Customicro by Customedico
Advanced Wound Hygiene and Biofilm Management
Serving wound care specialists, podiatrists, and certified wound clinicians across Scottsdale, Phoenix, and the greater Arizona region. Custom-compounded topical antimicrobials and biofilm disruption agents engineered to overcome recalcitrant wound healing barriers.
Built on rigorous clinical science, peer-reviewed microbial protocols, and uncompromising pharmacy compounding standards.
The Biofilm Problem in Chronic Wounds
Why Traditional Wound Care Fails Against Mature Biofilms
Research estimates that biofilms are present in more than 60 percent of chronic wounds. Once a microbial community matures into a biofilm, it produces an extracellular polymeric substance (EPS) matrix that acts as a physical and chemical shield against standard topical antiseptics, systemic antibiotics, and conventional wound care products. The result is a wound that stalls in the inflammatory phase, resists standard empiric therapy, and consumes disproportionate clinical resources without resolving.
Customicro was developed specifically to address this gap. Based at Customedico Pharmacy + Wellness at 10900 N. Scottsdale Rd in Scottsdale, Arizona, our compounding pharmacists work directly with wound care specialists, podiatrists, and certified wound clinicians across the Phoenix metro area to formulate targeted antimicrobial combinations that commercial manufacturers cannot produce at scale.
01
Targeted Antimicrobial Synergy
Customicro formulates custom combinations of active agents that standard commercial pharmaceuticals cannot provide. By selecting and combining antimicrobials based on your patient's specific culture results, we maximize efficacy against the identified organisms while minimizing the risk of resistance selection.
02
Disruption of Extracellular Polymeric Substances
Our compounding approach incorporates specialized agents designed to target and break down the EPS matrix that protects mature biofilm communities. Destabilizing the matrix exposes embedded bacteria to antimicrobial action and supports the transition from the inflammatory to the proliferative phase of wound healing.
03
Direct Provider Collaboration
Customicro partners with physicians, podiatrists, and certified wound specialists (WCC) to tailor every formulation to specific wound cultures and patient sensitivities. Our pharmacists are available for clinical consultation throughout the prescribing and monitoring process.
Formulation Options
Precision Formulations for Advanced Wound Hygiene
Wound bed characteristics, periwound skin integrity, and patient sensitivities vary significantly across clinical presentations. Customicro compounds wound hygiene formulations in multiple delivery formats to match the specific requirements of each wound and patient.
Custom Topical Gels and Ointments
Formulated for controlled release and optimal contact time at the wound bed. Gel bases allow for precise active ingredient loading and can be tailored for viscosity, pH, and osmolarity to support wound bed preparation and reduce microbial burden without disrupting granulation tissue.
Specialized Irrigations and Wound Washes
Compounded irrigation solutions designed for debridement support and microbial load reduction. Active ingredient concentrations are calibrated to the wound's culture profile, and solution tonicity is matched to minimize cytotoxicity to viable wound tissue during lavage.
Allergen-Free and Preservative-Free Bases
Customicro compounds in bases free from common irritants, parabens, and synthetic preservatives to protect compromised periwound skin. For patients with documented sensitivities or fragile peri-wound tissue, allergen-free base selection is a standard part of the formulation consultation process.
Clinical Applications
Wound Pathologies We Support
Customicro formulations are designed for clinical teams managing wounds that have not responded to standard commercial wound care products. Our compounding pharmacists consult directly with prescribers to build formulations around specific culture findings.
Chronic and Non-Healing Wounds
Diabetic Foot Ulcers, Venous Leg Ulcers, and Pressure Injuries
Biofilm formation is a primary driver of chronicity in DFUs, VLUs, and pressure injuries. Standard commercial wound care products are rarely formulated to address the specific microbial communities identified on culture. Customicro compounds targeted antimicrobial topicals and irrigations built around your patient's wound culture results, supporting biofilm disruption and microbial load reduction as part of a comprehensive wound bed preparation strategy.
- +Culture-directed antimicrobial topical gels and ointments
- +Biofilm-disrupting irrigation solutions
- +Allergen-free bases for compromised periwound skin
- +Formulations compatible with negative pressure wound therapy
Recalcitrant Surgical Site Infections
Tailored Antimicrobial Options When Empiric Therapy Falls Short
SSIs that persist despite standard empiric antibiotic therapy often involve resistant organisms, polymicrobial communities, or established biofilm at the wound site. Wound care specialists and compounding pharmacists collaborate to formulate active ingredient combinations matched to culture findings, in delivery bases optimized for the wound's anatomical location and tissue characteristics.
- +Culture and sensitivity-directed active ingredient selection
- +Combination antimicrobial formulations unavailable commercially
- +Delivery bases matched to wound depth and anatomical location
- +Direct pharmacist-to-prescriber clinical consultation
Post-Operative and Traumatic Wounds
Precision Antimicrobial Support for Complex Wound Environments
Post-operative wounds with delayed healing and traumatic wounds presenting with polymicrobial contamination benefit from formulations that go beyond standard empiric coverage. Customicro builds compounded topical therapies around the specific organisms and resistance patterns your culture identifies, reducing the risk of treatment failure and supporting timely wound closure.
- +Polymicrobial-targeted combination topicals
- +Formulations for anatomically challenging wound locations
- +Bases optimized for contact time and tissue compatibility
- +Rapid turnaround to support acute clinical timelines
The Customicro Method
The PharmD i3 Service
Every Customicro wound hygiene engagement follows the PharmD i3 process, a structured clinical framework that moves from molecular diagnostics to a precision-compounded topical therapy in three defined steps. Providers across Scottsdale, Phoenix, and Arizona rely on this process for patients whose wounds have not responded to standard empiric therapy. This is not a generic treatment protocol. It is a pharmacist-led clinical service built around the specific microbial findings in your patient's wound.
Identify
Partner microbiological laboratories perform molecular diagnostics on wound specimens to identify the specific pathogens present, including resistance genes and polymicrobial profiles that standard culture methods may miss. The result is a precise picture of the microbial burden driving the wound's failure to heal.
Interpret
Customicro pharmacists provide clinical interpretation of the diagnostic findings directly to the prescribing provider. Rather than leaving culture results to be parsed in isolation, our PharmDs translate the data into actionable clinical context, identifying which organisms are driving pathology and which resistance patterns constrain treatment options.
Intervene
A personalized TargetedRx topical antibiotic is compounded in an anti-biofilm base matched to the identified organisms and the wound's specific characteristics. The formulation is designed to penetrate the EPS matrix, reduce microbial burden, and prepare the wound bed for the proliferative phase of healing.
Customwound Clinical Service
Ongoing Biofilm Removal, Infection Treatment, and Microenvironment Restoration for wounds
A structured service at Customedico in Scottsdale, Arizona for patients and providers across the Phoenix metro area who need a sustained compounding partnership and not a one-time prescription.
Learn About customwoundGetting Started
How to Partner with Customicro
Evaluate and Culture
Assess wound hygiene status, review patient cultures, and identify specific microbial or biofilm resistance patterns. Customicro pharmacists are available for pre-prescription clinical consultation to discuss formulation options based on your findings before you submit the order.
Submit Custom Prescription
Prescribers submit custom script specifications electronically via e-scribe, by fax at 480-946-1345, or by direct clinical phone consultation at 480-946-9477. Our team reviews the prescription, confirms the formulation with your clinical team, and initiates compounding upon verification.
Rapid Compounding and Delivery
Our specialized clinical compounding team prepares the formulation with strict quality checks under USP standards. Completed compounds are available for secure clinical delivery, patient pickup at our Scottsdale location, or direct-to-door shipping across Arizona and nationwide.
Quality and Compliance
Uncompromising Safety Standards in Microbial Stewardship
Every Customicro wound hygiene compound is prepared under strict adherence to USP quality standards for both sterile and non-sterile compounding. Active pharmaceutical ingredients are sourced exclusively from Verified-Accredited Wholesale Distributors (VAWD), ensuring verified purity, confirmed potency, and full traceability from raw material to finished formulation.
Our compounding laboratory maintains rigorous batch testing protocols and environmental monitoring programs consistent with current good compounding practices (cGCP). When you prescribe through Customicro, you are prescribing through a pharmacy that treats quality control as a clinical obligation, not a regulatory checkbox.
Common Questions