$42.80 1 - 90 Capsules - 0.25 Mg - 7.5 Mg Shipping Not Included - Pricing Subject to Change Without Notice

Our Current LDN Price $42.80 1 - 90 Capsules - 0.25 mg - 7.5 mg shipping not included - pricing subject to change without notice

Some of Our Specialties Delivering excellence in pharmacy Dental ______compounding for over 50 years Dermatology We prepare a wide variety of compounds Detoxification for people and animals. Endocrinology ______Functional Medicine Superior Service, Excellent Quality, Hormones (HRT) Knowledgeable Sta, Quick Turnaround Lyme Disease/Mold Illness Times, Over 14,000 Formulations. OB/GYN Shipping Available to most states. Pain Management Pediatrics Podiatry Veterinary Vitamin Formulations Wound Care Hopkinton Drug Compounding & Wellness ______

p (800)439-4441 f (508)435-5983 [email protected] www.rxandhealth.com 52 Main Street, Hopkinton, MA 01748 p. 800-439-4441 x117 f. 508-435-5983 www.rxandhealth.com We are a Lyme/Mold Literate Compounding Pharmacy “It Makes A Difference” Pricing Sprays VIP Nasal Spray 12cc = $199.00 VIP Nasal Spray 6cc (Test Dose) = $125.00 Other Compounding Services Beg Spray 30/60ml = $72.80 Lyme/Mold Beg Spray w/Mucolox 30ml = $84.00 Beg Spray w/Mucolox 60ml = $94.00 Functional Medicine EDTA w/whISOBAX without Mucolox 60ml $68.00 Vitamin Formulations EDTA w/whISOBAX with Mucolox 60ml $78.00 Thyroid EDTA W/Colloidal Silver -without Mucolox 30/60ml $88.00 Hormone Replacement Therapy EDTA W/Colloidal Silver -with Mucolox 30/60ml $98/$108 Pain Management Itraconazole 30/60ml = $98/$118 Pediatrics Amphotericin 0.3% 30/60ml = $88/$98 Dermatology Lidocaine Nasal Spray 4% 30/60ml = $58/$68.00 Dental Teitelbaum Nasal Spray - 60ml without mucolox $72.80 Teitelbaum Nasal Spray - 60ml with mucolox $82.80 Podiatry Rg3 w/Methylcobalamin Spray (15ml/30ml) = $108.00/$138.00 Wound Care Veterinary (other nasal sprays available - call for information) BEG Cream 30gm = $88.00 Don't see what you need, CSM contact the lab for other available options. Pure Powder - up to 120 doses or 480g = $148.80 All other formulations - up to 120 doses or 480g = $268.00 We have over 15k Formulations (while supplies last on pure powder, shipping not included) ------Low Dose Naltrexone (LDN) phone: 800-439-4441 opt #2 All strengths (0.5 - 7.5mg) 1 - 90 capsules = $42.80 email: [email protected] web: www.rxandhealth.com Liposomal LDN 100 caps (.5mg or 2.5mg) = $118 60 caps (.5mg or 2.5mg) = $78 Glutathione Glutathione Nasal Spray 10% 30/60ml = $78/$88.00 Thyroid - Common dosages up to 100 caps = $128.80 Liposomal Glutathione (250mg) 120 caps = $158.00 Liposomal Glutathione (250mg) 60 caps = $78.00 Hormones - Call For Pricing

DMSA -250mg 30 caps = $68 DMSA -500mg 30 caps = $88

Ivermectin - 1mg/3mg 30 caps = $72 (call for other strengths & prices)

Liposomal Antibiotics = (pricing on one of the sheets below)

Herbals Mimosa Pudica 180 caps = $74.00 (available wholesale to practitioners at $46.40 per 180 count bottle. Call for more info) Liposomal Mimosa Pudica 180 caps = $74.00 Liposomal Artemisinin 60 caps = $93.00 (available wholesale to practitioners at $46.40 per 60 count bottle. Call for more info) Liposomal Curcumin 60 caps = $68.00 (available wholesale to practitioners at $46.40 per 60 count bottle. Call for more info) Liposomal Oregano 60 caps = $93.00 (available wholesale to practitioners at $46.40 per 60 count bottle. Call for more info) Liposomal Cinnamon/Clove/Oregano 60/120/180 caps = $88.00/$128.80/$180.00

This price list represents a small sample. If you don’t see what you need please give us a call (All prices subject to change without notice and do not include shipping costs) 800-439-4441 Low Dose Naltrexone –LDN 1 to 90 Capsules 0.25 to 7.5 mg $42.80 (shipping not included)

Brought to You By Hopkinton Drug Compounding A Compounding Pharmacy that is dedicated to bringing Specialized Medications at an affordable cost Nationwide

Ordering Is Easy phone -800-439-4441 x117 fax -508-435-5983 Partial List of Mold/Lyme Compounds p. 800-439-4441 x117 f. 508-435-5983 www.rxandhealth.com Patient Name DOB / /

Address

City State Zip Code

Phone # 2nd Phone #

Allergies Date: Ingredi ent Direction s QTY whISOBAX - EDTA .25%/whISOBAX Use spray(s) in each nostril times daily New with Mucolox without Mucolox 60 ML BEG Spray - Mupirocin/EDTA/Gentamycin 30 ML Use spray(s) in each nostril times daily with Mucolox without Mucolox 60 ML EDTA 0.5% - Colloidal Silver 25ppm 30 ML Use spray(s) in each nostril times daily with Mucolox without Mucolox 60 ML BEG Spray with Itraconazole 30 ML Use spray(s) in each nostril times daily Mupirocin/EDTA/Gentamycin/ Itraconozole 60 ML Itraconazole Spray 0.8mg/ml 30 ML Use spray(s) in each nostril times daily with EDTA 0.5% with Mucolox 15% 60 ML Vasoactive Intestinal Peptide (VIP) Use 1 spray intranasally 4 times daily alternating nostrils each 18 ML Nasal Spray 50mcg / 0.1 ml spray time. 12 ML Teitelbaum Nasal Spray- Itraconazole/Mupirocin/Triamcinolone/Xylitol Use spray(s) in each nostril times daily 60 ML without Mucolox with Mucolox 15 CC RG3 w/Methylcobalamin Spray 2 mg/ml Use 2 sprays in each nostril up to 3 times daily 30 CC Low Dose Naltrexone MG Capsules Liposomal Not Liposomal Take capsules times daily for days DMSA MG Take capsules times daily for days Capsules Cholestyramine Pure USP Powder Without stevia, use 1.75 teaspoons (4 grams) without Stevia and Cellulose of powder times daily GM (30day supply) Mix well with 8-12oz of water or juice. Use scoop(s)(15cc) of powder times daily. Mix Cholestyramine with Stevia and Cellulose well with 8-12oz of water or juice. With stevia there are 4 grams of Cholestyramine in each 15cc CC scoop Cholestyramine Capsules Take capsules _ times daily. Pure USP Powder (8 capsules 4 times a day, Take with 8-12oz of water or juice. CAPS equal 960 capsules, equal a 30day supply) (there are 4 grams of Cholestyramine in 8 capsules) Antibiotics Drug Take capsules times daily for Days MG (Liposomal)

Notes:(other compounds, additional ingredients, special instructions) Refills 1 2 3 4 5 6 NR

Prescriber

Prescriber Prescriber Signature Phone #

Prescriber Fax#

Prescriber DEA# Partial list of Compounded Liposomal Antibiotics p (800)439-4441 x 117 f (508)435-5983 www.rxandhealth.com

Patient Name DOB / / Address City State Zip Code Phone # 2nd Phone # Allergies Date:

Take capsules _____ times daily (250 Azithromycin Liposomal A.R. 60 CAPS mg per capsule)

Ceftriaxone Liposomal Take capsules _____ times daily 60 CAPS___ Phospholipids EC (150 mg per capsule) 180 CAPS___

Clarithromycin Liposomal Take capsules _____ times daily 60 CAPS___ Phospholipids A.R. (250 mg per capsule) 120 CAPS___ Take capsules _____ times daily Doxycycline Liposomal 60 CAPS___ Phospholipids EC (50, 100, or 150mg per capsule PLEASE CIRCLE) 120 CAPS___ 180 CAPS___

Gentamicin Liposomal Take capsules _____ times daily (50 90 CAPS___ Phospholipids mg per capsule) 180 CAPS___

Minocycline Liposomal Take capsules _____ times daily 60 CAPS___ Phospholipids A.R. (50 or 100 mg per capsule-PLEASE CIRCLE) 120 CAPS___ Take capsules _____ times daily (150 Rifampin Liposomal AR EC mg per capsule) 120 CAPS Sulfamethoxazole/Trimethoprim Take capsules _____ times daily Liposomal Phopholipids EC (200/40 mg per capsule) 240 CAPS

Atovaquone/Proguanil Take capsules _____ times daily 120 CAPS___ Liposomal Phospholipids (125/50 mg per capsule) 240 CAPS___

Notes (special instructions, additional Refills 1 2 3 4 5 6 NR ingredients)

Prescriber

Prescriber Phone # Prescriber Signature Prescriber Fax#

Prescriber DEA#

Don't see what you need--call the lab for other available options this form is for informational purposes only 800-439-4441 p. 508-435-5983 f. www.rxandhealth.com

Pricing Liposomal Antibiotics

1. Azithromycin Liposomal A.R. (250mg per capsule) 60 CAPS = $148.00 2. Ceftriaxone Liposomal Phospholipids EC (150 mg per capsule) 60 CAPS/180 CAPS = $156.30/$373.30 3. Clarithromycin Liposomal Phospholipids A.R. (250 mg per capsule) 60 CAPS/120 CAPS = $148.80/$218.80 4. Doxycycline Liposomal Phospholipids EC  (50 mg per capsule) 60/120/180 CAPS = $128.80/$188.00/$232.40  (100 mg per capsule) 60/120/180 CAPS = $148.80/$215.46/$268.80  (150 mg per capsule) 60/120/180 CAPS = $194.00/$388.00/$582.00 5. Gentamicin Liposomal Phospholipids (50 mg per capsule) 90 CAPS/180 CAPS = $288.00/$420.00 6. Minocycline Liposomal Phospholipids A.R.  (50 mg per capsule) 60/120 CAPS = $280.80/$431.82  (100 mg per capsule) 60/120 CAPS = $280.80/$516.68 7. Rifampin Liposomal AR EC (150 mg per capsule) 120 CAPS = $268.80 8. Sulfamethoxazole/Trimethoprim Liposomal Phospholipids EC (200/40 mg per capsule) 240 CAPS = $268.00 9. Atovaquone/Proguanil Liposomal Phospholipids (125/50 mg per capsule) 120 CAPS/240 CAPS = $206.48/$358.28

This price list represents a small sample. If you don’t see what you need please give us a call (All prices subject to change without notice and do not include shipping costs) Liposomal Artemisinin Mimosa Pudica Liposomal Oregano Capsules Capsules Capsules

Practitioner ordering at: www.doctorinspiredformulations.com (click order here, click medical professionals) Consumer ordering at: www.doctorinspiredformulations.com (click order here, click consumers) Need Help, contact us at: 855-585-0005 or email: [email protected] Partial list of Lyme/Mold compounds p (800)439-4441 x 117 f (508)435-5983 www.rxandhealth.com

Patient Name DOB / /

Address

City State Zip Code

Phone # 2nd Phone #

Allergies Date:

Mimosa Pudica Capsules Take capsules _____ times daily (Powdered Extract) (542 mg per capsule) 180 CAPS Liposomal Mimosa Pudica Take capsules _____ times daily Capsules (271 mg per capsule) 180 CAPS Liposomal Artemisinin Capsules Take capsules _____ times daily (50 mg per capsule) 60 CAPS Artemisinin Enema Use Enemas times daily 30cc ___ (30 individual enemas 50mg) for Days 60cc ___

Liposomal Curcumin Capsules Take capsules _____ times daily (100 mg per capsule) 60 CAPS Take capsules _____ times daily Liposomal Oregano Capsules (75 mg per capsule) 60 CAPS Take capsules _____ times daily 60 CAPS ____ Liposomal Trehalose Capsules (250mg per capsule) 100 CAPS ____

Liposomal Glutathione Capsules Take capsules _____ times daily (250 mg per capsule) 60 CAPS ____ Liposomal Acetylated Glutathione Take capsules _____ times daily Capsules (200 mg per capsule) 60 CAPS ____ Liposomal Cinnamon/Clove/Oregano Take capsules _____ times daily 60 CAPS ____ Capsules (100 mg/25 mg/75 mg per capsule) 120 CAPS ____

Refills 1 2 3 4 5 6 NR Notes (special instructions, additional ingredients) Prescriber

Prescriber Phone # Prescriber Signature Prescriber Fax#

Prescriber DEA#

Don't see what you need--call the lab for other available options this form is for informational purposes only Partial list of HRT compounds p. 800-439-4441 f. 508-435-5983 www.rxandhealth.com

Patient Name DOB / /

Address

City State ZipCode

Phone # 2nd Phone #

Allergies Date:

Ingredient Strength Directions QTY Progesterone Cream 200mg /ml Apply 0.1ml topically qd 30 day supply

Progesterone (micronized) SR Capsule ____100mg ____50mg Take one capsule by mouth qhs 60caps

Progesterone Suppository ______mg Insert _____supp(s) _____time(s) daily _____supps

Testosterone Cream 10mg /ml Apply 0.1ml (1mg) topically qd 30 day supply

Progesterone/Testosterone Cream 200mg/10mg /ml Apply 0.1ml topically daily 30 day supply

Estriol Vaginal Cream 1mg / gram Insert 1 gram with applicator PV qd 60 grams

Estriol/Vitamin E 200IU Vaginal Cream 1mg /200 IU / gr am Insert 1 gram with applicator PV qd 60 grams

Estriol/ Lidocaine 1mg /200mg / gram Apply 1gram to vulva qd 60 grams

Estradiol/Estriol (Biest) Transdermal 1/4mg /ml Apply 0.5ml once per day on days 1-25 30 day supply

Estradiol/Estriol/Progesterone Transdermal 1/4/80mg /1ml Apply 0.5ml topically qd 30ml 60ml

E2/E3/Prog/DHEA 1/4/80mg/1 /1ml Apply 0.5ml topically qam 60ml

DHEA Topical 1mg /1ml Apply 0.5ml topically qam 60ml

7 Keto-DHEA 25mg /capsule Take one capsule po qd 60 caps

Clobetasol Ointment 0.05% Apply 1 gram 3 times per week 30 grams

Clobetasol/Estriol Vaginal cream 0.05%/1mg /1 gram Apply once daily 3 times per week 30 grams

One supp qhs for 7 days then qhs twice Boric Acid Vaginal Suppository 600mg /suppository 30 day supply per week

Notes (special instructions, additional ingredients)______Prescriber ______Prescriber Phone #

Prescriber Signature Prescriber Fax# ______Prescriber DEA#

Refills 1 2 3 4 5 6 NR

Don't see what you need--call the lab for other available options this form is for informational purposes only Partial List of Thryroid Compounds p. 800-439-4441 f. 508-435-5983 www.rxandhealth.com

Patient Name DOB / /

Address

City State ZipCode

Phone # 2nd Phone #

Allergies

Prescriber

Dosage Form Strength QTY SIG Capsule Armour Thyroid Take ______capsules by mouth IR daily. Equivalent Capsule (Thyroid USP) ______caps Capsule Thyroid Extract Take ______capsules by mouth SR daily. (Thyroid USP) ______caps

Capsule Take ______capsules by mouth IR ____caps daily. T3 SR Cream ______ml Apply______ml daily. Rub in well. (2x strength of oral) Capsule Take ______capsules by mouth T4 IR daily. SR ______caps

Capsule Take ______capsules by mouth IR THY daily. Combination SR ______Capsule T3 (Thyroid USP, T3, T4) ______T4 ____caps ______

Notes (special instructions, other formulations or changes)______

______

Prescriber Signature ______

Don't see what you need--call the lab for other available options this form is for informational purposes only Hopkinton Drug’s partial list of compounded topical pain medications ph (800)439-4441 x 117 fax (508)435-5983 Patient DOB Prescriber Person Faxing

Allergies Name of Clinic

Diagnosis DEA NPI

Address Address

City State ZIP City State ZIP

Phone Cell Phone Fax

(for informational purposes only) Anti-Inflammatory Dermal Pain

1. BD Cream 2. BDOT Cream 3. BDV Cream 4. Morphine Wound Gel General Joint Pain, Arthritis, Epicondylitis Scarring with Inflammation Painful Topical Wounds Muscoloskeletal Pain Musculoskeletal Pain, Plantar and Pain, Tendonosis Fasciitis Tedonitis Baclofen 2% Baclofen 2% Baclofen 2% Morphine Sulfate 10% Diclofenac 3% Diclofenac 3% Diclofenac 3% Orphenadrine 5% Tetracaine 2% Verapamil 10% Neuropathic Pain

5. BCGKT Cream 6. BGIKNT Cream 7. CGIKPT Cream 8. CGIKT Cream General Neuropathic Cream Chemotherapy and Diabetic- Developing Neuropathy, Chronic Post-Herpetic Neuralgia Induced Peripheral Neuropathy, Trigeminal Neuralgia, Phantom Limb Pain RSD/CRPS Baclofen 2% Baclofen 2% Clonidine 0.2% Clonidine 0.2% Cyclobenzaprine 2% Gabapentin 6% Gabapentin 6% Gabapentin 6% Imipramine 3% Gabapentin 6% Imipramine 3% Imipramine 3% Ketamine 10% Ketamine 10% Ketamine 10% Ketamine 10% Nifedipine 2% Piroxicam 1% Tetracaine 2% Tetracaine 2% Tetracaine 2% Tetracaine 2% Combination Pain

9. BCDGKT Cream 10. BCDGOT Cream 11. BCDGT Cream 12. CDGKOT Cream Fibromyalgia, Radiculopathy Myofascial Pain Syndrome, TMJ TMJ, Musculoskeletal Pain and Failed Back Syndrome Inflammation Baclofen 2% Baclofen 2% Baclofen 2% Cyclobenzaprine 2% Cyclobenzaprine 2% Cyclobenzaprine 2% Cyclobenzaprine 2% Diclofenac 3% Diclofenac 3% Diclofenac 3% Diclofenac 3% Gabapentin 6% Gabapentin 6% Gabapentin 6% Ketamine 10% Gabapentin 6% Ketamine 10% Orphenadrine 5% Orphenadrine 5% Tetracaine 2% Tetracaine 2% Tetracaine 2% Tetracaine 2% PLEASE CROSS OUT ANY UNWANTED MEDICATIONS IN THE FORMULAS YOU CHOOSE ABOVE Quantity SIG Refills 120 GM 240 GM Apply 1-2 GM to affected area 3-4 times daily ______Other: Other:

Don't see what you need--call the lab for other available options this form is for informational purposes only Partial List of Dermatology Compounds p. 800-439-4441 f. 508-435-5983 www.rxandhealth.com

Patient Name DOB / /

Address

City State ZipCode

Phone # 2nd Phone #

Allergies Date:

Ingredient Directions QTY

Shingles Cream Apply to affected area _____times Deoxy-D-Glucose (2) 2%, Gabapentin 10%, Ketoprofen 5%, Amitriptyline HCl 2%, 30gm Tetracaine HCl 1% in Lipoderm daily. Anti- Fungal Nail Solution Paint onto nails _____times daily. 15 ML Fluconazole 1%, Ibuprofen 2% in DMSO

Apply to affected area _____times LCD in Aquaphor ___gm daily.

Apply to affected area _____times LCD 10% w/Triamcinolone 0.1% daily. ___gm

LCD 5% Salicylic Acid 3% Apply to affected area _____times ___gm w/Triamcinolone 0.1% daily.

SSH-Salicylic Acid 0.5g, Precipitated Sulfur 0.5g, Hydrocortisone 0.5% in Apply to affected area _____times 30gm Acid Mantle daily.

Hydrocortisone 1% in Acid Mantle (cream) Apply QD 460gm

Benzoyl Peroxide 5%, Sulfur 2% (lotion) Apply to Face HS 60ml

Benzoyl Peroxide 10%, Sulfur 5% (lotion) Apply to Face HS 60ml

Apply to affected area _____times Aladerm w/Urea 60gm daily.

Apply to affected area _____times Plantar Wart Killer 30gm daily.

Notes (special instructions, additional ingredients)______Refills 1 2 3 4 5 6 NR

______Prescriber

Prescriber Phone # Prescriber Signature Prescriber Fax# ______

Prescriber ______DEA# Interchange is mandated unless the prescriber writes the words

“no substitution in this space”

Don't see what you need--call the lab for other available options this form is for informational purposes only Partial List of Gastroenterology Compounds p. 800-439-4441 f. 508-435-5983 www.rxandhealth.com

Patient Name DOB / /

Address

City State ZipCode

Phone # Secondary Phone #

Allergies Date:

Recommended Preparations Ingredients Strength Directions times QTY apply to daily (choose one or custom)

Hydrocortisone/Lidocaine/Nitroglycerin* ___anus 2.5%/2%/0.2% ___anal fissure *may cause headache ___perianal area |______| 30g 60g _____g

___anus Hydrocortisone/Lidocaine/Nifedipine 2%/2%/0.3% ___anal fissure ___perianal area |______| 30g 60g _____g

1 daily for 3 days at Rectal Rockets (lidocaine / hydrocortisone) |______| 3 6 9 1%/1% bedtime

Custom Preparations – select desired ingredients, fill in strength, quantitity and directions Other concentrations available Ingredients Strength Range Strength QTY (select one or multiple) Prescribed (for finished cmpd) 30g 60g _____g Diltiazem 0.2 % |______|

Nifedipine 0.2% - 0.3% |______| Sig Nitroglycerine 0.2% - 0.3% |______| Apply to ______Hydrocortisone 1%, 1.5%, 2%, 2.5% |______| ______times daily Lidocaine 0.2 % - 0.5% |______|

Refills 1 2 3 4 5 6 NR Notes (special instructions, additional ingredients)______

______Prescriber ______Prescriber Signature Prescriber ______Phone # Prescriber ______interchange is mandatory unless the prescriber writes the “no Fax# substitution” in the space above Prescriber ______DEA#

Don't see what you need--call the lab for other available options this form is for informational purposes only Some of Our Compounding Specialties

• Lyme / Mold / Functional Medicine • Methylcobalamin Nasal Spray -W/RG3 • EDTA / Colloidal Silver Nasal Spray • Low Dose Naltrexone -LDN • Mimosa Pudica -Capsules • Liposomal Mimosa Pudica -Capsules • Liposomal Artemisinin -Capsules • Liposomal Curcumin -Capsules • Liposomal Oregano -Capsules • Liposomal Trehalose -Capsules • Liposomal Antibiotics • Topical Pain Creams • Hormone Replacement Therapy (HRT) • Thyroid • HopkintonPediatrics Drug Compounding - www.rxandhealth.com - 800-439-4441 800-439-4441 Cholestyramine Pure Powder up to 480 gm $148.80 (shipping not included)

Brought to You By Hopkinton Drug Compounding A Compounding Pharmacy that is dedicated to bringing specialized medications at an affordable cost nationwide

Ordering Is Easy phone -800-439-4441 x117 fax -508-435-5983