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Frequently Asked Questions by Providers
We do not bill insurance directly for compounded medications. Over time, we’ve found that most insurance plans do not cover compounded prescriptions—even when submitted—resulting in frequent denials. In the rare cases when coverage was approved, the required copay often exceeded our standard cash price, which we feel is unfair to patients.
While some compounding pharmacies may appear to accept insurance, patients are often informed later that the prescription was rejected and end up paying the cash price regardless.
To support our patients, we’re happy to provide Universal Claim Forms that can be submitted to insurance companies for possible reimbursement.
We understand how important it is for your patients to receive their medications promptly. For general turnaround times, please refer to the section above: “How long does it take for my patients to receive their compounded prescription?”
Here’s a brief overview of our process and common reasons for delays:
Patient Contact & Payment: After we receive a prescription, we must first reach the patient to verify information and collect payment. We cannot begin compounding until this step is completed.
Incorrect or Missing Contact Information: One of the most common delays occurs when we cannot reach the patient due to outdated or incorrect contact details. Multiple call and text attempts are made before we can proceed.
Prescription Clarification: If any details are unclear, our pharmacists may need to contact your office for clarification. Compounding is placed on hold until we receive a response.
To help avoid delays, please ensure that patient contact information is current and that your team is available for timely follow-up if clarification is needed. We appreciate your partnership in helping ensure a smooth process for your patients.
We ship vitamins and over-the-counter (OTC) products nationwide to all 50 states.
For prescription medications, we are licensed to dispense and ship to the following states:
Arizona
Colorado
Connecticut
Delaware
Florida
Georgia
Illinois
Kentucky
Maryland
Massachusetts
Minnesota
Missouri
New Jersey
New York
North Carolina
Ohio
Oklahoma
Pennsylvania
Rhode Island
Tennessee
Vermont
Virginia
West Virginia
Yes, Town & Country Compounding compounds sterile medications. We maintain full compliance with USP <800>, <797>, and <795> standards.
Our facility has been inspected by both the New Jersey State Board of Pharmacy and the National Association of Boards of Pharmacy (NABP), and we are accredited by the Accreditation Commission for Health Care (ACHC) for sterile compounding, non-sterile compounding, nursing, and home infusion.
As part of our ongoing commitment to safety and quality:
Our cleanrooms are certified twice annually by an independent company, as required by NJ law and our accreditation standards.
In addition, we exceed minimum standards by hiring an independent CETA-certified professional to perform extra surface and active air sampling.
We also conduct fingertip testing of compounding personnel more frequently than required by USP <797>.
These extra steps reflect our dedication to maintaining the highest standards in sterile compounding.
Yes, we can ship compounded medications directly to your office or facility—as long as they are labeled for individual patients, in accordance with state and federal regulations.
Frequently Asked Questions by Patients
Compounding is the creation of a pharmaceutical preparation-a drug-by a licensed pharmacist to meet the unique needs of an individual patient (either human or animal) when a commercially available drug does not meet those needs.
Compounding requires specialized equipment, training, and expertise. Most retail pharmacies can only prepare the most basic compounds, if any at all. At Town & Country Compounding, compounding is all we do—our team is highly trained in the art and science of personalized medication.
Think of it like seeing a medical specialist rather than a general practitioner. Your regular pharmacy is excellent for standard medications, but for complex or customized prescriptions, a compounding pharmacy is the expert provider.
We do not bill insurance directly for compounded medications. Over time, we’ve found that most insurance plans do not cover compounded prescriptions—even when submitted—resulting in frequent denials. In the rare cases when coverage was approved, the required copay often exceeded our standard cash price, which we feel is unfair to patients.
While some compounding pharmacies may appear to accept insurance, patients are often informed later that the prescription was rejected and end up paying the cash price regardless.
To support our patients, we’re happy to provide Universal Claim Forms that can be submitted to insurance companies for possible reimbursement.
Compounded prescriptions are made specifically for each patient and are scheduled once payment is received. Most prescriptions are processed within 24–48 hours and are ready for pickup or shipping within that time, provided we receive both the prescription and payment Monday through Thursday. Please note we are closed on weekends and do not ship on Saturdays or Sundays. Once payment is received, we’ll provide an estimated timeframe for your prescription.
We ship vitamins and over-the-counter (OTC) products nationwide to all 50 states.
For prescription medications, we are licensed to dispense and ship to the following states:
Arizona
Colorado
Connecticut
Delaware
Florida
Georgia
Illinois
Kentucky
Maryland
Massachusetts
Minnesota
Missouri
New Jersey
New York
North Carolina
Ohio
Oklahoma
Pennsylvania
Rhode Island
Tennessee
Vermont
Virginia
West Virginia
Our most commonly used filler is Microcrystalline Cellulose (Avicel). Depending on the patient’s needs and the formulation, we may also use Ascorbic Acid, Calcium Carbonate, Sodium Bicarbonate, or Lactose.
If you have sensitivities or preferences, we can customize the filler to best suit your individual needs.
Absolutely! We offer a wide variety of flavors to help mask the bitterness of medications for both human and veterinary patients. Be sure to ask us about all the flavor options available!
Yes, we frequently compound custom medications for pets. Commercial products don’t always provide the right strengths, flavors, or dosage forms needed to suit different breeds and individual pet preferences.
Federal regulations prohibit the return of any prescriptions that have been dispensed.
Yes, we do accept FSA and HSA cards. However, we recommend keeping a second card on file to cover any delivery fees, if applicable.
Yes, we can assist with that! Please provide your prescription number (Rx#) along with your doctor’s phone number. You can also call or text us directly at 201-447-2020, or submit a refill request through our online form.
If you have any questions about your prescription, you can call or text us at 201-447-2020.
Alternatively, you may submit a HIPAA-compliant inquiry through our secure online form.
We require payment upfront because your prescription is specially customized just for you. Compounding takes skill, time, and resources, so we need confirmation that you’re committed before we begin preparing it.
Yes, we accommodate a wide range of requirements, including lactose-free, dye-free, pork-free, vegetarian capsules, gluten-free, sugar-free, and Kosher options. We are also transitioning to using vegetarian capsules for all formulations moving forward.
The cost varies depending on the specific prescription, ingredient prices, and the time needed to compound it. We strive to offer fair and transparent pricing for every customized medication.
You can submit a refill request using our online form or call/text us at 201-447-2020. When texting, please include your prescription number for faster processing.
