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Treating)Patients)Special)
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) ) American Specialty Pharmacy has 4 Pharmacists on site to help ensure quality of compounded products.
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American Specialty Pharmacy has Two “State of the Art” ISO-5 Class-100 clean rooms. One for compounding all sterile preparations & one negative pressure chemo room for compounding Chemotherapy medications.
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American Specialty Pharmacy is fully compliant with USP797
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E-Prescribing capability with real time order entry and tracking system
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Specialized Customer Service
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One stop for all your Pharmaceutical needs
For all questions or concerns please feel free to call us any time at (877) 868-4110
Pharmacy Locations Plano 2743 W. 15th Street Plano, TX 75075 Ph: (214) 919-2090 Fax: (214) 919-2091
Denton 2436 S. Interstate 35E Suite 360 Denton, TX 76205 Ph: (940) 383-1222 Fax: (940) 383-1444
San Antonio 2414 Babcock Rd. Suite 111 San Antonio, TX 78229 Ph: (210) 615-7400 Fax: (210) 615-7401
Tyler 1109 E. 5th Street Tyler, TX 75701 Ph: (903) 533-9100 Fax: (903) 533-9101
El Paso 1015 N. Zaragoza St. El Paso, TX 79907 Ph: (915) 860-7225 Fax: (915) 860-7320
Miami 2389 SW 22nd Street (Coral Way) Miami, FL 33145 Ph: (305) 856-0070 Fax: (305) 856-0072
2743 W. 15th St., Plano, TX 75075 Ph: 877-868-4110 Fax: 877-868-4144
INJECTABLE LIST Betamethasone Acetate/Phospate (Soluspan) 6mg/ml P/F
Methylprednisolone Suspension 40mg/ml and 80mg/ml P/F
Size
Size
2ml vial 5ml vial 10ml vial
2ml vial (min 20 vials) 5ml vial (min 6 vials) 10ml vial (min 6 vials)
Betamethasone Sodium Phospate 12mg/ml P/F
Ondansetron 2mg/ml
Size
Size
2ml vial (min 20 vials) 5ml vial (min 6 vials)
2ml vial (min 50 vials)
Chondroitin / Glucosamine / DMSO
Midazolam* 1-5mg/ml
Size
Size
2ml vial (min 3 vials)
1-2ml vial (min 50 vials)
Hyaluronidase 150u/ml P/F
Fentanyl* 50mcg/ml
Size
Size
10ml vial preservative free
2ml vial (min 50 vials)
Dexamethasone (Decadron equiv.) P/F same price as Triamcinolone (same min. quantities apply Triamcinolone Acetonide P/F 40mg/ml P/F
Sodium Bicarbonate 4.2% - 8.4%
Size 1ml vial (min 20 vials) 2ml vial (min 20 vials)
Size 50ml vial (min 12 vials) Lidocaine 1-2% Size 50ml vial (min 12 vials)
PLANO - DENTON - TYLER - SAN ANTONIO - EL PASO - MIAMI
Corporate Offices 2743 W. 15 Street, Plano, TX 75075 Phone (214) 919-2090 Fax (214) 919-2091 Toll Free (877) 868-4110 Fax (877) 868-4144 Web www.AmericanSpecialtyPharmacy.com th
Treating)Patients)Special) FOR MORE INFORMATION PLEASE CALL (877) 868-4110 American Specialty Pharmacy is a Formulation Development and Pharmaceutical Compounding Company. Providing superior customer service along with quality custom compounded prescription drugs at competitive pricing is what we strive to achieve. With an outstanding reputation as an authority in dosage form, product development, and pain management therapies it’s no wonder why American Specialty Pharmacy has become our customers Pharmacy of choice. All questions or concerns are encouraged and welcomed by our amazing and highly trained staff. •
American Specialty Pharmacy uses USP and FDA approved products to insure industry quality and safety standards.
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Superior customer service is our promise. With licensed technicians we insure the highest quality of compounded products.
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Sterile products are compounded in ISO-5 Class-100 certified clean rooms and are 797 compliant.
PLANO – DENTON – TYLER – SAN ANTONIO – EL PASO – MIAMI
We look forward to serving you and meeting all of your pharmacy needs. OUR PRODUCTS & SERVICES
We are a full service pharmacy that specializes in: Compounded & Specialty Medications Durable Medical Equipment (DME) Nutritional Supplementation Workers’ Compensation Prescriptions Everyday Prescriptions
WE TAKE THE BURDEN OFF OF YOU
Our customer service is second to none; provided by highly trained sta . We assist each patient throughout the entire process. From contacting your insurance carrier to automatic re lls and overnight delivery.
www.AMERICANSPECIALTYPHARMACY.com
At American Specialty Pharmacy, we use the latest technology with top quality ingredients to compound safe and e ective customized medications. Our pharmacists are experts at compounding new, discontinued, back-ordered, or unavailable medications to meet speci c patient needs. We o er a full line of Professional Quality Vitamins,
Nutritional Supplements, OTC Medications, Everyday Prescriptions, Medical Equipment & Specialty Medications.
COMPLIMENTARY DELIVERY All deliveries are delivered straight to your door within 24 hours at no out-of-pocket cost to you.
AUTOMATIC REFILLS
Your re lls are lled automatically based on your prescription or physician’s approval. It is not necessary to reorder!
PLANO LOCATION
2743 West 15th Street Plano, TX 75075 P: 877-868-4110 . F: 877-868-4144
info@americanspecialtyrx.com
HOURS OF OPERATION Mon - Fri 9am until 7pm Sat & Sun 9am until 3pm
www.AMERICANSPECIALTYPHARMACY.com
hCG REFERRAL FORM
PRESCRIPTION
PLEASE ATTACH COPIES OF PATIENT’S INSURANCE CARDS
Injectable: *Administer daily or bi-weekly
30
Slim Shots: *Inject as directed
40
Sublingual Drops: *Administer sublingually 4 drops a day 30
40
Nasal Spray (not available for hypogonadism) *Administer one spray per nostril daily 30
Today’s Date
ADDITIONAL NOTES:
40
Prescriber’s Signature IMPORTANCE NOTICE:
at 888-966-0188
FEMALE HRT REFERRAL FORM
PRESCRIPTION
PLEASE ATTACH COPIES OF PATIENT’S INSURANCE CARDS C- PERIMENOPAUSAL:
C- PMS:
Progesterone Topical *Apply Cyclically Days 12 – 25 once a day. *Apply BID or TID week prior to period.
Progesterone Topical
C- BI–ESTROGEN TOPICAL:
*Apply Cyclically Days 1 – 25 once a day.
C- PREMENOPAUSAL:
Progesterone Topical *Apply Cyclically Days 12 – 25 once a day. *Apply BID or TID week prior to period.
QTY:
30gm (Thirty Grams)
60gm (Sixty Grams)
C- DHEA ORAL: QTY:
30gm (Thirty Grams)
C- MENO – POSTMENOPAUSAL SURGERY: Progesterone Topical
C- BI–ESTROGEN TOPICAL: *Apply Cyclically Days 1 – 25 once a day. QTY:
30gm (Thirty Grams)
60gm (Sixty Grams)
C- BI – ESTROGEN TOPICAL:
C- TESTOSTERONE TOPICAL QTY: QTY:
30gm (Thirty Grams)
30gm (Thirty Grams)
60gm (Sixty Grams)
C- TESTOSTERONE TOPICAL: QTY:
30gm (Thirty Grams)
60gm (Sixty Grams)
SEXUAL DYSFUNCTION ENHANCEMENT:
QTY:
30gm (Thirty Grams)
LIBIDO BOOST CREAM:
N.O.C. AROUSAL CREAM QTY:
30gm (Thirty Grams)
Today’s Date
QTY:
30gm (Thirty Grams)
Prescriber’s Signature
at 888-966-0188
MALE HRT REFERRAL FORM
PRESCRIPTION
Today’s Date
PLEASE ATTACH COPIES OF PATIENT’S INSURANCE CARDS
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Viagra
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CREAM, GEL & ETC - QTY: 30gm (Thrity Grams) ▢
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CREAM, GEL & ETC - QTY: 60ml (Sixty Milliliters) ▢
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INJECTABLE - QTY: 10ml (Ten Milliliters) ▢
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COMPOUNDED INTRACAVERNOSAL - QTY: 10ml (Ten Milliliters) ▢ ▢ ▢ ▢
ADDITIONAL NOTES:
Prescriber’s Signature at 888-966-0188
COMPOUNDED INTRACAVERNOSAL
PRESCRIPTION
Today’s Date
PLEASE ATTACH COPIES OF PATIENT’S INSURANCE CARDS
MIX: -
BI-MIX:
TRI-MIX:
QUATRO-MIX:
ADDITIONAL NOTES:
Prescriber’s Signature
at 888-966-0188
www.AMERICANSPECIALTYRX.com Plano | Denton | El Paso | San Antonio | Miami | Tyler | Houston