specialty veterinary pharmacy catalog 2011
DESCRIPTION
Veterinary Compounding Pharmacy catalog for 2011TRANSCRIPT
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Pg. 1
Thank you for considering Specialty Veterinary Pharmacy, the placefor all your veterinary compounding needs. Our company specializesin services that can provide you, the veterinarian, with a variety ofmedicating options for your patients. Along with the uniquecompounding services our company provides, we also offercompetitive pricing with 2-3 days delivery service. Here are justa few of the services and products that we provide.
We take medications that come in higher strengths, and break themdown to patient specific strengths.
We formulate easy to administer forms of medication, including butnot limited to flavored/soft chewables, flavored oral liquid, andtransdermal gel.
More than just medication… we offer peace of mind for you andyour patients.
We compound manufactured discontinued products.
Great selection… fast turnaround… cost savings… customer serviceis our specialty at Specialty Veterinary Pharmacy.
Specialty Veterinary Pharmacy guarantees every product. Ifyou are not happy in any way with your purchase feel freeto call us for a complete refund.
Page 4-6: Chewables
Page 13: Transdermal Gels
Page 2-3: Capsules
Page 7: Injections
Page 9: Ophthalmics
Page 12: Otic Medication
Page 8: Mini-Tablets
Page 10-11: Oral Liquids
SVPMEDS, Inc.4159 Bluebonnet Dr, Sta�ord, TX 77477
Phone: 877.673.3705 - 832.532.7447Fax: 877.329.7705 - 832.532.7473
E-Mail: [email protected] - www.svpmeds.com
Page 14: Fax Order Form
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 2
Amlodipine Besylate 1.25mgAspirin 2.5mgAzithromycin 50mgAzathioprine 10mg Azathioprine 25mgBudesonide 0.5mgBudesonide 1mg - See Mini-TabletsBudesonide 2mgCarbimazole 5mg Cisapride 2.5mg, 5mg - See Mini-TabletsCisapride 7.5mgCisapride 15mgChlorampheniccol 50mgClarithromycin 50mgClomipramine HCl 2mgEnalapril Maleate 1mgDiethylstilbestrol 0.25mgDiethylstilbestrol 0.5mgDiethylstilbestrol 1mg - See Mini- TabletsDiethylstilbestrol 5mgDoxycycline 25mgFluoxetine 5mgFludrocortisone Acetate 0.2mgFludrocortisone Acetate 0.3mgGabapentin 20mgGriseofulvin Microsized 100mgHydroxyurea 170mgItraconazole 25mgKetoconazole 30mg
Capsules
4 14.30 5.31 0.21
3 15.90 5.82 0.3
2 18.00 6.35 0.37
1 19.40 6.91 0.5
0 21.70 7.65 0.68
00 23.30 8.53 0.95
000 26.14 9.91 1.37
Capsule Size Locked Length (mm) Ext Diameter (mm) Volume (mL)
Hard Gelatin Capsule Specifications
Commonly Prescribed Drugs and Strengths
Are you looking for a different strength?We can compound it.Please call 877-673-3705 for pricing.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 3
Capsules
4 14.30 5.31 0.21
3 15.90 5.82 0.3
2 18.00 6.35 0.37
1 19.40 6.91 0.5
0 21.70 7.65 0.68
00 23.30 8.53 0.95
000 26.14 9.91 1.37
Capsule Size Locked Length (mm) Ext Diameter (mm) Volume (mL)
Hard Gelatin Capsule Specifications
Commonly Prescribed Drugs and Strengths
Mirtazapine 2mg Mitotane 50mgPergolide Mesylate 0.5mgPhenoxybenzamine 2.5mgPhenoxybenzamine 5mgPhenylpropanolamine HCl (PPA) 50mgPiroxicam 1mgPiroxicam 2.5mg Piroxicam 5mgPotassium Bromide 500mgPotassium Bromide All StrengthsPotassium Citrate 500mgPrednisone 1.25mgPrednisolone 1.25mgRonidazole 30mgTerbutaline Sulfate 0.3mgTylosin 450mg Ursodiol 35mg Ursodiol 50mg, 100mg - See Mini-TabletsUrsodiol 60mg Ursodiol 75mg Ursodiol 125mgUrsodiol 150mgUrsodiol 200mgUrsodiol 225mgUrsodiol 250mgUrsodiol 500mg
- Continues Are you looking for a different strength?We can compound it.Please call 877-673-3705 for pricing.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 4
Aluminum Hydroxide 500mgAmantadine HCl 25mgAminocaproic Acid 500mgAminophylline 100mgAmitriptyline HCl 5mgAmlodipine Besylate 0.625mgAspirin 20mgAtenolol 6.25mgAzathioprine 20mgAzithromycin 60mgBenazepril HCl 2.5mgBethanechol Chloride 2.5mgBudesonide 1mgBuspirone HCl 2.5mgCalcitriol 16ngCalcium Acetate 166mgCarbimazole 5mgChlorambucil 1mgChloramphenicol Palmitate 200mgCiprofloxacin 90mgCisapride 5mgClindamycin 100mgClomipramine HCl 3mgColchicine 0.6mgCyproheptadine HCl 4mgDesmopressin Acetate 0.2mgDiethylstilbestrol 1mgDiltiazem 30mgDiphenhydramine HCl 12.5mgDoxycycline 25mgDocusate Sodium 10mgEnalapril Maleate 7.5mgEnrofloxacin 22.7mg
One of our most unique and innovative dosage forms that we offer is our special soft chewables. Our chewables are available in a wideassortment of flavors including but not limited to; tuna, chicken, liver, beef, and seafood. Our chewables not only come in a varietyof flavors but also in a wide selection of commonly used medications and strengths. The chewables come in unit dose packagingsealed for freshness. The medication is distributed uniformally so that the chewable can be cut in half or quartererd if necessary.
Commonly Prescribed Drugs and Strengths
Actual Diameter
Actual Thickness
Small Chewable
Chewables
Are you looking for a different strength?We can compound it.Please call 877-673-3705 for pricing.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 5
Commonly Prescribed Drugs and Strengths
Chewables - Continues
Fluoxetine HCl 5mg Fludrocortisone Acetate 0.5mgFurosemide 12.5mgGabapentin 100mgGemfibrozil 200mgGlipizide 1.25mgGriseofulvin 250mgHydroxyzine HCl 10mgItraconazole 50mgLevothyroxine Sodium 0.3mgLoperamide HCl 0.4mgKetoconazole 100mgMegestrol Acetate 5mgMeloxicam 1.8mgMethazolamide 50mgMethimazole 5mgMethimazole 2.5mgMethimazole 10mgMethocarbamol 100mgMetronidazole 500mgMetroniazole 250mgMetronidazole 50mgMethylprednisolone 4mgMirtazapine 2mgMisoprostol 25mcgMitotane 500mgNitrofurantoin 13mgOmeprazole 5mgPenicillamine 500mgPentoxifylline 50mgPhenoxybenzamine 5mgPhenylpropanolamine HCl 50mgPimobendan 7.5mgPiroxicam 5mgPotassium Bromide 500mgPotassium Citrate 400mgPotassium Gluconate 2meq
Actual Diameter
Actual Thickness
Small Chewable
Are you looking for a different strength?We can compound it.Please call 877-673-3705 for pricing.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 6
Commonly Prescribed Drugs and Strengths
Chewables - Continues
Prazosin 0.5mgPrednisolone 5mgPraziquantel 23mgPraziquantel 34mgPrednisone 5mgSelegiline HCl 5mgSelegiline HCl 10mgSelegiline HCl 15mgSelegiline HCl 30mgSildenafil 10mgSulfamethoxazole/Trimethoprim 100mg/20mgTerbutaline Sulfate 1.25mgTetracycline HCl 50mgTheophylline 50mgTramadol HCL 10mgTriamcinolone 1mgTrilostane 10mgTrilostane 20mgTrilostane 30mgTrilsotane 45mgTrilostane 60mgTrilostane 90mgTrilostane 120mgTrimeprazine/Prednisolone 5mg/2mgTrimeprazine 10mgTylosin 162mgUrsodiol 50mgZonisamide 20mg
Actual Diameter
Actual Thickness
Small Chewable
Are you looking for a different strength?We can compound it.Please call 877-673-3705 for pricing.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 7
InjectionsSpecialty Veterinary Pharmacy also have a wide selection of injectableproducts to choose from. Each injectable product is compounded followingstrict USP <797> guidelines and undergo a series of quality control checks.Each batch is tested for potency and sterility by an outside laboratory.
Commonly Prescribed Drugs and Strengths
Acetyl-D-Glucosamine 20% - 100mL
ACTH Gel 40iu/mL - 2.5mL
Apomorphine HCl 3mg/ml - 2.5mL
Betamethasone 7mg/mL - 10mL(Similar to Betasone®)Active Ingredients:Betamethasone Dipropionate USP, &Betamethasone Sodium Phosphate USP
Caco Copper - 100mL (Active Ingredients:Cacodylic Acid, Ferric Chloride, & Copper Gluconate)
Chlorpheniramine Maleate 10mg/mL - 30mL & 100mL
*Diphenhydramine HCl 50mg/mL - 10mL
*Metoclopramide 5mg/mL - 30mL
Prednisone 50mg/mL - 30mL
Prednisolone Acetate 50mg/mL - 30mL
*Acepromazine Maleate 10mg/mL - 50mL
Iodine in Almond Oil - 50mL
Tripelennamine HCl 20mg/mL - 100mL
*Vasopressin 20 u/mL - 1mL vial Diabetes Insipidus Diagnostic Agent
*Amikacin Sulfate 150mg/mL - 50mL
*Gentamicin As Sulfate 100mg/mL - 100mL
*Guaifenesin 50mg/mL - 1000mL (1L)
*Famotidine Multidose Vial 10mg/mL - 30mL
Chlorpromazine HCl 25mg/mL - 10mL
* Pricing is subject to change.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 8
Mini-Tablets
Commonly Prescribed Drugs and Strengths
-affordable-conveniently dosed-time saving-easy to administer-no bitter taste
Our line of mini-tabs are affordable and time saving. Cutting pills not only wastesmedication but is also time consuming. Don’t let your technicians spend one moreminute cutting pills into the dosage your patients need. We specifically compoundmedication into common doses administered to small animals. Let us do the workfor you! If you are tired of halving or quartering tablets and trying to administercrumbling, jagged pills Specialty Veterinary Pharmacy has the solution. Our newline of Mini-Tabs offer you a new option for treating your patients. Our specialty iscompounding easy to administer commonly prescribed dosages, in Mini-tablet form.Save money, time and provide your patients an easy to administer mini-tablet today!
Aminopentamide Sulfate 0.2mgAmlodipine Besylate 0.625mgApomorphine 6mg TabletAtenolol 6.25mgBudesonide 1mgCisapride 2.5mgCisapride 5mgCisapride 10mgDiethylstilbestrol (DES) 1mgMegestrol Acetate 5mgMetronidazole 25mg - (100ct)Metronidazole 50mg (100ct)Metronidazole 62.5mgMetronidazole 100mgMeloxicam 0.5mgMeloxicam 1.5mgPergolide Mesylate 1mgUrsodiol 50mg Ursodiol 100mg
SMALLER THAN A TIC-A-TAC
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 9
Specialty Veterinary Pharmacy have a wide selectionof sterile ophthalmic products to choose from. Eachophthalmic product is compounded following strictUSP <797> guidelines and undergoes a series ofquality control checks. Each batch is tested forpotency and sterility by an outside laboratory.
OphthalmicCommonly Prescribed Drugs and Strengths
Itraconazole 1% & DMSO Ointment - 5gm
Acyclovir 3% Ointment - 5gm
Artificial Tears Solution 15mL
Chloramphenicol 1% Ointment - 5gm
Cyclosporine 1% Drop - 10mL
Optimmune 0.2% Ointment - 3.5gm
Desmopressin Acetate 0.01% - 10mL Drop
Flurbiprofen Sodium Solution 0.03% - 2.5mL
Gentamicin-Betamethasone 1% Drop - 5mL
Idoxuridine 0.1% Drop - 10mL
Tacrolimus 0.03% Drop - 5mL
Tacrolimus 0.03% Ointment - 5gm
Tobramycin 0.3% Solution - 5mL
Sicca-G Drops - 15mL - Inactive Ingredients Acetylcystine 5%, Gentamicin Sulfate 0.3%, & Pilocarpine 0.25% in Artificial Tears
Terramycin Ointment - 3.5gm
Cyclosporine 2% Drop - 10mL
Tacrolimus 0.03% Drop - 15mL
Neomycin/Polymyxin B Ointment - 5gm
Neomycin/Polymyxin B w/ Hydrocortisone Oint - 5gm
Neomycin/Polymyxin B w/ Dexamethasone Oint- 3.5gm
Ofloxacin 0.3% Solution - 10mL
Neomycin/Polymyxin B w/ Dexamethasone Oint- 5mL
Latanoprost 0.005% Solution - 2.5mL
Gentamicin 0.3% Ointment - 3.5gm
Prednisolone Acetate 1% Suspension 10mL
Gentamicin 0.3% Solution - 5mL
Cyclosporine 1% Ointment - 5gm
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 10
Flavored Oral LiquidsAll of our liquids are available in 30mL(1oz), 60mL(2oz),90mL (3oz), 120mL(4oz), 240mL(8oz), 360mL (12oz)and 480mL (16oz).
Each one of our oral liquid bottles come with aPress-In Bottle Adapter and Oral Syringe for aneasy to use dosing system.
All of our liquids are available in a variety of �avors including:
Commonly Prescribed Drugs and Strengths
Fish Chicken Beef Liver Marshmallow Vanilla Apple Banana Tutti Frutti Cherry Peanut Butter
Can’t find what your looking for?Ask our pharmacist about anyother drug or strength.
Aluminum Hydroxide 100mg/mL, & 250mg/mLAminocaproic Acid 250mg/mLAminophylline 50mg/mL, & 100mg/mLAmitriptyline HCl 10mg/mL, & 25mg/mLAmlodipine Besylate 1.25mg/mL, & 2.5mg/mL (similar to Norvasc®) Amphotericin B 100mg/mL Atenolol 6.25mg/mL, & 12.5mg/mLAzithromycin 50mg/mL, & 100mg/mLBenazepril HCl 2.5mg/mL, 5mg/mL , & 10mg/mLBudesonide 1mg/mL, & 5mg/mL Buspirone HCl 1mg/mL, & 10mg/mL Calcitriol 24ng/mL, 32ng/mL, 48ng/mL, & 64ng/mL Carbimazole 5mg/mLChlorambucil 2mg/mL Chloramphenicol Palmitate 50mg/mL, & 100mg/mLChlorpheniramine Maleate 2mg/mL, & 10mg/mLCisapride 5mg/mL, 7.5mg/mL, & 15mg/mL Clindamycin 75mg/mL & 100mg/mLClomipramine Hydrochloride 10mg/mL (similar to Clomicalm®) Cyclosporine 10mg/mL, & 50mg/mLCyproheptadine HCl 2mg/mLDexamethasone 1mg/mL, & 2mg/mLDiazoxide 50mg/mLDiltiazem 30mg/mLDoxycycline 25mg/mL, 50mg/mL, & 100mg/mLEnalapril Maleate 2.5mg/mL & 5mg/mL Enro�oxacin 22.7mg/mL, 50mg/mL, & 100mg/mL
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 11
Flavored Oral Liquids - Continues
Famotidine 10mg/mL, 20mg/mL (similar to Pepcid®)Fenbendazole 100mg/mL & 200mg/mL Fluconazole 25mg/mL, & 200mg/mL (similar to Diflucan®) Fludrocortisone Acetate 0.1mg/mL, & 0.5mg/mLFluoxetine HCl 5mg/mL, & 10mg/mL (similar to Prozac®) Furosemide 12.5mg/mL (similar to Lasix®) Gabapentin 50mg/mL, 100mg/mLGriseofulvin 100mg/mL, & 250mg/mLHydroxyzine HCl 50mg/mL Interferon Alfa-2b, Recombinant 30iu/mLItraconazole 25mg/mL, 50mg/mL & 100mg/mLIvermectin 10mg/mL (1%)Ketoconazole 50mg/mL, & 100mg/mLLevothyroxine Sodium 0.3mg/mLLysine 250mg/mL Megestrol Acetate 10mg/mL, & 20mg/mLMethimazole 5mg/mL, & 10mg/mL (similar to Tapazole®) Metoclopramide HCl 1mg/mL, 5mg/mL (similar to Reglan®) Metronidazole 25mg/mL, 50mg/mL, & 100mg/mL Neomycin Sulfate 300mg/mLOmeprazole 2mg/mL, & 20mg/mL Ondansetron 1mg/mL (similar to Zofran®) Pentoxifylline 50mg/mL , & 100mg/mLPergolide Mesylate 0.2mg/mL (similar to (Permax®)Phenoxybenzamine 5mg/mL, & 10mg/mLPhenylpropanolamine HCl 25mg/mL, 50mg/mL, & 100mg/mL Potassium Bromide 250mg/mLPiroxicam 2.5mg/mL, 5mg/mL & 10mg/mLPonazuril 90mg/mL Potassium Citrate 150mg/mL & 200mg/mLPotassium Gluconate 2meq/mL (similar to Tumil-K®) Praziquantel 34mg/mL, & 68mg/mLPrazosin 1mg/mL Prednisolone 5mg/mL & 10mg/mL Prednisone 5mg/mL, & 10mg/mL Primidone 25mg/mL (similar to Neurosyn®)Sodium Bromide 400mg/mLSpironolactone 25mg/mLSulfasalazine 90mg/mLTerbutaline Sulfate 0.625mg/mL, & 2mg/mL
Commonly Prescribed Drugs and Strengths
Tetracycline HCl 100mg/mL Theophylline 25mg/mL, 50mg/mL & 100mg/mLTramadol HCl 10mg/mL, 25mg/mL, & 50mg/mL (similar to Ultram®) Tylosin 100mg/mL (similar to Tylan®) Ursodiol 25mg/mL, 50mg/mL & 100mg/mLZonisamide 10mg/mL & 50mg/mL
Can’t find what your looking for? Ask our pharmacist aboutany other drug or strength.
Commonly Prescribed Drugs and Strengths
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 12
OticCommonly Prescribed Drugs and Strengths
Can’t find what your looking for?Ask our pharmacist about any other drug or strength.
Ticarcillin 2.7%, Ketoconazole 2%, & Triamcinolone 0.1%Inactive Ingredients: Lanolin, and Mineral Oil
TKT Otic Ointment - 15mL Tube
CKT Otic Ointment - 15mL TubeChloramphenicol 1%, Ketoconazole 2%, & Triamcinolone 0.1%Inactive Ingredients: Lanolin, and Mineral Oil
Clotrimazole 1% Otic Solution 480mLInactive Ingredients: propylene glycol, and polyethylene glycol
EKT Otic Ointment SVPMEDS is now compoundingEnrofloxacin 1%, Ketoconazole 2%, and Triamcinolone 0.1% in an easyto administer otic ointment. EKT OticOintment is now packed in a 15mLDial-A-Dose syringe with a 1 inch otictip. Each batch is run through anointment mill to eliminate any gritty textures.Inactive Ingredients: Lanolin, and Mineral Oil
Recalitol Otic Ointment 20gm TubeActive Ingredients: Resorcinol, bismuth subgallate, bismuth subnitratezinc oxide, calamine, and juniper tar.Inactive Ingredients: Glycerin and Petrolatum
CPT-Chlor Otic SolutionSVPMEDS is now compounding a product similar to Liquichlor®.Each mL contains Chloramphenicol (antibiotic) 0.42%, Prednisolone (corticosteroid) 0.17%,Tetracaine (local anesthetic) 0.42%, & Squalane 21% in a mineral oil and petrolatum otic solution.
Specialty Veterinary PharmacySpecialty Veterinary Pharmacy
Phone: 877.673.3705 Fax: 877.329.7705 Pg. 13
Transdermal Gels
Amlodipine Besylate 0.625mg/0.1mL Amitriptyline HCl 5mg/0.1mL; 10mg/0.1mLAtenolol 6.25mg/0.1mL; 12.5mg/0.1mL Aminophylline 25mg/0.1mL Buspirone HCl 5mg/0.1mLCarbimazole 5mg/0.1mLCisapride 2.5mg/0.1mL; 5mg/0.1mL Chlorpheniramine 2mg/0.1mL; 5mg/0.1mL Cyproheptadine HCl 1mg/0.1mL; 2mg/0.1mLClomipramine 2.5mg/0.1mL Diltiazem 7.5mg/0.1mL Enalapril 1mg/0.1mL; 2.5mg/0.1mL Enrofloxacin 22.7mg/0.1mLFluoxetine 5mg/0.1mL; 10mg/0.1mLFurosemide 5mg/0.1mLGlipizide 2.5mg/0.1mL Hydroxyzine HCl 5mg/0.1mLMegestrol Acetate 5mg/0.1mLMeloxicam 1mg/0.1mL; 0.5mg/0.1mLMethimazole 2.5mg/0.1mL; 5mg/0.1mL; 10mg/0.1mL Metronidazole 25mg/0.1mL Metoclopramide 1mg/0.1ml; 2mg/0.1mL Prednisolone 2.5mg/0.1mL; 5mg/0.1mL; 10mg/0.1mL Prednisone 1mg/0.1mL; 5mg/0.1mL Theophylline 25mg/0.1mLTramadol HCl 10mg/0.1mL; 15mg/0.1mL
Commonly Prescribed Drugs and Strengths
Transdermal gel preparations are availablefor patients that are extremely difficult toadminister oral medications.
The medication is administered on thepinna of the cats ear and is absorbedthrough the skin and into the blood stream.
Each of our transdermal gels is preparedwith a pluronic lecithin base gel. They are packaged in a 1mL syringe,which contains ten 0.1mL doses. 3mL minimum order.
0.1mL
0.2mL
0.3mL
0.4mL
0.5mL
0.6mL
0.7mL
0.8mL
0.9mL
1.0mL
The whole syringeequals 10 doses
Equal 1Dose
Can’t find what your looking for?Ask our pharmacist about anyother drug or strength.
Each transdermal gelprescription comeswith �nger cots forsafe administration.
Pg. 14
1. This fax order form is for licensed veterinarians only.2. Only use this order form if you already have an account with SVPMEDS or is accompanied with a new account form.3. Fill out one or both prescriptions and fax this entire sheet to our toll free fax number 877-329-7705.
PHONE: 877.673.3705FAX: [email protected]
www.svpmeds.com
Name of person faxing prescriptions:
_______________________________
Specialtyveterinary pharmacy
Quantity:___________
Directions:_____________________________________
Phone #:
Clinic Name: _____________________________________
Owner Name:____________________________________
Strength:___________________
Date:________________
Dispense as written
CHICKBEEFLIVERSEAFOODCHERRYFISHBANANA
OTHER_________
TUNA
Dosage FormsCAPSCHEWINJOPHTH.ORAL LIQUIDPASTETABLETTransdermal GelOTICORAL PWD
Flavoring
Dr. Signature:____________________________________
Drug Name:_____________________________________
Last Name:______________________________________
Species:_____________Pets Name:__________________
Address:_________________________________________
City:_______________________ State:______ Zip:______
Address: ___________________________City: _______________ State: ____ Zip: _____
Refills: 1 2 3 ___ PRN
Bill Clinic / Mail to Owner Bill Clinic / Mail to Clinic Bill Owner / Mail to Owner
Quantity:___________
Directions:_____________________________________
Phone #:
Clinic Name: _____________________________________
Owner Name:____________________________________
Strength:___________________
Date:________________
Dispense as written
CHICKBEEFLIVERSEAFOODCHERRYFISHBANANA
OTHER_________
TUNA
Dosage FormsCAPSCHEWINJOPHTH.ORAL LIQUIDPASTETABLETTransdermal GelOTICORAL PWD
Flavoring
Dr. Signature:____________________________________
Drug Name:_____________________________________
Last Name:______________________________________
Species:_____________Pets Name:__________________
Address:_________________________________________
City:_______________________ State:______ Zip:______
Address: ___________________________City: _______________ State: ____ Zip: _____
Refills: 1 2 3 ___ PRN