Still taking compound orders by fax and email?
Put the fax machine down.
TetherRx is ordering software for compounding pharmacies that supply other pharmacies and clinics in Alberta. Every order lands in one inbox, checked against the rules as it arrives, then verified clinically and technically before it ships. The record keeps itself.
Live at Mayfield Compounding Pharmacy. Built with 6 Percent Group.
New order from Riverbend Pharmacy
Ketoprofen 10% Gel
- Patient-practitioner relationship existsPOL-0051 Appendix I, Q1 Pass
- Not for a third-party resellerPOL-0051 Appendix I, Q2 Pass
- No commercially available equivalentPOL-0051 Appendix I, Q3 Pass
- Quantity within anticipated needPOL-0051 Appendix I, Q5 Pass
- Current C&R agreement in effectSOLP 4.9.1(c) Pass
- C&R label identifier presentSOLP 4.9.1(d) Pass
- Both pharmacies Alberta-licensedPharmacy and Drug Regulation, s. 19 Pass
- Pharmacy quantity ceilingPOL-0051 5.1(d) Pass
- Sterile compounding staff are regulatedSPPPT 2.5.4(a) Pass
9 more checks passed. Ready for the pharmacist to review and sign.
The work stays the same. The paper goes.
Supplying another pharmacy under a C&R agreement is permitted, and Alberta compounders do it every day. What has been missing is anything better than an inbox to do it with.
| Part of the order | By fax and email | On TetherRx |
|---|---|---|
| The buyer | Licence and C&R agreement re-checked by hand, order after order | Verified when they join, and checked again on every order |
| The rules | Applied from memory and rarely written down | Each rule runs when the order arrives, with its source cited |
| Sign-off | Initials on a fax cover sheet | A signed clinical verification, tied to the pharmacist and the exact order |
| Final check | A note on the bag, if anyone remembers | A recorded technical verification before anything ships |
| The record | A binder and an email thread | One complete record per order, ready when ACP asks |
How an order moves
Six steps from the buyer's order to their counter. Each one is recorded, and an order can't skip ahead of the step it's on.
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Step 1
Ordered
The buyer orders from your catalogue. They answer the eight Appendix I questions and add the prescription reference and the date they need it by. Their licence and C&R agreement are already on file.
POL-0051 Appendix I, as the buyer answered it
- Q1Patient-practitioner relationship
- Yes
- Q2Third-party reseller
- No
- Q3Commercially available
- No
- Q4Essentially a copy
- No
- Q5Quantity exceeds need
- No
- Q6Anticipation, no history
- No
- Q7For-resale pattern
- No
- Q8OTC retail sale
- No
-
Step 2
Checked
The rules run the moment the order lands, and each result shows the rule's source. Needs review means your pharmacist records a reason before the order goes on. Stopped means a rule failed and nobody can override it.
The three results a rule can give
- Current C&R agreement in effectSOLP 4.9.1(c) Pass
- Quantity within anticipated needPOL-0051 Appendix I, Q5 Needs review
- Eligible receiving pharmacy categorySOLP 4.9.1(c) Stopped
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Step 3
Clinical verification
Your pharmacist confirms formulation safety, indication and efficacy, and the formula and API calculations, then enters a fresh code from their authenticator and signs. The signature covers what they reviewed: the compound, the quantity, the price and the beyond-use date.
Clinical verification: confirm each check
Sign clinical verificationFormulation safetyI have assessed the safety of this formulation.Indication and efficacyI have assessed the formulation for its indication and efficacy.Formula and API calculationsI have verified the formula, including the API calculations. -
Step 4
Compounding
Your team prepares it from the master formulation record. The order keeps the exact revision it was made under, so a later change to the formula never rewrites what was supplied.
Master formulation record
Ketoprofen 10% Gel, revision 2, approved by a pharmacist
- Ketoprofen
- 10.0 g, 10.0%
- Transdermal gel base
- 90.0 g, 90.0%
- Pack
- 100 g
-
Step 5
Technical verification
The last check before it ships: texture, colour, labelling and container. A pharmacist can do it, or a regulated technician whose ACP registration number is on file. A failed check is recorded too.
Technical verification
- TexturePassed
- ColourPassed
- LabellingPassed
- ContainerPassed
Recorded by a regulated technician. Ready to ship.
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Step 6
Shipped and received
The transport record SOLP 4.5.1(c) asks for, down to environmental controls, and the buyer's confirmation of receipt. Both pharmacies see where the order is the whole way.
Delivery record
- Shipped
- 3 Sep 2026
- Carrier
- Pharmacy courier
- Environmental controls
- Room temperature
- Received
- Confirmed by Riverbend Pharmacy
TetherRx checks. Your pharmacist decides.
The software never approves an order. It puts everything the rules ask for on one screen, then records what your pharmacist decided and why.
The professional judgement stays with the person who holds the licence. TetherRx makes it faster to exercise, and easy to show afterwards.
A record you can hand to an inspector
Everything an order collects stays together: the buyer, the answers, every rule result, both verifications and the delivery. It is kept as long as Alberta requires and exports in one piece.
Signed when it's signed
Each clinical verification is cryptographically signed the moment it's made. Change one character of the order afterwards and the signature no longer matches.
Timestamped every night
An independent timestamp authority seals each day's records, so when something was recorded can be proven later.
Kept as long as required
Retention follows SOLP 5.4.1. Records leave only when the schedule says they can.
Ready for a recall
Find every pharmacy that received a compound, notify them, track follow-up and record the root cause and corrective action, as the Guidance (6.10) sets out.
Two-factor for everyone
Every user signs in with an authenticator app. Signing a clinical verification asks for a fresh code.
Stored in Canada
Data stays in Canadian data centres. TetherRx doesn't collect patient names or health numbers; patient records stay with the dispensing pharmacy.
For the pharmacies and clinics that order from you
Your buyers get their own portal, under your pharmacy's name and colours.
- Your catalogue, with pack sizes and prices
- A private formulary for formulas you make only for them
- A request form when they need a new formulation
- Reorder in one click
- The order's status from placed to received
- The price per gram on NSAID compounds, next to the $0.55 per gram that Alberta government plans reimburse under Benefact 1341
Diclofenac 10% Cream
100 g tube
Alberta government plans reimburse the buying pharmacy at most $0.55 per gram for this compound.
Your fax machine just retired.
We'll take one order from the buyer's click to shipment, on the live system, and show you what your inbox would look like.
Or write to hello@tetherrx.ca