IV Therapy
An IV calendar that outruns commercial glutathione or NAD+ allocations — that’s why Billings clinics call. We compound IV 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 IV compounds and ships them to licensed providers in Billings, MT — Billings is a mid-size city of about 120,864 residents in Yellowstone County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 3–5 business days. There is no Billings storefront.
Service area — shipping, not a storefront
Billings is a mid-size city of about 120,864 residents in Yellowstone County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Billings with clinic delivery and direct-to-patient shipping.
Billings (120,864 in Yellowstone 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 3–5 business days.
We do not operate a compounding bench in Billings. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Billings 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 Billings.
Every tested batch has a Certificate of Analysis in the provider portal. If a Billings 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 Billings needs reliable repeat fills. We support repeat prescriptions for IV compounds with portal ordering, a named account manager, and five-day compounding.
Standard compounding time is five business days. After that, Billings should plan on 3–5 business days in transit. Discuss any expedited requirements during your onboarding call.
Credentialing is not a formality. We check an active Montana-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders IV compounds. Testosterone and other controlled substances also need DEA registration.
Montana permits licensed nonresident pharmacies to ship compounded prescriptions and has a growing telehealth infrastructure serving rural communities. Verify a pharmacy license on the Montana Board of Pharmacy site for current licensure information.
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 Montana Board of Pharmacy can tell you how Montana expects a nonresident pharmacy to document that.
Ordering
Active Montana 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 3–5 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Billings storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Billings | Retail counter or mail-order PBM rules |
| Billings transit & packaging | From Palm Harbor; typical 3–5 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Questions we actually get
Montana compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Billings storefront.