Ingredient Listing Qty. Unit NDC # Supplier g. Sterile Preparation
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1 Note: Glucosamine Sulfate Potassium Chloride 1267 mg is equivalent to Glucosamine 750 mg. 11/8/2016; Page 1 SUGGESTED FORMULATION Ingredient Listing Qty. Unit NDC # Supplier Chondroitin Sulfate Sodium, USP Glucosamine Sulfate Potassium Chloride, USP g Mango Flavor (Powder) 1.05 g Raspberry Flavor (Powder) 0.90 g Vanillin Flavor (Powder) 0.30 g Stevia Powder 0.23 g Medisca FizzMix Base SPECIAL PREPARATORY CONSIDERATIONS Ingredient-Specific Information Lot Number Expiry Date Hygroscopic (protect from moisture whenever possible): Light sensitive (protect from light whenever possible): Suggested Preparatory Guidelines Non-Sterile Preparation Sterile Preparation FizzMix Base, Stevia Powder Chondroitin Sulfate Sodium, Glucosamine Sulfate Potassium Chloride Processing Error / Testing Considerations: Special Instruction: To account for processing errors and considerations during preparation, it is suggested to measure an additional 3 to 5% of the required quantities of ingredients. Protective apparel, such as a lab coat, disposable gloves, eyewear and face-masks should always be worn. This procedure requires the use of very small quantities of ingredients. All calculations and preparation techniques must be verified before dispensing the final product.
2 11/8/2016; Page 2 SUGGESTED PREPARATION (for 30 x 7.5 ml pouches) Weigh and / or measure the following ingredients when appropriate: Ingredient Listing Qty. Unit Multiplication factor (*) : Processing Error Qty. to measure Chondroitin Sulfate Sodium, USP Glucosamine Sulfate Potassium Chloride, USP g Mango Flavor (Powder) 1.05 g Raspberry Flavor (Powder) 0.90 g Vanillin Flavor (Powder) 0.30 g Stevia Powder 0.23 g Medisca FizzMix Base * Takes into account increased batch size conversions and density conversions, if required. Weigh / measure just prior to use. 1. Ingredient quantification: Preparatory Instruction A. Determine the potency of Chondroitin Sulfate Sodium based on the certificate of analysis: MINUS 100% Loss on drying (from certificate of analysis) % DIVIDED BY 100 Quantity of dried Chondroitin Sulfate Sodium, in decimal MULTIPLIED BY Assay on dried basis result (from certificate of analysis) % DIVIDED BY 100 i. Potency of Chondroitin Sulfate Sodium, in decimal
3 11/8/2016; Page 3 2. Ingredient quantification: A. Determine the quantity (in g) of Chondroitin Sulfate Sodium required to make 30 Pouches of Chondroitin Sulfate Sodium 600 mg: Quantity of Chondroitin Sulfate Sodium needed for each pouch g DIVIDED BY Potency of Chondroitin Sulfate Sodium, in decimal (Step 2Ai) i. Quantity of Chondroitin Sulfate Sodium needed for each pouch g MULTIPLIED BY Number of pouches 30 ii. Quantity of Chondroitin Sulfate Sodium needed for the batch g MULTIPLIED BY Processing error adjustments (3 to 5%) 1.03 to 1.05 iii. Quantity of Chondroitin Sulfate Sodium needed plus processing error adjustments g 3. FizzMix Base requirements for ml Bins A. Calculate the amount of FizzMix Base required for the batch. Refer to attached appendix for details.
4 11/8/2016; Page 4 4. Powder preparation: A. Pass the FizzMix Base through a 30 mesh sieve and weigh the required quantity (quantity determined in appendix (I)). B. By geometric addition, combine and triturate the following ingredients together to form a fine, homogeneous powder blend: -Chondroitin Sulfate Sodium (amount determined in Step 2Aiii) -Glucosamine Sulfate Potassium Chloride -Mango Flavor (Powder) -Raspberry Flavor (Powder) -Vanillin Flavor (Powder) -Stevia Powder C. By geometric addition, combine and mix, using a manual tumbler mixer (DO NOT TRITURATE) the following ingredients together to form a homogeneous powder blend: -Sieved FizzMix Base (Step 4A) -Homogeneous powder blend (Step 4B) 5. Product transfer: Fill each of ml bins with the homogeneous powder blend (Step 4C). Do not tap the device on the bench while filling as the API(s) and FizzMix Base have been calibrated to determine their BULK DENSITY. 6. Validation technique: The final weight of each bin (not including the bin shell) should fall between 90 and 110% of the theoretically calculated weight, in accordance to USP 795 guidelines. The theoretically calculated weight can be determined by adding the amount in appendix (G) g + (Step 2Ai) g together. 7. Product transfer: Transfer the contents of each filled bin into the specified dispensing container (see Packaging Requirements ).
5 11/8/2016; Page 5 Suggested SUGGESTED PRESENTATION Estimated 6 months, as per USP*. Beyond-Use Date Packaging Requirements - Pack into mm moisture barrier bags and put into suitable container. Auxiliary Labels 1 Use as directed. Do not exceed prescribed dose. 2 Keep out of reach of children. 5 Keep in a dry place. 4 Consult your health care practitioner if any prescription or over-the-counter medications are currently being used or are prescribed for future use. 3 Keep at room temperature (20 C 23 C). 6 Discard container after use. Pharmacist Instructions Add any auxiliary labels specific to the active ingredients to the dispensing container as deemed necessary. Patient Instructions Contact your pharmacist in the event of adverse reactions. Note: Disperse one pouch into 6 to 8 ounces of water and mix until homogeneous before taking the mixture. * The BUD is not later than the time remaining until the earliest expiration date of any API or 6 months, whichever is earlier. REFERENCES 1. Powders and Granules. In: Allen, LV, Jr. The Art, Science and Technology of Pharmaceutical Compounding Fourth Edition. American Pharmaceutical Association; 2012: Chondroitin Sulfate Sodium. In: Sweetman SC, ed. Martindale: The Complete Drug Reference, 36 th Edition. London, England: The Pharmaceutical Press; 2009: Chondroitin Sulfate Sodium (Monograph). In: O Neil MJ. The Merck Index 15 th Edition. Whitehouse Station, NJ: Merck & Co, Inc.; 2013: # Chondroitin Sulfate Sodium (Monograph). United States Pharmacopeia XXXIX / National ry 34. Rockville, MD. US Pharmacopeial Convention, Inc. 2016: Glucosamine Sulfate. In: Sweetman SC, ed. Martindale: The Complete Drug Reference, 36 th Edition. London, England: The Pharmaceutical Press; 2009: Glucosamine Sulfate (Monograph). In: O Neil MJ. The Merck Index 15 th Edition. Whitehouse Station, NJ: Merck & Co, Inc.; 2013: # Glucosamine Sulfate (Monograph). United States Pharmacopeia XXXIX / National ry 34. Rockville, MD. US Pharmacopeial Convention, Inc. 2016: USP <795>. United States Pharmacopeia XXXIX / National ry 34. Rockville, MD. US Pharmacopeial Convention, Inc. 2016: 617. DISCLAIMER: MEDISCA NETWORK INC., HEREBY REFERRED TO AS 'THE NETWORK', HAS PROVIDED THE FORMULA AND INSTRUCTIONS ABOVE AS A MODEL FOR EDUCATIONAL PURPOSES ONLY ON THE BASIS OF THE RECOGNIZED COMPENDIA AND TEXTS REFERENCED AT THE END OF THIS DOCUMENT. THE NETWORK TAKES NO RESPONSIBILITY FOR THE VALIDITY OR ACCURACY OF THIS INFORMATION OR FOR ITS SAFETY OR EFFECTIVENESS, NOR FOR ANY USE THEREOF, WHICH IS AT THE SOLE RISK OF THE LICENSED PHARMACIST. ADJUSTMENTS MAY BE NEEDED TO MEET SPECIFIC PATIENT NEEDS AND IN ACCORDANCE WITH A LICENSED PRESCRIBER'S PRESCRIPTION. THE PHARMACIST MUST EMPLOY APPROPRIATE TESTS TO DETERMINE THE STABILITY OF THIS SUGGESTED FORMULA. THE NETWORK CANNOT BE HELD LIABLE TO ANY PERSON OR ENTITY CONCERNING CLAIMS, LOSS, OR DAMAGE CAUSED BY, OR ALLEGED TO BE CAUSED BY, DIRECTLY OR INDIRECTLY, THE USE OR MISUSE OF THE INFORMATION CONTAINED IN THIS SUGGESTED FORMULA. IN ALL CASES IT IS THE RESPONSIBILITY OF THE LICENSED PHARMACIST TO KNOW THE LAW, TO COMPOUND ANY FINISHED PRODUCT AND TO DISPENSE THESE PRODUCTS IN ACCORDANCE WITH FEDERAL AND STATE LAW.
6 11/8/2016; Page 1 Appendix Calculating the quantity of excipient required for the batch Procedure 1. Bin filling: a. For each ingredient powder below, determine the average bulk bin fill weight by filling and weighing two TARED BINS. Do not forget to divide the total weight by 2 to obtain an average bulk bin fill weight. Also, crush and triturate the ingredient first if required in formulation (DO NOT TRITURATE THE BASE). SIEVE THE BASE AND API BEFORE CALIBRATION. DO NOT TAP THE BASE OR THE API. Plug each amount into Step 2, column B. 2. Volume Percent Occupied: Column A Column B Column C Quantity Required Average bulk bin A/B x 100 equals Ingredients per bin fill weight percent filled a. Chondroitin Sulfate Sodium g % Step 2Ai from Main b. Glucosamine Sulfate g g % c. FizzMix Base g d. Total (add column C together) % (D) 3. Calculate the quantity of FizzMix Base required for the batch: a. Percent of FizzMix Base required = 100% (D) % (E) b. Average bulk bin fill weight of FizzMix Base (from column B, Step 2c): g (F) c. Quantity of FizzMix Base required per bin = [(E) 100 (F)] ( g)* g (G) *[Quantity of flavors and sweetener per bin] d. Total Quantity of FizzMix Base required for the batch = 30 bins (G) g (H) e. Total quantity of FizzMix Base plus processing error = (H) g (I) DISCLAIMER: MEDISCA NETWORK INC., HEREBY REFERRED TO AS 'THE NETWORK', HAS PROVIDED THE FORMULA AND INSTRUCTIONS ABOVE AS A MODEL FOR EDUCATIONAL PURPOSES ONLY ON THE BASIS OF THE RECOGNIZED COMPENDIA AND TEXTS REFERENCED AT THE END OF THIS DOCUMENT. THE NETWORK TAKES NO RESPONSIBILITY FOR THE VALIDITY OR ACCURACY OF THIS INFORMATION OR FOR ITS SAFETY OR EFFECTIVENESS, NOR FOR ANY USE THEREOF, WHICH IS AT THE SOLE RISK OF THE LICENSED PHARMACIST. ADJUSTMENTS MAY BE NEEDED TO MEET SPECIFIC PATIENT NEEDS AND IN ACCORDANCE WITH A LICENSED PRESCRIBER'S PRESCRIPTION. THE PHARMACIST MUST EMPLOY APPROPRIATE TESTS TO DETERMINE THE STABILITY OF THIS SUGGESTED FORMULA. THE NETWORK CANNOT BE HELD LIABLE TO ANY PERSON OR ENTITY CONCERNING CLAIMS, LOSS, OR DAMAGE CAUSED BY, OR ALLEGED TO BE CAUSED BY, DIRECTLY OR INDIRECTLY, THE USE OR MISUSE OF THE INFORMATION CONTAINED IN THIS SUGGESTED FORMULA. IN ALL CASES IT IS THE RESPONSIBILITY OF THE LICENSED PHARMACIST TO KNOW THE LAW, TO COMPOUND ANY FINISHED PRODUCT AND TO DISPENSE THESE PRODUCTS IN ACCORDANCE WITH FEDERAL AND STATE LAW.
Ingredient Listing Qty. Unit NDC # Supplier. Sterile Preparation
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Fluoxetine Hydrochloride 5.6 mg Oral Chewable Treats (Solid Suspension, 60 x 1 ml Chewable Treats)
4/11/2015; Page 1 Note: Fluoxetine Hydrochloride 5.6 mg is equivalent to Fluoxetine 5 mg. SUGGESTED FORMULATION Ingredient Listing Qty. Unit NDC # Supplier Fluoxetine Hydrochloride, USP 0.336 g Glycerin
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Ingredient Listing Qty. Unit NDC # Supplier g
8/16/2018; Page 1 SUGGESTED FORMULATION Ingredient Listing Qty. Unit NDC # Supplier Lidocaine, USP 0.400 g Stevia Powder 0.10 g Polyox TM WSR-301 Topical Adhesive Powder* 9.50 g *Formula # F 007 422 available
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11/23/2015; Page 1 SUGGESTED FORMULATION Ingredient Listing Qty. Unit NDC # Supplier Methimazole, USP 0.300 g Tuna Flavor 1.50 g Glycerin, USP** 6.0 ml Chew-A-Treat Compound A 22.80 g Chew-A-Treat Compound
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7/12/2015; Page 1 SUGGESTED FORMULATION Ingredient Listing Qty. Unit NDC # Supplier Tramadol Hydrochloride, EP 0.300 g Stevia Powder 0.15 g Glycerin, USP** 3.0 ml Beef Flavor (Powder) 2.00 g Chew-A-Treat
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