Compounded Ophthalmic Formulations Pricing is updated as of February 2018 and may be subject to change
PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC Topical Formulations (Con't) Simple Drops Formulations Concentration Unit Size Price Lat (Latanoprost) PF Dor (Dorzolamide) PF Tim-Lat (Timolol and latanoprost) PF Brim-Dor (Brimonidine and dorzolamide) PF Dor-Tim (Dorzolamide and Timolol) PF Tim-Brim-Dor (Timolol, brimonidine and dorzolamide) PF Tim-Dor-Lat (Timolol, dorzolamide and latanoprost) PF Tim-Brim-Dor-Lat (Timolol, brimonidine, dorzolamide and latanoprost) PF Triple/Quad Kit 0.005% 7.5mL 2% 10mL (0.5/0.005)% 5mL (0.15/2)% 10mL (2/0.5)% 10mL (0.5/0.15/2)% 10mL (0.5/2/0.005)% 5mL (0.5/0.15/2/0.005)% 5mL $69.00 per bottle ($23.00 per 2.5mL) $60.00 per bottle ($30.00 per 5mL) $98.00 per bottle ($49.00 per 2.5mL) $98.00 per bottle ($49.00 per 5mL) $94.00 per bottle ($47.00 per 5mL) $118.00 per bottle ($59.00 per 5mL) $118.00 per bottle ($59.00 per 2.5mL) $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% 16.5mL $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.
Injectable Formulations PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC 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) Other Topical Formulations Concentration Unit Size Price 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 Atropine Sulfate 0.01% 5mL $59.00 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) Dex-Moxi (Dexamethasone and moxifloxacin hydrochloride) 15mg/1mg/mL Single-Use Vial 20 vials $440 per box 1mg/5mg/mL Single-Use Vial 20 vials $500 per box Dex-Moxi-Ketor (Dexamethasone, moxifloxacin hydrochloride and ketorolac) 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) Coming Soon (0.75/0.025)% Single-Use Vial 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 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 (Con t) Other Topical Formulations Concentration Unit Size Package Size Price Gati-Dex (Gatifloxacin and dexamethasone) (0.5/0.1)% 5mL 20 bottles $400 per box Prednisolone Acetate Preservative-Free 1% 5mL 20 bottles $400 per box Mydriatic 3 Coming Soon (1/1/2.5)% 5mL (Tropicamide/Cyclopentolate/Phenylephrine) Mydriatic 4 Coming Soon (Tropicamide/Cyclopentolate/Phenylephrine/ Ketorolac Tromethamine) (1/0.5/2.5/0.5)% 5mL Povidone Iodine Coming Soon 5% 1mL Oral Formulations IV Free Formulations MKO Melt Sublingual Lemon Coming Soon (Midazolam, ketamine HCl and ondansetron) Concentration Unit Size Package Size Price (3/25/2)mg 1 Melt 21 melts $315.00 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, SSP Technology, Simple Drops, Total Tears, IV Free, and ImprimisRx are trademarks of Imprimis Pharmaceuticals, Inc. 2018 Imprimis Pharmaceuticals, Inc. All Rights Reserved. IMPO0212 1/18 Current version as of 2/1/2018