compounded for veterinary patients. Contains hydrocodone, a Schedule II controlled substance; veterinary prescription required.

Sterile Compounding

Medications that must be sterile, such as injections or eye drops, are compounded in our USP 797 sterile laboratory.

Most Popular Sterile Compounded Formulations

Alprostadil 10 mcg/ Papaverine 30 mg/ Phentolamine 1 mg/ml Injection Solution
Alprostadil 10 mcg/ Papaverine 30 mg/ Phentolamine 1 mg/ml Injection Solution
Alprostadil 10 mcg/mL, papaverine 30 mg/mL, and phentolamine 1 mg/mL intracavernosal injection solution, compounded in our USP 797 sterile laboratory. Prescribed and dose-titrated by a practitioner.
Atropine 0.01% Ophthalmic Drops
Atropine 0.01% Ophthalmic Drops
Atropine 0.01% ophthalmic drops, compounded at the concentration the prescribing optometrist or ophthalmologist specifies for myopia management.
Vancomycin 25 mg/ml Ophthalmic Solution (Fortified)
Vancomycin 25 mg/ml Ophthalmic Solution (Fortified)
Fortified vancomycin 25 mg/mL ophthalmic solution, compounded at the concentration your prescriber orders for bacterial eye infections.

Our owner, Ryan Dyer RPh, personally oversees the production of all sterile products in our walk-in USP 797 sterile laboratory, under our documented quality program.

Our Medication Forms

At Bayview Pharmacy, we understand that the form of medication can be just as important as its ingredients. Our compounding capabilities allow us to offer a wide array of medication forms, so a prescriber can choose the one that fits the patient. Here is a breakdown of our medication forms:

Oral Medications

Capsules and Tablets

Our custom capsules and tablets offer precise dosing and convenience for patients who prefer traditional oral medications.

Custom Capsules

We can create capsules in various sizes, filled with precisely measured powder or liquid formulations. This allows for exact dosing and the ability to combine multiple medications into a single capsule.

Specialty Tablets

Our tablet formulations can be customized in shape, size, and release profile. We offer options such as:

  • Immediate-release tablets for quick onset of action
  • Extended-release tablets for prolonged drug delivery
  • Enteric-coated tablets to protect the medication from stomach acid
Rapid/Oral Dissolve Tablets

For patients who have difficulty swallowing, we offer orally disintegrating tablets that melt quickly in the mouth, requiring no water to swallow.

Liquids and Suspensions

Liquid medications offer flexibility in dosing and are ideal for patients who have trouble swallowing pills.

Oral Solutions

Clear liquid medications where the drug is completely dissolved. We can adjust concentration for precise dosing.

Suspensions

For drugs that don't dissolve well, we create stable suspensions that can be easily shaken and measured.

Flavoring Options

We offer a variety of flavors to improve palatability, making medication time easier for both children and pets.

Troches and Lozenges

These specialized oral dosage forms are designed to dissolve slowly in the mouth, allowing for prolonged contact with the oral mucosa.

Sublingual Troches

These melt under the tongue, allowing for rapid absorption into the bloodstream, bypassing the digestive system.

Buccal Lozenges

Designed to be held in the cheek, these provide a slower, more sustained release of medication.

Topical and Transdermal Preparations

Creams, Gels, and Ointments

We compound a variety of topical medications for direct application to the skin.

Creams

Water-based preparations that combine a moisturizing base with medication delivery.

Gels

Non-greasy formulations that are easily absorbed and often selected for hair-bearing areas.

Ointments

Oil-based preparations that provide occlusive effects, often selected for dry skin conditions.

Transdermal Gels and Patches

These allow medication to be absorbed through the skin, providing steady, controlled release over time.

Transdermal Gels

Easy-to-apply gels that deliver medication through the skin into the bloodstream.

Patches

Adhesive patches containing medication that slowly releases through the skin, offering convenience and long-acting effects.

Rectal and Vaginal Preparations

Suppositories

For medications that are better absorbed rectally or for patients who can't take oral medications.

Rectal Suppositories

Available in various sizes and formulations for adults and children.

Vaginal Suppositories

Custom-made for treating local vaginal conditions or for systemic absorption.

Sterile Preparations

Injectable Medications

Our USP 797 clean room allows us to compound sterile medications for injection.

Intramuscular (IM) Injections

Custom formulations for deep muscle injection.

Subcutaneous (SC) Injections

Specialized preparations for injection just under the skin.

Intravenous (IV) Solutions

Sterile preparations for direct administration into the bloodstream.

Ophthalmic Preparations

We compound ophthalmic medications in our USP 797 sterile laboratory.

Eye Drops

Precisely dosed liquid medications for various eye conditions.

Eye Ointments

Longer-lasting formulations for overnight or sustained daytime use.

Inhalation Preparations

Nebulizer Solutions

Custom-made liquid medications for inhalation via a nebulizer device.

Nasal Sprays

Specially formulated solutions for targeted nasal delivery of medications.

We at Bayview Pharmacy offer this wide range of medication forms so that a prescriber can select the form that fits each patient. Our pharmacists work with patients and healthcare providers on questions about dosage form, and the prescriber makes the final decision.

Our Commitment to Quality and Safety

At Bayview Pharmacy, we compound in accordance with USP 795 and USP 797 standards. We follow state and federal guidelines, including those set forth by the FDA and state boards of pharmacy. These standards govern how we compound, test, and document every preparation that leaves our lab.

Our state-of-the-art facilities (USP 795, USP 797, USP 800) are equipped with the latest technology in pharmaceutical compounding. This includes a dedicated clean room for sterile compounding, precision measuring equipment, and advanced mixing devices. Every step of our compounding process is meticulously documented and checked for accuracy.

Our pharmacists and technicians undergo continuing education and training in compounding practice. We review our processes on an ongoing basis.

The Bayview Difference

At Bayview Pharmacy, we blend the personal touch of a neighborhood pharmacy with the capabilities of a modern compounding facility. We work directly with your prescriber and your care team. Our pharmacists take the time to know you by name and understand your health concerns. They work with you and your healthcare providers on your compounded medications.

We offer services that go beyond simple medication dispensing. Our team provides consultations. They help you understand your medications, potential side effects, and how to take them as prescribed. We also offer an Auto-Refill program with discounted shipping.

For physicians and veterinarians, we serve as a resource, collaborating on formulations for complex or unusual cases where a commercially manufactured product does not fit the prescription.

At Bayview Pharmacy, we are committed to serving our community. Whether you are a long-time patient or new to compounded medications, we invite you to contact us with questions. Compounded preparations are not FDA approved and are made only on a prescriber's order.

Contact us today to learn more about our services or to speak with one of our pharmacists about your prescription.