Zero Suboxone Stockouts. Custom Troche Compounding. Direct-to-Door Delivery Across Your State.
Operating since 2018 with thousands of patients served and two clean FDA inspections, Thrive Pharmacy is an established 503A compounding pharmacy dedicated to OUD recovery, precision buprenorphine tapering, and Schedule II narcotic-free pain management.
Welcome to all providers.
We are excited to work with you all to help everyone find a new path with your help and ours.
To prescribe—as we are a compound pharmacy—you most likely won’t find our custom troches in a standard commercial drop-down menu. Of course, we are listed with all electronic prescribing systems, though some directories have grabbed contact information that is years old and never updated. Specifically, our phone number and fax number changed years ago, so please verify against the numbers on this page rather than relying on outdated EHR directory screens: we are “Thrive Pharmacy” in Jacksonville, Florida (2683 St Johns Bluff Rd S, #135). Our direct phone number is 904-832-1100 (Option 4 on the phone tree) and our verified direct fax is 904-615-5761.
We trademarked the name “Buprexone®” for our buprenorphine with naloxone formulation. As the FDA requests no commercial copy-cats, we chose a fixed 0.6mg naloxone dosage across all buprenorphine strengths (e.g., Buprexone 8mg/0.6mg, 7mg/0.6mg, 3mg/0.6mg). Because naloxone has virtually no oral bioavailability unless injected or snorted, excess naloxone in commercial strips frequently causes uncomfortable side effects—headache, malaise, nausea, and fatigue. Our 0.6mg dose (less than a third of the standard 2mg in an 8mg strip) reduces patient side-effect complaints by at least 90% in our clinical experience, while keeping regulatory agencies happy to see the abuse-deterrent component included.
We suggest plain buprenorphine (no naloxone) for pregnant or nursing patients, and we also encourage considering the plain form when prescribing for chronic pain as a replacement for full opiate agonists. In those cases, we aren’t “labeling” addiction or addictive behaviors—and as always, you are the prescribing authority.
— Dr. Steve, PharmD (caring@thrivepharmacy.us)
Why Switch From Commercial Suboxone Films & Tablets?
Solving the three primary clinical obstacles reported by OUD and pain management prescribers nationwide.
1. Tooth Decay Prevention (The Dental Problem)
The Problem: In January 2022, the FDA issued an official safety warning linking commercial sublingual buprenorphine films and tablets to severe dental erosion, cavities, oral infections, and total tooth loss—even in patients with no prior dental history.
The Thrive Solution: Our specialized sublingual troche base dissolves smoothly in 3–4 minutes without the acidic oral coating of commercial strips. Based on longitudinal reports from our patients since 2018, our compounds do not cause dental decay.
2. Buprexone® Fixed 0.6mg Naloxone Formulation
The Problem: Commercial Suboxone uses a rigid 4:1 ratio (2mg naloxone per 8mg buprenorphine). Swallowed saliva containing unabsorbed naloxone frequently triggers severe headaches, nausea, malaise, and fatigue.
The Thrive Solution: Trademarked Buprexone® utilizes a fixed 0.6mg naloxone dose across all strengths (e.g., 8mg/0.6mg, 7mg/0.6mg, 3mg/0.6mg). It satisfies regulatory abuse-deterrence expectations while eliminating ~90% of patient side-effect complaints.
3. “Starburst” Troche Form Factor & Precision Tapering
The Problem: Commercial strips are not uniformly distributed, and tablets crumble into powder when patients try to cut them with scissors or razor blades to taper below 8mg.
The Thrive Solution: Our troches resemble small chewable candies (“Starburst” texture)—making snorting or IV injection like trying to inject a jelly bean. We compound exact step-down strengths: 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, 1, 0.75, 0.5, and 0.25mg (uniformly scored for quartering).
How to E-Prescribe Custom Troches in Epic, Athena, eClinicalWorks & Cerner
Because custom compounded troches do not appear in standard commercial drug drop-downs—and some EHR pharmacy directories list our old phone/fax—follow these 4 steps for seamless Schedule III EPCS routing.
1. Select Thrive Pharmacy in Your EHR
2. Select the Closest Commercial Reference Drug
Your commercial reference selection tells our compounding team whether to include naloxone:
- For Buprenorphine + Naloxone (Buprexone® 0.6mg):Select commercial “Suboxone” (any strength, typically 8mg, 4mg, or 2mg) in your EHR drop-down.
- For Plain Buprenorphine (No Naloxone):Select commercial “Subutex” (or plain buprenorphine SL) in your EHR drop-down.
3. Write Desired Strength & “Troche” in Sig / Comments
If left with no special instructions, we dispense the mg of the reference drug. For custom strengths (e.g., 7mg, 5mg, 3mg, 1mg), specify in the Sig or Pharmacy Notes:
Regulatory Transparency Note: Always write the word “troche” in the Sig or Comment so regulatory reviewers immediately recognize a compounded prescription.
4. Free-Text Systems & Schedule III EPCS Token
If your EHR supports free-text medication entry, type the compound directly and mark it as a Schedule III controlled substance:
Authenticate and sign using your system’s Schedule III EPCS hardware/software token (both Buprenorphine and Ketamine are Schedule III).
Predictable Patient Pricing. Zero Prior Auth Delays.
Commercial insurance networks restrict patient access and delay OUD treatment with prior authorizations. Thrive operates on a clear, flat-rate cash formulary (HSA cards accepted; itemized receipts provided for patient reimbursement).
Nationwide 1–2 Day Fulfillment
- Next-day delivery across Florida; 2-day delivery across all 16 licensed states.
- Discreet, tamper-evident packaging with adult signature required (or secure UPS Access Point pickup).
- We proactively call every patient for counseling, flavor selection, and tracking coordination.
Have a Complex Taper Patient or Want Physical Fax Referral Pads?
Speak directly with Dr. Steve or request a provider starter kit mailed to your clinic. Call (904) 832-1100 (Option 4) or submit a 30-second callback request.