You Matter to Us!

Your best interest comes first at Women’s International Pharmacy. Sometimes that leads to adding a step into existing processes. However, we look for ways to keep it easy and simple for you to submit prescriptions so your patients quickly receive their medication.

Prescribing medication with a similar manufactured form available

To comply with Section 503a of the Federal Food, Drug and Cosmetic act we need your acknowledgement that your patient needs a compounded medication versus receiving the commercially manufactured product.

Improved Acknowledgement Form

Select the form (to the right) to print and complete.

After signing, simply fax it to us at 800.279.8011.

Your Options

To keep this simple and still comply with the regulation, we’ve improved our form and updated our processes and now offer a few options: