Dermatology
A commercial cream that cannot combine the actives on the pad — that’s why Ann Arbor clinics call. We compound dermatology compounds patient-by-patient and ship from Florida.
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For dermatology practices in Ann Arbor, Promise Pharmacy compounds custom topicals for acne, hyperpigmentation, and post-procedure care — including hydroquinone and tretinoin combinations on a patient-specific prescription, then ships from Palm Harbor, Florida. Ann Arbor is a mid-size city of about 119,381 residents in Washtenaw County (U.S. Census Bureau, Vintage 2023 population estimates). Fulfillment target is five business days in the pharmacy, plus 2–4 business days in transit.
Service area — shipping, not a storefront
Providers in Ann Arbor can discuss patient-specific strengths, dosage forms, and availability for dermatology compounds with our compounding team.
Ann Arbor (119,381 in Washtenaw County, U.S. Census Bureau, Vintage 2023 population estimates) loses winter days to weather. An unattended porch is a worse destination than a staffed suite when the compound is temperature-sensitive. Typical transit is 2–4 business days.
We do not operate a compounding bench in Ann Arbor. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Ann Arbor are prepared there, then shipped to the clinic or the patient named on the prescription. Local walk-in service and pickup are not available in Ann Arbor.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders dermatology compounds. Testosterone and other controlled substances also need DEA registration.
Independent clinics, multi-site groups, and telehealth programs in Ann Arbor all write dermatology compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Ann Arbor accounts go to our compounding team in Palm Harbor.
Winter in Michigan delays trucks and freezes doorsteps. Refrigerated preparations for dermatology compounds ship in insulated packaging with season-appropriate cold packs. If a Ann Arbor clinic would rather take delivery at the suite than leave a carton on a stoop over a weekend, we ship to the suite. Typical transit after dispatch is 2–4 business days.
Michigan permits licensed nonresident pharmacies to ship compounded prescriptions and has a large healthcare provider workforce. Verify a pharmacy license on the Michigan Board of Pharmacy site for current licensure information.
Federal compounding authority for what we do is 503A of the FD&C Act (21 U.S.C. § 353a): a licensed pharmacy, a patient-specific prescription, USP compounding standards. State permission to land the package in Ann Arbor sits with the Michigan Board of Pharmacy.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Ann Arbor storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Ann Arbor transit & packaging | From Palm Harbor; typical 2–4 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in Ann Arbor | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Ordering
Active Michigan prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
Every 503A compound requires a patient-specific prescription in the portal.
Five business days on the Palm Harbor bench, with third-party testing on lots that require it.
Clinic or patient address. Typical transit 2–4 business days. Refrigerated compounds go insulated.
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Ann Arbor storefront.