TPN Assistant© is a clinical suite of programs tailored to help physicians write Total Parenteral Nutrition (TPN) orders for distinct patient age groups. These groups include neonates, pediatric patients, and adult patients. Each group has a unique method and set of clinical rules around ordering TPN and the modular design of the program allows all or just one of the programs to be used based on the hospital’s needs.



Narcotic Assistant© is a software program designed to track and manage controlled substances and maintain a perpetual inventory. The program is able to track each inventory item at the dispensing unit level and is able to generate reports detailing all controlled substance receipts and dispensations for auditing purposes. It will create an audit trail that will meet all legal requirements for controlled substance dispensation, inventory control, and receipt within a hospital setting. The requirements include those set forth by both the DPS and DEA agencies.



Oncology Assistant© is a robust clinical application designed to manage the daily functions of an outpatient oncology compounding pharmacy. Many mid to small sized hospitals do not have access to such a system that is dedicated to perform the clinical and operational tasks for such an environment. Oncology Assistant© provides the critical clinical functions to improve patient safety in this complex clinic setting.



Repack Assistant© is a program tailored to meet the compliance and tracking needs for the repackaging of prescription medications in an outpatient retail pharmacy environment. The application is ideal for pharmacies that are tasked with repackaging prescriptions for nursing homes, long term care facilities, homeless patient distribution programs, or any other patient population that requires a repackaged prescription. The program tracks all necessary data elements required to meet compliance regulations for such activity.



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Apex Custom Software delivers software solutions to support clinicians in delivering efficient and optimal care to their patients. This includes many niche software applications that are not included in large EHR solutions. Our staff combines clinicians with over 50 years of healthcare experience and cutting edge programmers. Because of low overhead we are able to offer our software at reasonable prices. Our programmers work directly with clients and in-house clinicians to create the exact application the healthcare provider needs in a short period of time.

All of our software solutions are created with the healthcare provider and patient in mind. The goal of our team is to provide a tool to the clinician that enables them to provide better and more efficient care for each of their patients. If the solution makes it more time consuming or introduces any safety concerns into the workflow, then we have failed. Our in-house team has worked in direct patient care and fully tests our products from the end users perspective to ensure a quick and intuitive solution that empowers the user, not burdens them.

Interface capabilities are crucial for Health Information Exchange (HIE). All of our solutions can accept and send data between systems. HL-7, XML, NCPDP, and ANSI standards are all supported in our applications. In addition, strict HIPAA standards are followed to ensure patient privacy.

Our clients include large academic teaching centers, small community hospitals, international hospitals, government, and the pharmaceutical industry. Scale and project scope are reflected in the price of the software, but never the quality. Quality solutions are paramount regardless of the size of the project. The goal of our team is for clients to be happy. Healthcare is a very stressful environment and tools that make it safer and easier to achieve positive patient outcomes are what we strive to deliver.


We are using Narcotic Assistant by Apex Custom Software within Mercy and it has greatly improved our audit trail and workflow process. Their solutions are designed for specific needs at resonable prices. 

Jeff Amstutz RPh
Pharmacy IS Coordinator
Mercy Health Partners


Parkland Health & Hospital System

National Institute of Health

Community Health Systems

Mercy Health

Mylan Pharmaceuticals

Singapore General Hospital