Dermatology
A commercial cream that cannot combine the actives on the pad — that’s why Flint clinics call. We compound dermatology compounds patient-by-patient and ship from Florida.
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Clinics in Flint can order dermatology compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Flint is a mid-size city of about 79,661 residents in Genesee County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
We compound dermatology compounds in Palm Harbor and ship to licensed providers and their patients in Flint, Michigan.
Flint (79,661 in Genesee 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 Flint. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Flint 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 Flint.
Every tested batch has a Certificate of Analysis in the provider portal. If a Flint medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
A mid-size market like Flint needs reliable repeat fills. We support repeat prescriptions for dermatology compounds with portal ordering, a named account manager, and five-day compounding.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Flint accounts go to our compounding team in Palm Harbor.
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.
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 Flint sits with the Michigan Board of Pharmacy.
USP chapters 795, 797, and 800 are the compounding standards we work to. Chapter 797 addresses sterile compounding, and Chapter 800 addresses hazardous drug handling. The Michigan Board of Pharmacy can tell you how Michigan expects a nonresident pharmacy to document that.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Flint storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Flint 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
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 Flint storefront.