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Compounded medication consent

Certain medications offered through LEV18 may be compounded medications prepared by licensed pharmacies based on a provider's clinical judgment and patient specific needs.

1. What compounded means

If your provider prescribes medication as part of your program, it may be a compounded medication prepared specifically for you by a licensed 503A compounding pharmacy, based on your provider's individual prescription. A 503A pharmacy is a state licensed compounding pharmacy that prepares customized medications for an individual patient prescription and is regulated by state boards of pharmacy.

2. FDA disclosure

3. Risks and benefits

Compounding allows a provider to tailor a medication's dose, form, or ingredients to an individual patient when that is clinically appropriate. Risks to understand before consenting:

4. Pharmacy partners

Your medication is dispensed by a licensed U.S. compounding pharmacy and shipped directly to you. Our pharmacy partners are licensed and may vary based on your location and treatment plan; for privacy, compliance, and partnership protection reasons, we do not publicly disclose their names. You have the right to request your prescription be transferred to any licensed pharmacy of your choice at any time; contact support@lev18.com to initiate a transfer.

The pharmaceutical component of your program fee is collected on behalf of the dispensing pharmacy and remitted to it separately. The pharmacy is solely responsible for all pharmaceutical services.

5. Patient acknowledgment

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