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  • !!!!!! !Treating)Patients)Special)

    ))

    American Specialty Pharmacy has 4 Pharmacists on site to help ensure quality of compounded products.

    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.

    American Specialty Pharmacy is

    fully compliant with USP797

    E-Prescribing capability with real time order entry and tracking system

    Specialized Customer Service

    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 75075Ph: 877-868-4110 Fax: 877-868-4144

    INJECTABLE LISTBetamethasoneAcetate/Phospate (Soluspan)6mg/ml P/F

    2ml vial5ml vial10ml vial

    Size

    Betamethasone Sodium Phospate12mg/ml P/F

    2ml vial (min 20 vials)5ml vial (min 6 vials)

    Size

    Chondroitin / Glucosamine / DMSO

    2ml vial (min 3 vials)Size

    Hyaluronidase150u/ml P/F

    10ml vial preservative freeSize

    Dexamethasone (Decadron equiv.)P/F same price as Triamcinolone(same min. quantities applyTriamcinolone Acetonide P/F 40mg/ml P/F

    1ml vial (min 20 vials)2ml vial (min 20 vials)

    Size

    Methylprednisolone Suspension40mg/ml and 80mg/ml P/F

    2ml vial (min 20 vials)5ml vial (min 6 vials)10ml vial (min 6 vials)

    Size

    Ondansetron2mg/ml

    2ml vial (min 50 vials)Size

    Midazolam* 1-5mg/ml

    1-2ml vial (min 50 vials)Size

    Fentanyl*50mcg/ml

    2ml vial (min 50 vials)Size

    Sodium Bicarbonate 4.2% - 8.4%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. 15th 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

    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 its 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.

    Superior customer service is our promise. With

    licensed technicians we insure the highest quality of compounded products.

    Sterile products are compounded in ISO-5 Class-100

    certified clean rooms and are 797 compliant.

    PLANO DENTON TYLER SAN ANTONIO EL PASO MIAMI

    Treating)Patients)Special)

  • OUR PRODUCTS & SERVICES We are a full service pharmacy that specializes in:

    Compounded & Specialty MedicationsDurable Medical Equipment (DME)

    Nutritional SupplementationWorkers Compensation Prescriptions

    Everyday Prescriptions

    WE TAKE THE BURDEN OFF OF YOUOur 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.

    We look forward to serving you and meeting all of your pharmacy needs.

    www.AMERICANSPECIALTYPHARMACY.com

  • HOURS OF OPERATIONMon - Fri 9am until 7pm Sat & Sun 9am until 3pm

    COMPLIMENTARY DELIVERYAll deliveries are delivered straight to

    your door within 24 hours at no out-of-pocket cost to you.

    AUTOMATIC REFILLSYour re lls are lled automatically based on

    your prescription or physicians approval. It is not necessary to reorder!

    PLANO LOCATION2743 West 15th Street

    Plano, TX 75075P: 877-868-4110 . F: 877-868-4144

    [email protected]

    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.

    www.AMERICANSPECIALTYPHARMACY.com

  • Todays Date

    PLEASE ATTACH COPIES OF PATIENTS INSURANCE CARDS

    hCG REFERRAL FORM

    PRESCRIPTION

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    Sublingual Drops: *Administer sublingually 4 drops a day '/h '/h^ 30 40ZKdd

    Nasal Spray (not available for hypogonadism) *Administer one spray per nostril daily '/h '/h^ 30 40ZKdd

    Injectable: *Administer daily or bi-weekly '/h'/hK DDD^ 30 40ZKdd

    Slim Shots: *Inject as directed s D// D/ ^Z YKd d^Kd hKd sKd

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  • PLEASE ATTACH COPIES OF PATIENTS INSURANCE CARDSPRESCRIPTION

    Prescribers SignatureEK^dDW^

    &DZ/E^W/>dzW,ZDzat 888-966-0188

    C- PMS: Progesterone Topical *Apply Cyclically Days 12 25 once a day. *Apply BID or TID week prior to period.dDE,ZdWDdDD^dD^ZKddC- PREMENOPAUSAL: Progesterone Topical *Apply Cyclically Days 12 25 once a day. *Apply BID or TID week prior to period.dDE,ZdWDdDD^dD^ZKddC- BIESTROGEN TOPICAL: *Apply Cyclically Days 1 25 once a day.E,ZdWD D^ QTY: 30gm (Thirty Grams) 60gm (Sixty Grams)ZKddC- TESTOSTERONE TOPICALK,&D'E,ZdWd,&D'D^QTY: 30gm (Thirty Grams)ZKdd

    C- BIESTROGEN TOPICAL: *Apply Cyclically Days 1 25 once a day.E,ZdWD D QTY: 30gm (Thirty Grams) 60gm (Sixty Grams)ZKddC- DHEA ORAL:&DQTY: 30gm (Thirty Grams) ZKddC- MENO POSTMENOPAUSAL SURGERY: Progesterone TopicalddDE,ZdWDd&DD^ZKddC- BI ESTROGEN TOPICAL: d^QTY: 30gm (Thirty Grams) 60gm (Sixty Grams)ZKddC- TESTOSTERONE TOPICAL: D DQTY: 30gm (Thirty Grams) 60gm (Sixty Grams)ZKdd

    LIBIDO BOOST CREAM:^d^dddQTY: 30gm (Thirty Grams) ZKdd

    N.O.C. AROUSAL CREAMW&dQTY: 30gm (Thirty Grams) ZKdd

    C- PERIMENOPAUSAL: Progesterone TopicaldDE,ZdWDd&DD^ZKdd

    /DWKZdEEKd/d//W DD

    SEXUAL DYSFUNCTION ENHANCEMENT:>>ddddQTY: 30gm (Thirty Grams) ZKdd

    Todays DateFEMALE HRT REFERRAL FORM

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  • Todays Date

    PLEASE ATTACH COPIES OF PATIENTS INSURANCE CARDS

    MALE HRT REFERRAL FORM

    PRESCRIPTION

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    DESIGNED SUPPLEMENTS & SUPPLIES,^W ,^ DZ D^> &^&D

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    INJECTABLE - QTY: 10ml (Ten Milliliters)d ddW

    COMPOUNDED INTRACAVERNOSAL - QTY: 10ml (Ten Milliliters)WWWWWWW

    ADDITIONAL NOTES:

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  • Todays Date

    PLEASE ATTACH COPIES OF PATIENTS INSURANCE CARDS

    COMPOUNDED INTRACAVERNOSAL

    PRESCRIPTION

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    ADDITIONAL NOTES:

  • www.AMERICANSPECIALTYRX.com

    Plano | Denton | El Paso | San Antonio | Miami | Tyler | Houston