Sarah Simmers, PharmD
Co-Founder, Customicro Clinical Services
I understand no single approach to education, post-graduate education, or practice experience prepares you to best serve patients. I graduated magna cum laude from North Dakota State University with a doctorate in pharmacy. I sought diverse practice experience in hospital, corporate infusion, specialty pharmacy, ambulatory clinic, sterile and non-sterile compounding, and nuclear pharmacy (ANP) settings over my twenty-five-year career as a pharmacist.
Over the past fifteen years, I have enjoyed serving the community of Scottsdale as a small business owner and clinical consultant to partner pharmacy organizations. I pursued expanding my education as an Advanced fellow with the American Academy of Anti-Aging Medicine, advocated for patient compounded medication access at a congressional level as a board member for the Alliance for Pharmacy Compounding, and served my corporate compounding peers by selection to PCCA’s Strategic Business Advisory Council.
My passion as a pharmacist has always been to collaborate with patients and prescribers to personalize medications tailored to each patient’s unique needs. With 25 years of experience in clinical pharmacy, I have developed both manufactured products and custom topical Rx formulations as part of clinical program solutions for infection management. I am honored to share my expertise and experience in serving the patients and providers of Customicro Clinical Services.
As part of the Tri-Ply Nail program, your prescription from the pharmacy will contain a topical compounded cleansing oil and a compounded antibiotic prescription customized to the bacterial or fungi present in your lab results, and contain the following instructions:
Cleansing Step:
Compound Cleansing Oil
PATIENT INSTRUCTIONS
Apply Ibuprofen 0.1% Compounded Cleansing Oil as first step of Tri-Ply program prior to anti-infective Targeted Rx suspension therapy
Perform proper hand hygiene procedures as directed. Hands must be washed well before and after medication application.
Spray and massage cleansing formula to infected nail and nailbed using circular motions to break down debris and prep for treatment step. Rinse or wipe excess with damp cloth and gently pat dry.
Spray and massage cleansing formula to infected nail and nailbed using circular motions to break down debris and prep for treatment step. Rinse or wipe excess with damp cloth and gently pat dry.
Treatment Step:
Compounded Prescription Therapy Targeting the Nail Infection
PATIENT INSTRUCTIONS
After cleansing, apply the anti-infective compounded Targeted Rx suspension as second step of Tri-Ply program to clear the nail infection.
After cleansing, apply prescription suspension topically to the infected toenail(s) and nailbed once daily or as directed by provider.
Store prescription at room temperature, away from direct heat and light.
Why Prescribe a Targeted Rx Compounded Anti-Biofilm + Anti-infective Topical Therapy Over Conventional Therapy?
| Duo-Step Nail Program | Comparison | Jublia® |
|---|---|---|
| No prior authorization required | PRIOR AUTHORIZATION | Prior Authorization required |
| Affordable compounded Targeted Rx combinations | AFFORDABILITY | Up to $650 if insurance does not cover |
| Biofilm disruption and penetration into nail bed | APPLICATION | Topical application to nail |
| Cleanse and apply suspension to infected nail(s) daily as directed for 12 weeks* | DURATION | Apply daily for up to one year |
| Mild site irritation reported* | SIDE EFFECTS** | Itching, burning, swelling, redness, ingrown toenails and pain at application site |
| Duo-Step Nail Program | Comparison | Itraconazole Oral | Terbinafine Oral |
|---|---|---|
| Biofilm disruption and penetration into nail bed | APPLICATION | Orally administered |
| Cleanse and apply suspension to infected nail(s) daily as directed for 12 weeks* | DURATION | Orally once daily for 12 weeks |
| Mild site irritation reported* | SIDE EFFECTS** | Both – Headache, rash, GI upset; Itraconazole – Hepatic toxicity; Terbinafine – Cholestatic hepatitis, blood dyscrasias, Stevens-Johnson syndrome |
| No known drug interations | INTERACTIONS** | Multiple drug interations |
*Source: pharmacy patient outcomes data |** Source: Jublia / Itraconazole / Terbinafine Package Insert
Frequently Asked Questions
Who are Customicro Clinical Services?
We are Clinician driven.
Customicro Clinical Services are supervised and administered by clinicians focused on antibiotic stewardship. We partner with pharmacies to dispense proprietary formulations and product options to manage the wound, sinus, and vaginal microenvironment including a 5R gut health program.
What does Customicro Clinical Services offer?
We service and administer solutions.
Our programs:
+ Offer personalized, patient-centered clinical formulations
+ Offer market leading specialized products
+ Offer a dedicated clinical pharmacist to support our partner providers
How do I partner with Customicro to offer their programs to my patients?
Please fill out our new accounts form and one of our team members will reach out to you as soon as possible. You can also contact us at directly at (480) - 490 - 8921.
Connect With Us
Customicro Clinical Services
10900 N Scottsdale Rd Ste 402, Scottsdale, AZ 85254
(480) - 490 - 8921
Our compounding pharmacy partner,
Customedico Pharmacy + Wellness
We are an independently owned compounding pharmacy dedicated to the provision of personalized medications to meet the unique needs of our patients. Please contact us with any questions or to participate in our programs.
10900 N. Scottsdale Rd #403, Scottsdale, AZ 85254
(480) - 946 - 9477
(480) - 946 - 1345
2025 © Customicro Clinical Services
All Rights Reserved