Customize Your Pain Compound | Davis Island's Pharmacy and Compounding Lab | Tampa

Customize Your Pain Compound

< Pain Management Compounding



Fill out the following form to request a customized pain compound quote from our lab


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Compound Name/ Active Ingredients (required):

Customize Pain Ingredients (check from below):


Diclofenac SodiumKetoprofenPiroxicamIbuprofenFlurbiprofenMeloxicamIndomethacin

Muscle Relaxants:

CyclobenzaprineBaclofenGuafenasinOrphenadrineMagnesium Cl





Neuropathy Agents:




Additional Ingredients


Strength (based on form)


Day's Supply:

This Medication Requires a Prescription

To fulfill your order, we will require a prescription from the Prescriber. We will only compound and dispense upon receipt of a valid patient specific prescription. After making a selection, please provide the relevant information below. If you do not yet have a doctor, leave the relevant fields blank: we're happy to make a referral.

I am a...

How will we be receiving the prescription?

Pharmacy Fax: (813) 254-8396

(to provide the prescriber)

Other pharmacy name and number (if requesting Rx Transfer):

Contact Information

Contact Name:

Contact Email: (required)

Cell Phone (required):

Office Number:

Other Phone:

Delivery Options:

Notes: Notes for Pharmacy, Your Address, Alternative Compound Requirements, Etc.

Opt me out of receiving pharmacy communications

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Looking for a non-pain related compound? Make a more tailored compound quote request here >>