NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Billings. Five-day compounding, then about 3–5 business days in transit. Census: 120,864 (U.S. Census Bureau, Vintage 2023 population estimates).
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Billings providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Billings is a mid-size city of about 120,864 residents in Yellowstone County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 3–5 business days.
Service area — shipping, not a storefront
We get the same first email from Billings 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.
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 NAD+ compounds for Billings are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Yellowstone County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Credentialing is not a formality. We check an active Montana-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Billings is a mid-size city of about 120,864 residents in Yellowstone County (U.S. Census Bureau, Vintage 2023 population estimates). Wellness, longevity, and aesthetics clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Billings accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
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 rather than trusting a marketing page, including this one.
Montana has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Billings are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and Ryan Haight is not waived by a friendly state telehealth statute. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding rather than restating it on every city URL.
Ordering
Active Montana 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 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 | |
|---|---|---|
| Ship-to | Clinic or patient in Billings | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
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.