To simplify the prescribing process for compounded medications, J Kohll RX Compounding offers pre-printed prescription forms designed for patient-specific prescriptions across common therapeutic areas. These forms support accurate, complete, and efficient prescribing while reducing administrative burden on clinical teams.
Each form is formatted to meet documentation and regulatory requirements and includes space for prescriber input on strength, dosage form, route of administration, quantity, and patient instructions. All prescriptions prepared by J Kohll RX Compounding must be written pursuant to a valid prescription for an individually identified patient.
Note: These forms are not intended for office-use or bulk ordering.
Pre-printed RX forms are available for both human and veterinary prescriptions.
Human Prescriptions
Dental
Dental conditions often require customized treatment options that may not be available through commercially manufactured medications. J Kohll RX Compounding works with dentists, oral surgeons, periodontists, and other dental professionals to prepare patient-specific compounded medications designed to address a variety of oral health concerns.
Our dental compounding prescription forms simplify the prescribing process by providing a structured format for documenting medication strength, dosage form, directions for use, and patient-specific requirements. Common dental compounding applications include Magic Mouthwash formulations for oral mucositis, customized treatments for oral lichen planus, and other specialized oral preparations.
Compounded dental medications may be prepared as rinses, suspensions, gels, creams, troches, or other dosage forms based on the prescriber’s clinical judgment and the patient’s needs.
Dental Compounding
Majic Mouth Wash
Lichen Planus Treatment
Hair Restoration Formulas
Hair loss can occur for many reasons, including genetics, hormonal changes, aging, and underlying medical conditions. Compounded hair restoration medications provide healthcare providers with the flexibility to customize treatment plans based on each patient’s unique needs and therapeutic goals.
J Kohll RX Compounding works with prescribers to prepare customized formulations that may combine multiple active ingredients into a single treatment. Customized strengths and dosage forms can be tailored to individual patient requirements when commercially available products may not be appropriate.
Hair restoration compounds are commonly prepared as topical solutions, serums, foams, and other physician-directed formulations.
Hair Formulations
Hair Loss Compounding
Men’s Wellness
Men’s wellness therapies often involve individualized treatment approaches designed to support hormonal health, sexual wellness, healthy aging, and overall quality of life. Customized compounded medications allow prescribers to address patient-specific needs through tailored strengths, dosage forms, and ingredient combinations.
J Kohll RX Compounding partners with healthcare providers to prepare customized formulations that support men’s wellness treatment plans. These prescription forms are designed to simplify documentation and facilitate efficient communication between the prescriber and pharmacy team.
ED & Low T
Wellness/Anti-Aging
Weight Loss
Weight management is a complex and individualized process that often requires a comprehensive treatment plan tailored to each patient’s unique health needs and goals. For some patients, healthcare providers may determine that compounded medications are an appropriate option when commercially available products do not meet specific dosage, formulation, or administration requirements.
J Kohll RX Compounding partners with physicians and other healthcare professionals to prepare patient-specific compounded weight management medications pursuant to a valid prescription. Our prescription forms are designed to simplify the prescribing process by providing a structured format for documenting medication strength, dosage form, directions for use, quantity, and other patient-specific instructions. These forms help promote accurate communication between the prescriber and pharmacy while supporting efficient prescription processing.
Compounded weight management medications may be customized based on the prescriber’s clinical judgment and the individual needs of the patient. Our pharmacy is committed to preparing high-quality compounded medications in accordance with applicable state and federal pharmacy regulations.
GLP1 Compounds
Med Spa Compounding
Aesthetic and wellness providers often utilize customized medications to support cosmetic procedures, skin rejuvenation, and patient recovery protocols. Compounded medications can provide customized ingredient combinations and dosage strengths that align with specific treatment plans and patient goals.
J Kohll RX Compounding works with med spas, aesthetic practitioners, and healthcare providers to prepare patient-specific formulations used before, during, and after various cosmetic procedures.
Facial Anti-Aging Cream
MKO Troche (For Laser Treatments)
Numbing BLT Compounds
Ophthalmology
Certain eye conditions may require specialized formulations that are not commercially available in the exact concentration, dosage form, or ingredient combination needed for a particular patient. Compounded ophthalmic medications allow healthcare providers to customize treatment based on individual clinical needs.
J Kohll RX Compounding prepares patient-specific ophthalmic formulations while following appropriate compounding standards and prescription requirements.
Ophthalmic Eye Drops
Autologous Serum Eye Drops
Urology
Compounded urology medications provide healthcare providers with customized treatment options for male wellness, hormone support, and sexual health concerns. Individualized formulations can help address patient-specific requirements when commercially available products may not meet treatment objectives.
J Kohll RX Compounding partners with urologists and other healthcare professionals to prepare customized medications in accordance with valid patient-specific prescriptions.
Male Urology
Male Tri Mix/Bi Mix/Quad Mix
Testosterone Tri Mix, Bi Mix, Quad Mix
Sexual Health Compounds
Gastrointestinal
Gastrointestinal and anorectal conditions often require specialized treatment approaches tailored to the patient’s symptoms and clinical needs. Compounded medications allow healthcare providers to prescribe customized strengths, dosage forms, and ingredient combinations designed for individual patients.
J Kohll RX Compounding offers prescription forms that support efficient prescribing and accurate documentation for compounded gastrointestinal therapies.
Hemorrhoid Compounds
Anal Fissures
OBGYN
Women’s health frequently requires individualized treatment plans that address hormonal balance, reproductive health, postpartum care, and other specialized needs. Compounded medications can provide customized formulations designed to support patient-specific treatment goals.
J Kohll RX Compounding collaborates with OBGYNs and women’s health providers to prepare customized medications when commercially available options may not be appropriate.
Hormones Compounds
Vulvodynia
Nipple Quad Cream, O Baby Cream, & Vulvodynia
Dermatology
Dermatologic conditions often benefit from customized treatment approaches that address specific patient needs, ingredient sensitivities, and therapeutic goals. Compounded medications may provide unique strengths, combinations, and dosage forms not readily available through commercially manufactured products.
J Kohll RX Compounding works with dermatologists and healthcare providers to prepare patient-specific formulations for a variety of skin-related concerns.
Dermatology Compounds
Wart Removal
Scar Treatments
Squaric Acid
Podiatry
Foot and nail conditions often require targeted therapies that can be customized based on the patient’s diagnosis, treatment history, and individual needs. Compounded medications provide podiatrists with additional flexibility when developing treatment plans.
Squaric Acid
Wart Removal
J Kohll RX Compounding prepares customized formulations commonly used in podiatric care and offers prescription forms designed to simplify prescribing and documentation.
Wart Onychomycosis Toe Butter
Pain Cream
Covid Compounds
Low Dose Naltrexone
Veterinary Prescriptions
Benefits of Using Pre-Printed RX Forms
Pre-printed prescription forms offer several practical advantages:
Forms may be adapted based on your specialty or prescribing patterns.
Available Form Categories
We offer pre-printed forms for a variety of commonly compounded medications, including:
Contact our pharmacy team to request forms based on your practice needs.
Why Choose J Kohll RX Compounding?
We aim to support prescribers with clear communication, efficient tools, and direct pharmacist collaboration. With decades of experience in sterile and non-sterile compounding, our pharmacy provides pharmacist-guided compounding solutions that align with each provider’s intent and clinical judgment.
All prescriptions are reviewed and compounded by our licensed pharmacists, including Justin Kohll, R.Ph., Jodi Fabisiak, R.Ph., Deb Torczon, Pharm.D., and Ana Schaefer, R.Ph., in compliance with 503A pharmacy regulations.
Request Pre-Printed Forms for Your Practice
If your clinic regularly prescribes compounded medications, pre-printed RX forms can streamline the process and help reduce administrative delays. Contact our pharmacy team to request the forms that best suit your practice.
Located in Omaha, NE, and licensed in multiple states.
Phone: (402) 408-0015 or (888) 733-0300.