Compounded Ophthalmic Formulations Pricing is updated as of April 2018 and may be subject to change
PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC Injectable Formulations Dropless Formulations Concentration Unit Size Price Tri-Moxi (Triamcinolone acetonide and moxifloxacin hydrochloride) Dex-Moxi (Dexamethasone and moxifloxacin hydrochloride) Dex-Moxi-Ketor (Dexamethasone, moxifloxacin hydrochloride and ketorolac) 15mg/1mg/mL Single-Use Vial $22.00 per vial 1mg/5mg/mL Single-Use Vial $25.00 per vial 1mg/0.5mg/0.4mg/mL Single-Use Vial $27.50 per vial Moxifloxacin 5mg/mL Single-Use Vial $15.00 per vial Other Injectable Formulations Concentration Unit Size Price Hyaluronidase 300U/mL Single-Use Vial $24.00 per vial Lidocaine/Epinephrine in BSS (PF/SF) (0.75/0.025)% Single-Use Vial $25.00 per vial Phenylephrine/Lidocaine (PF/SF) (1.5/1)% Single-Use Vial $18.00 per vial Topical Formulations LessDrops Formulations (ship to physician) Concentration Unit Size Price Pred-Gati (Prednisolone acetate and gatifloxacin) Pred-Brom (Prednisolone acetate and bromfenac) (1/0.5)% 3.5mL $32.00 per bottle (1/0.5/0.075)% 3.5mL $38.00 per bottle (1/0.5/0.075)% 7mL $70.00 per bottle (1/0.075)% 3.5mL $32.00 per bottle SF = Sulfite Free PF = Preservative Free *For professional use only. Imprimis Pharmaceuticals specializes in customizing medications to meet unique patient and practitioner needs. Imprimis Pharmaceuticals dispenses these formulations only to individually identified patients with valid prescriptions. No compounded medication is reviewed by the FDA for safety or efficacy. Imprimis Pharmaceuticals does not compound copies of commercially available products. References available upon request.
PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC Topical Formulations (Con't) Simple Drops Formulations Concentration Unit Size Price Lat (Latanoprost) PF 0.005% 7.5mL Dor (Dorzolamide) PF 2% 10mL Brim-Dor (Brimonidine and dorzolamide) PF (0.15/2)% 10mL Dor-Tim (Dorzolamide and Timolol) (2/0.5)% 10mL $69.00 per bottle ($23.00 per 2.5mL) $60.00 per bottle ($30.00 per 5mL) $98.00 per bottle ($49.00 per 5mL) $94.00 per bottle ($47.00 per 5mL) Tim-Lat (Timolol and latanoprost) PF Tim-Brim-Dor (Timolol, brimonidine and dorzolamide) PF (0.5/0.005)% 5mL (0.5/0.15/2)% 10mL $98.00 per bottle ($49.00 per 2.5mL) $118.00 per bottle ($59.00 per 5mL) Tim-Dor-Lat (Timolol, dorzolamide and latanoprost) PF Tim-Brim-Dor-Lat (Timolol, brimonidine, dorzolamide and latanoprost) PF Triple/Quad Kit (0.5/2/0.005)% 5mL $118.00 per bottle ($59.00 per 2.5mL) (0.5/0.15/2/0.005)% 5mL $138.00 per bottle ($69.00 per 2.5mL) $158.00 per kit Tim-Brim-Dor (0.5/0.15/2)% 10mL Tim-Brim-Dor-Lat (0.5/0.15/2/0.005)% 5mL Total Tears Formulations Concentration Unit Size Price Chondroitin Sulfate Ophthalmic Solution PF n/a 10mL $20.00 per bottle Cyclosporine/Chondroitin Sulfate Ophthalmic Emulsion PF 0.1% 5.5mL $150.00/3 bottles ($50.00 per bottle) PF = Preservative Free *For professional use only. Imprimis Pharmaceuticals specializes in customizing medications to meet unique patient and practitioner needs. Imprimis Pharmaceuticals dispenses these formulations only to individually identified patients with valid prescriptions. No compounded medication is reviewed by the FDA for safety or efficacy. Imprimis Pharmaceuticals does not compound copies of commercially available products. References available upon request.
PCAB-ACCREDITED 503A PHARMACY Topical Formulations (Con't) PATIENT SPECIFIC Other Topical Formulations Concentration Unit Size Price Atropine (0.01)% 5mL $59.00 per bottle Mydriatic 3 (Tropicamide, cyclopentolate and phenylephrine) (1/1/2.5)% 1mL $17.00 per bottle Mydriatic 4 (Tropicamide, proparacaine, phenylephrine and ketorolac) (1/0.5/2.5/0.5)% 1mL $17.00 per bottle Povidone Iodine 5% 1mL $8.00 per bottle Oral Formulations IV Free Formulations Concentration Unit Size Price MKO Melt Sublingual Lemon (Midazolam, ketamine HCl and ondansetron) (3/25/2)mg 1 Melt $15.00 Total Tears Formulations Concentration Unit Size Price Omega-3 AR 500mg 360 capsules $156.00 Omega-3 AR/Doxycycline 10mg 180 capsules $109.00 *For professional use only. Imprimis Pharmaceuticals specializes in customizing medications to meet unique patient and practitioner needs. Imprimis Pharmaceuticals dispenses these formulations only to individually identified patients with valid prescriptions. No compounded medication is reviewed by the FDA for safety or efficacy. Imprimis Pharmaceuticals does not compound copies of commercially available products. References available upon request.
503B FDA-REGISTERED OUTSOURCING FACILITY NON-PATIENT SPECIFIC All formulations purchased from our FDA-Registered Outsourcing Facility are available at the prices indicated below. Injectable Formulations Dropless Formulations Concentration Unit Size Package Size Price Tri-Moxi (Triamcinolone and moxifloxacin hydrochloride) 15mg/1mg/mL Single-Use Vial 20 vials $440 per box Dex-Moxi (Dexamethasone and moxifloxacin hydrochloride) Dex-Moxi-Ketor (Dexamethasone, moxifloxacin hydrochloride and ketorolac) 1mg/5mg/mL Single-Use Vial 20 vials $500 per box 1mg/0.5mg/0.4mg/mL Single-Use Vial 20 vials $550 per box Moxifloxacin 5mg/mL Single-Use Vial 20 vials $300 per box Other Injectable Formulations Concentration Unit Size Package Size Price Lidocaine/Epinephrine in BSS (PF/SF) (0.75/0.025)% Single-Use Vial 20 vials $300 per box Phenylephrine/Lidocaine (PF/SF) (1.5/1)% Single-Use Vial 20 vials Available Soon Oral Formulations IV Free Formulations MKO Melt Sublingual Lemon (Midazolam, ketamine HCl and ondansetron) Concentration Unit Size Package Size Price (3/25/2)mg 1 Melt 21 melts $315 per box FREE GROUND SHIPPING FOR ALL 503B ORDERS *For professional use only. Imprimis Pharmaceuticals specializes in customizing medications to meet unique patient and practitioner needs. No compounded medication is reviewed by the FDA for safety or efficacy. Imprimis Pharmaceuticals does not compound copies of commercially available products. References available upon request.
503B FDA-REGISTERED OUTSOURCING FACILITY NON-PATIENT SPECIFIC All formulations purchased from our FDA-Registered Outsourcing Facility are available at the prices indicated below. Topical Formulations LessDrops Formulations Concentration Unit Size Package Size Price Pred-Gati (Prednisolone acetate and gatifloxacin) Pred-Brom (Prednisolone acetate and bromfenac) (1/0.5)% 3.5mL 20 bottles $640 per box (1/0.075)% 3.5mL 20 bottles $640 per box (1/0.5/0.075)% 3.5mL 20 bottles $760 per box (1/0.5/0.075)% 7mL 20 bottles $1,400 per box Other Topical Formulations Concentration Unit Size Package Size Price Gati-Dex (Gatifloxacin and dexamethasone) (0.5/0.1)% 5mL 20 bottles $400 per box Mydriatic 3 (Tropicamide, cyclopentolate and phenylephrine) (1/1/2.5)% 5mL 2 bottles $100 per pack Mydriatic 4 (Tropicamide, proparacaine, phenylephrine and ketorolac) (1/0.5/2.5/0.5)% 5mL 2 bottles $120 per pack Povidone Iodine 5% Multi-Dose Available Soon Prednisolone Acetate Preservative-Free 1% 5mL 20 bottles $400 per box FREE GROUND SHIPPING FOR ALL 503B ORDERS *For professional use only. Imprimis Pharmaceuticals specializes in customizing medications to meet unique patient and practitioner needs. No compounded medication is reviewed by the FDA for safety or efficacy. Imprimis Pharmaceuticals does not compound copies of commercially available products. References available upon request. Tri-Moxi, Dex-Moxi-Ketor, Dex-Moxi, Pred-Gati, Pred-Gati-Brom, Pred-Brom, TIM-LAT, TIM-BRIM-DOR, TIM-DOR-LAT, TIM-BRIM-DOR-LAT, MKO Melt, Moxi, Dropless, LessDrops, Simple Drops, Total Tears, IV Free and ImprimisRx are trademarks of Imprimis Pharmaceuticals, Inc. 2018 Imprimis Pharmaceuticals, Inc. All Rights Reserved. IMPO0212 Rev3 4/18 Current version as of 4/13/2018