Customized Sterile Compounded Medications
Compounding Wellness Sterile Lab is proud to provide the highest quality sterile compounding for your needs.
Many patients have unique needs when it comes to medications such as unusual dosing requirements, allergies, or rare diseases. Sterile compounding customizes medications to meet these needs when options are not available through manufacturers. Compounding Wellness Sterile Lab has both hazardous and non-hazardous clean rooms to make any type of compounded medication.
Compounding in general is an art of combining, mixing, or altering ingredients to create a tailored medication. Sterile medications generally bypass the body’s natural barriers and need to be made in an environment free from infectious microorganisms like bacteria and viruses. Our clean rooms are designed to eliminate microorganisms such as bacteria and viruses through specific filters, equipment and rigorous cleaning. In addition to being made in a specialized environment, the people making the sterile compounded medication need to undergo specific training and reassessment regularly to ensure the highest standard of sterility.
Compounded eye drops and ointments are sterile products.
Please see our Eye Preparations Section for more information.
Dermatology products such as diluted antibiotics for allergy testing are sterile products. We have had requests from dermatologists for penicillin, septra, cefuroxime, and more.
Specialized Ophthalmology Preparations
Sterile preparations expertly formulated to treat eyes.
Eye drops and ointments are frequently requested sterile compounded medication. Some examples of requests CWSL has received include:
- Antibiotic eye drops (vancomycin, fortified tobramycin)
- Antifungal eye drops (amphotericin, voriconazole)
- Intravitreal injections (bevacizumab Brand Avastin, antibiotics eg. vancomycin, ceftazidime)
- Surgical preparations (mitomycin, combination surgery gels including lidocaine, cyclopentolate, phenylephrine, and more)
- Immunosuppressant eye drops (cyclosporine)
- Acetylcysteine eye drops
- Autologous serum eye drops
- Atropine eye drops
- Edetate Disodium (EDTA) eye solution
These eye drops are made in our clean rooms and given beyond use dating (expiry dates) according to NAPRA and USP 797 standards.
CWSL is the sole provider of bevacizumab (Avastin) for the Newfoundland and Labrador prescription drug program (NLPDP).
This is not an extensive list of eye drops, please contact us. If you have a request not listed above and our pharmacists will work with you.
Veterinary Medicine
Meticulously prepared medications for our furry friends.
We work with veterinary clinics to prepare compounded preparation needs which may include sterile compounds such as injectable or eye preparations, or hazardous products such as chemotherapy. We also prepare non-sterile compounded medicines such as oral solutions and suspensions, topical and transdermal creams and more. These medications are made in our NAPRA certified rooms and given beyond use dating (expiry dates) according to NAPRA, USP 795 and 797 standards and published literature.
This is not an extensive list of veterinary compounds, please contact us if you have a request not listed above and our pharmacists will work with you.
Specialty Medication
Working with patient support programs to treat complex health conditions.
CWSL works closely with patient support programs to ensure patients receive exceptional patient focus and care. We have most experience with ophthalmology programs. For conditions such as nAMD and DME using Lucentis/Beovu Forsight and Eylea EYE-Q.
Traditional medications are those which most people are familiar with like high blood pressure medications, birth-control pills, anti-depressants and so on. Specialty medications treat serious, chronic and complex health conditions and often consist of new therapy innovations. They often are temperature sensitive and require cold chain management when being delivered.
Specialty medications tend to be much more expensive than traditional medication, and in order to benefit, patients being treated for chronic, complex health conditions may also require extensive diagnostic procedures.
For more information please contact us.
Hospital Preparations
Compounded according to strict standards to ensure sterility and patient safety.
Our facility is able to work with hospitals and healthcare professionals to support their needs for sterile compounding. Our facility allows us to provide the highest quality injectable therapies prepared using aseptic technique. Some areas of sterile compounding we can assist with include:
- Pain management
- Intravenous (IV) admixtures (Including but not limited to magnesium, potassium, calcium)
- Antibiotics and anti-infectives (IV or IM)
- Oncology
- Nutrition
- Hospice and end of life care.
These medications are made in our clean rooms and given beyond use dating (expiry dates) according to NAPRA and USP 797 standards. This is not an extensive list of sterile preparations, please contact us if you are an employee of a hospital or health authority and have a request not listed above and our pharmacists will work with you.
Cold Chain Management
We ensure the cold chain is protected through strict adherence to temperature controls.
CWSL provides cold chain management of commercially available medication (biologic molecules or other temperature sensitive medication) and compounded medication, both hazardous and non-hazardous.
Our pharmacy has created policies and procedures for our pharmacy staff that meet federal Health Canada requirements, provincial requirements, and sterile compounding standards.
These medications require refrigerator temperatures to be maintained throughout the delivery process to ensure the integrity of the medication is maintained and patients are able to get the full benefit from these medications.
We are able to ship medication within Newfoundland and Labrador, and within Canada.
Central Fill Services
CWSL’s Central Fill Service can help you optimize services and medication
offerings to your patients.
CWSL is authorized by NLPB as a Central Fill Facility. To engage in central fill services with our pharmacy, both pharmacies must be located in Newfoundland and Labrador and be licensed by NLPB.
Centralized prescription processing (central fill) refers to a service one licensed pharmacy provides to another where:
- An originating pharmacy receives a prescription from a patient, collects and documents relevant patient information, assesses therapeutic appropriateness, identifies and resolves drug related problems and provides patient care; and
- A central fill pharmacy (CWSL) acts as an agent of the originating pharmacy to prepare and package prescription orders on the originating pharmacy’s direction.
If you have sterile compounding needs and would like CWSL to provide central fill services please contact us and request to speak with the pharmacist in charge.
Vaccinations and Injections
Our pharmacists are authorized to administer vaccinations and injections to patients ages five and older.
Our pharmacists at CWSL are authorized by NLPB to administer vaccinations and injections to those aged 5 years and older (age also depends on the medication or vaccination being administered and the ages approved).
We offer off-site services if required for larger groups.Vaccinations and injections in which our pharmacists can prescribe and administer include:
- COVID-19
- Influenza
- Hepatitis A and B
- Herpes Zoster (Shingles)
- Human Papillomavirus (HPV)
- Pneumococcus
- Tetanus
- Vitamin B12
Other vaccinations and injections pharmacists can administer, but require a prescription from your physician include:
- Birth Control (eg. Depo-Provera)
This is not an extensive list, if you have more questions, contact us and speak with one of our pharmacists. Administration or vaccination and injections are by appointment only.
Non-Sterile Compounded Medications
Custom-made strengths and dosages on demand.
Non-sterile compounded medications include:
- Topical creams and ointments
- Oral solutions and suspensions
- Oral capsules and troches
- Topical transdermal gels and creams
- Nasal sprays
- Vaginal and rectal preparations
With over 100 combined years experience with non-sterile compounding we have a large database of formulations to meet the needs of all our patients. Reach out to us with any specific requests you may have by phone 709-221-6662.
For Health Professionals
Dispensing knowledge and working together.
Our facility offers education sessions to healthcare professionals, professional clinics and health authorities or hospitals. These sessions cover an introduction to our facility, what services we currently offer and our abilities to grow. During these sessions we welcome you to discuss your needs so that we can find ways in which our facility or affiliates can fulfill them.
If you would like to schedule an education session, please email us with “Education Session Request” in the subject line.
