NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Bellevue clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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For wellness, longevity, and aesthetics clinics in Bellevue, Promise Pharmacy compounds injectable and IV NAD+ preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Bellevue is a mid-size city of about 63,922 residents in Sarpy 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
We get the same first email from Bellevue as from everywhere else: the commercial version of NAD+ 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.
Bellevue has about 63,922 residents in Sarpy County (U.S. Census Bureau, Vintage 2023 population estimates). We ship here as its own destination. Typical transit after dispatch is 2–4 business days.
We do not operate a compounding bench in Bellevue. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Bellevue are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Sarpy County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Bellevue accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Independent clinics, multi-site groups, and telehealth programs in Bellevue all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
From Palm Harbor, Florida to Bellevue, typical ground after dispatch is 2–4 business days. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan.
Credentialing is not a formality. We check an active Nebraska-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Nebraska permits licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Nebraska Board of Pharmacy site rather than trusting a marketing page, including this one.
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 Nebraska Board of Pharmacy can tell you how Nebraska expects a nonresident pharmacy to document that.
Ordering
Active Nebraska prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
NAD+ 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 2–4 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Bellevue storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Bellevue | Retail counter or mail-order PBM rules |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Bellevue 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Nebraska compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Bellevue storefront.