INSTRUCTIONS FOR ELECTRONIC FILLABLE FORM
Select form below, Download , Open file and then Save file under the patient's name. Then you are ready to
complete the electronic form and fax to 201-891-1312 or email team@millerspharmacy or to your Pharmacy.
Compounded GLP-1’s are stable at frozen, refrigerated, and room temperature. GLP-1’s are stored and shipped refrigerated.
Beyond Use – Time compounded prescription should be stored before initial use at specified condition
Refrigerate after initial use – Refrigerate after initial needle puncture of vial stopper.
Discard unused portion 28 days after initial use – preparation’s preservative is effective for 28 days from initial needle puncture of vial stopper.
Phone: 201-891-3333
SMS: 855-809-2393
www.MillersPharmacy.com
team@millerspharmacy.com
