The Pharmacy Partner Built for Your Most Complex Patients
Pharmko works directly with nephrologists, dialysis centers, and infusion providers to deliver IDPN, IPN, TPN, and sterile compounding, with prior authorization coordination, 48-hour therapy start, and a direct line to your clinical pharmacist.
ACHC Accredited
USP <797> Compliant
NABP VPP Verified
23+ States Licensed
What We Handle for Your Practice
From complex dialysis nutrition to home infusion therapy, all coordinated, compounded, and delivered by Pharmko.
Intradialytic Parenteral Nutrition (IDPN)
For malnourished hemodialysis patients with End Stage Renal Disease (ESRD). Infused during the dialysis session through the existing circuit, no separate IV access needed.
For hemodialysis patients
Intraperitoneal Nutrition (IPN)
For malnourished peritoneal dialysis patients with End Stage Renal Disease (ESRD). Added directly to the standard PD exchange, no additional needle or access site required.
For hemodialysis patients
Total Parenteral Nutrition (TPN)
Complete IV nutrition for patients who cannot absorb adequate nutrients through the GI tract. Fully customized formulas compounded and delivered directly to the patient's home.
For home infusion patients
Sterile Compounding
For any other medication requiring patient-specific sterile compounding. Contact us for our concierge medications tailored precisely to your patient's clinical needs.
Concierge service
How It Works, From Referral to Therapy Start
A simple, 4-step process designed around your workflow.
1
Submit the Referral or Rx
Send us the patient's prescription, clinical history, and current dialysis regimen via fax (516-619-1813), our online form, or by phone at 1 (877) 540-2003.
2
We Handle Insurance & Prior Authorization
Pharmko verifies coverage and manages all prior authorization paperwork with payers. Most authorizations are completed within 5 to 7 business days. We keep you updated throughout.
3
Therapy Starts, Typically Within 48 Hours
Once approved, we compound the patient-specific formula in our USP <797>-compliant cleanroom and deliver it directly to the dialysis clinic or the patient's home in temperature-controlled packaging.
4
Ongoing Clinical Monitoring & Communication
Our clinical pharmacists review labs regularly, communicate updates to your team, and adjust formulations proactively as the patient's nutritional status evolves.
Fax: (516) 619-1813 | Online: pharmko.com/contact | Phone:
1 (877) 540-2003
How It Works, From Referral to Therapy Start
A simple, 4-step process designed around your workflow.
Direct Access to Your Clinical Pharmacist
When you have a clinical question about a patient's formula, lab result, or therapy tolerance, you speak directly with one of our pharmacists, not a call center. We are your clinical partner, not just a fulfillment vendor.
100% Patient-Specific Compounding
Every IDPN, IPN, and TPN formula is compounded individually based on your patient's weight, labs, dialysis prescription, and clinical status. No off-the-shelf solutions. No one-size-fits-all bags.
We Handle Prior Authorization
Our team manages all insurance verification, PA submissions, and payer communications on your behalf. Providers consistently tell us this is the single most valuable thing we do for their practice.
23+ States. 48-Hour Start.
Licensed in 23+ states with temperature-controlled delivery coordinated around the patient's schedule, whether to a dialysis clinic or directly to their home. Most therapies start within 48 hours of authorization.
Provider FAQ
How do I refer a patient?
Send us the prescription, patient demographics, insurance information, and current dialysis regimen via fax (516-619-1813), our online referral form at pharmko.com/contact, or by calling 1 (877) 540-2003. Our team will contact you within one business day to confirm receipt and outline next steps.
How long does insurance authorization take?
Most prior authorizations are completed within 5 to 7 business days of receiving a complete referral. Pharmko handles all payer communications and keeps you informed throughout the process.
What clinical information do you need to start?
We need current labs (albumin, prealbumin, BUN, Kt/V for dialysis patients), diagnosis code, dialysis prescription details (bag size, dextrose concentration, number of exchanges for IPN/IDPN), and prescribing physician information. Our intake team will guide your staff through the process.
Can you ship directly to my patient's dialysis clinic?
Yes. We coordinate delivery directly with dialysis clinics for IDPN and IPN therapies, and we ship TPN and home infusion therapies to the patient's home in temperature-controlled packaging.
What states do you serve?
Pharmko is licensed in 23+ states including New York, New Jersey, Florida, Texas, Georgia, Pennsylvania, Ohio, Illinois, and more.
Accreditations & Compliance
Every Pharmko prescription is backed by rigorous quality standards, verified by independent accreditation bodies.
ACHC
Accreditation Commission for Health Care
NABP VPP
National Association of Boards of Pharmacy
PCAB
Pharmacy Compounding Accreditation Board
LegitScript
Independent compliance verification
Ready to Partner with Pharmko?
Whether you're referring your first patient or looking for a long-term pharmacy partner for your dialysis program, our clinical team is ready to support you. We handle the logistics so you can focus on patient care.
Or call us: 1 (877) 540-2003