Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Eucerin and Water (Aquaphor® and Water)   40:60
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    Eucerin    CRM  Aquaphor® 
    Water, sterile        
Recipe Total Quantity:
Final Quantity Desired: g

Directions: 1. Measure required amount of eucerin and put in mix master.
2. Add water in very small portions while mixing and continue to mix thoroughly until the product becomes creamy and homogenous.
3. Transfer to ointment jar and label.

Notes Assign expiry date using USP 795 Guidelines, since no stability data available.
USP 795 guidelines - Solid Formulations:
"Where the manufactured drug product is the active ingredient source - not later than 25% of the time remaining until the preparation expiration date or 6 months, whichever is earlier.
Where USP or NF is the active ingredient source - 6 months"

THIS FORMULATION IS NOT BASED ON LITERATURE, but is from unpublished data, historical use or physician/pharmacy experience.

Packaging:  Ointment Jar

Auxiliary Labels: For External Use Only
  Store at Room Temperature

Storage/Expiry:Room Temperature: 6 months

Last Date Revised: 24-Jan-14

References:MICROMEDEX (R) Healthcare Series [database on the Internet]. Greenwood Village (COL): Thomson Healthcare. c.1974 - [cited Aug 14, 2003)]. Available from:
USP 34 – NF 29, 2nd Volume 1. Chapter 795: Pharmaceutical compounding – Nonsterile preparations. Rockville, MD, USA: United States Pharmacopeial Convention; 2010

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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