Recipe - Compounding Worksheet
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These recipes are intended for use by the pharmacy manufacturing departments only.
Folic Acid Oral Solution (LOW STRENGTH)   50 mcg/mL *Note Strength*
Lot No Expiry(mm/yyyy) Ingredients Master Formula
    folic acid  5 mg/mL  INJ   
    sodium hydroxide  0.1 N (0.4%)      
    Water, sterile       qs to 
Recipe Total Quantity:
Final Quantity Desired: mL

Directions: 1. Mix folic acid and majority of water.
2. Adjust pH to between 8.0 and 8.5 using sodium hydroxide and pH paper.
3. QS to final volume with water.

Notes Folic acid injection contains 15 mg/mL benzyl alcohol.

Packaging:  Amber Plastic Bottle

Auxiliary Labels: Note Strength

Storage/Expiry:Room Temperature: 30 days

Last Date Revised: 7-May-12

Nahata MC, Pai VB, Hipple TF. Pediatric drug formulations. 5th ed. Cincinnati, OH: Harvey Whitney Books Company; 2003.

Completed Compound Check
Lot NoDate Prepared Expiry DateTechnicianPharmacist

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