FIRST Compounding Kits – Where Are They?

Ah, a popular question received by our Support team.

Having trouble locating FIRST Compounding kits? You know – the entries for those suspensions you can’t seem to find, such as:

  • Metronidazole 50mg/mL oral suspension
  • Omeprazole 2mg/mL oral suspension
  • Lansoprazole 3mg/mL oral suspension

In general – these medications, when ordered in liquid form, are not commercially available, as they would be for maybe Loratadine 5mg/5mL or Ibuprofen 100mg/5mL. Before the production of the FIRST compounding kits, the pharmacy would have to manually compound these, old school style, with a mortar and pestle, grinding up tablets and after adequate trituration, suspending into a palatable mix of a Ora-Sweet-ish vehicle, and what feels like an hour later… ta da! Metronidazole suspension!

Anyway, FIRST compounding kits are designed to streamline this process, ensuring accuracy, sterility and saving time by not having to grind tablets (or do the dishes!). Simply mix up and reconstitute like you would powdered Amoxicillin.

Many of our users have contacted PCC Support as they were struggling to find these entries in FDB’s database of drugs. After posing the “where are these compounding kits” question to our team at FDB, we learned that FDB does not include any medications in their database if they are not FDA approved.

So what can you do, if you want to either order one of the FIRST Compounding kits or the base medication? Its easy peasy!

Any user with PCC eRx Administration privileges can head on over to PCC eRx > Rx Task Queue > Administration > Custom Medication Item to add such entries.

From here, you’ll want to create a custom First Step for “Metronidazole 50mg/mL Oral Suspension”, and ensure that you check off “Is Compound”.  Adding this First Step will allow for any user at your office to easily search for this medication name. If you wish to specify the FIRST Compounding kits, you can add this designation here as well.


screenshot of eRx custom medication oral suspension


Now, your office might have a variety of doses you use for these medications, so you can either create directions on the fly depending on the patient’s need, or create a few practice-wide statements for use for your new custom entry. This is accomplished in the Add Second Step section. As you create the statement, you can preview how it will appear on the right hand side.


screenshot of directions for how to enter custom compounds


One important thing to note – you shouldn’t need to include compounding instructions for concentration based suspensions such as these. In most cases, the pharmacy will know what recipe to use based on the concentration you indicated. The prescription should focus more on how the patient or caregiver will administer the treatment.

  • With other compounds such as Magic Mouthwash or APNO, be sure to describe the ingredients and ratio you’d like to be prepared!

Keep in mind, you can use this feature for plenty of other compounds, un-findable medications, Speech Therapy prescriptions, and more! And – the best part: these custom created prescriptions will be able to be sent out electronically.

For more specific details, check out our learn article: Create Custom Medication Items in PCC eRx.

Questions about PCC eRx? Contact PCC Support

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