For Providers
Prescriber resources, compounding prescribing forms, and a direct line to our pharmacists.
Medicine Man Compounding Pharmacy partners with prescribers across the Lowcountry to formulate medications tailored to each patient. Our compounding lab prepares customized dosage forms, strengths and flavorings that are not commercially available, and our pharmacists are always available to consult on formulation options for your patients.
To send a compounded prescription, download the appropriate prescribing form below, complete it, and fax it to our pharmacy. If you have questions about a formulation or would like to discuss a patient-specific need, call us at (843) 871-6944 — we’re happy to help.
Prescribing Forms
- Wound Rinse (PDF)
- Wound Ointment (PDF)
- WComp Formula P34x (PDF)
- Topical Pain – Multi-Item (PDF)
- Topical Pain – Basic (PDF)
- Men’s ED (PDF)
- ENT Rinse (PDF)
- Dermatology (PDF)
- Dat Scan Potassium Iodide (PDF)
Don’t see the form you need? Call us and we’ll work with you directly.
Reach Our Pharmacists
- (843) 871-6944
- Mon–Fri: 9:00 AM – 5:00 PM
- 404 Trolley Rd, Summerville, SC 29485
Have a Patient Who Needs a Custom Formulation?
Call our pharmacists at (843) 871-6944 to consult on compounding options, or download a prescribing form above and fax it to our pharmacy.