Description
Urogynecology Compounding Enrollment Form
Specialty pharmacy enrollment form for pharmacy owners to enter their information and use as marketing materials to present to providers.
Includes the following therapies:
- Baclofen/Lidocaine vaginal suppositories
- Estriol Cream
- Estradiol/Lidocaine/Aloe
- Estradiol in HRT Base
- BLT
- Amitriptyline/Baclofen
- Ketoprofen/Gabapentin/Lidocaine
- Atropine/Estradiol in HRT base
- Scream Cream
- Greer’s Goo
- Sucralfate Powder
