Dermatology
A commercial cream that cannot combine the actives on the pad — that’s why Livonia clinics call. We compound dermatology compounds patient-by-patient and ship from Florida.
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For dermatology practices in Livonia, 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. Livonia is a mid-size city of about 92,185 residents in Wayne 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
Livonia is a mid-size city of about 92,185 residents in Wayne County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Livonia with clinic delivery and direct-to-patient shipping.
Livonia (92,185 in Wayne 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.
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.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first dermatology practices in Livonia are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and state telehealth laws do not waive Ryan Haight requirements. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding.
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.
Standard compounding time is five business days. After that, Livonia should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
A mid-size market like Livonia needs reliable repeat fills. We support repeat prescriptions for dermatology compounds with portal ordering, a named account manager, and five-day compounding.
We do not operate a compounding bench in Livonia. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Livonia 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 Livonia.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Livonia accounts go to our compounding team in Palm Harbor.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Livonia storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Livonia | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Livonia 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| 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 Livonia storefront.