IV Therapy
Glutathione, NAD+, and related IV / injectable wellness compounds — compounded in Palm Harbor, Florida and shipped to Richmond, KY. 37,206 residents in Madison County. No local bench.
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Richmond providers order IV compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Richmond is a smaller city of about 37,206 residents in Madison County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 1–3 business days.
Service area — shipping, not a storefront
Richmond is a smaller city of about 37,206 residents in Madison County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Richmond with clinic delivery and direct-to-patient shipping.
Richmond is in Madison County, Central Kentucky. We ship to the destination city on the prescription.
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 compounds for Richmond 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 Richmond.
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.
Richmond is in Madison County. We ship patient-specific compounds to clinics and patients in Richmond.
From Palm Harbor, Florida to Richmond, typical ground after dispatch is 1–3 business days. Refrigerated preparations for IV compounds ship in insulated packaging with season-appropriate cold packs.
Standard compounding time is five business days. After that, Richmond should plan on 1–3 business days in transit. Discuss any expedited requirements during your onboarding call.
Kentucky has broad telehealth prescribing parity compared with many states, which is why video-first IV lounges, med spas, and integrative clinics in Richmond 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.
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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Richmond storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Richmond | Retail counter or mail-order PBM rules |
| 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 |
Ordering
Active Kentucky 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 1–3 business days. Refrigerated compounds go insulated.
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.