Dermatology
A commercial cream that cannot combine the actives on the pad — that’s why Richmond clinics call. We compound dermatology compounds patient-by-patient and ship from Florida.
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Promise Pharmacy is a 503A compounding pharmacy in Palm Harbor, Florida. It prepares patient-specific dermatology compounds and ships them to licensed providers in Richmond, KY — Richmond is a smaller city of about 37,206 residents in Madison County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 1–3 business days. There is no Richmond storefront.
Service area — shipping, not a storefront
We get the same first email from Richmond as from everywhere else: the commercial version of dermatology compounds is awkward (wrong dose, wrong form, or not in stock), and the clinic does not want to send patients to a retail counter. That is the job. The rest is logistics.
Central Kentucky accounts are easy to flatten into “Louisville/Lexington” on a national template. We ship to the city on the Rx — Richmond is Madison County, not a Louisville suburb.
Independent clinics, multi-site groups, and telehealth programs in Richmond all write dermatology compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
Standard compounding time is five business days. After that, Richmond should plan on 1–3 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Every tested batch has a Certificate of Analysis in the provider portal. If a Richmond medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
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 Richmond sits with the Kentucky Board of Pharmacy.
USP chapters 795, 797, and 800 are the compounding standards we work to — not a slogan. Sterile work is a 797 problem; hazardous handling is an 800 problem. The Kentucky Board of Pharmacy can tell you how Kentucky expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Richmond. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific dermatology compounds for Richmond are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Madison County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
From Palm Harbor, Florida to Richmond, typical ground after dispatch is 1–3 business days. Refrigerated dermatology compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan.
Ordering
Active Kentucky prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
Dermatology compounds are 503A. Each patient needs their own 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 1–3 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Richmond storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Richmond transit & packaging | From Palm Harbor; typical 1–3 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| Ship-to | Clinic or patient in Richmond | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Questions we actually get
Kentucky compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Richmond storefront.