NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Boston, MA. 653,833 residents in Suffolk County. No local bench.
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Clinics in Boston can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Boston is a large city of about 653,833 residents in Suffolk County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
Boston is a large city of about 653,833 residents in Suffolk County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Boston with clinic delivery and direct-to-patient shipping.
Massachusetts tightened compounding oversight after the 2012 NECC meningitis outbreak. We treat Boston-area accounts as a documentation-heavy state: nonresident licensure, COAs, and conservative BUDs are not optional extras on a Massachusetts shipment.
We do not operate a compounding bench in Boston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Boston 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 Boston.
Every tested batch has a Certificate of Analysis in the provider portal. If a Boston medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Boston is in Suffolk County. We ship patient-specific compounds to clinics and patients in Boston.
Credentialing is not a formality. We check an active Massachusetts-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Boston accounts go to our compounding team in Palm Harbor.
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 Boston sits with the Massachusetts Board of Registration in Pharmacy.
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 Massachusetts Board of Registration in Pharmacy can tell you how Massachusetts expects a nonresident pharmacy to document that. Massachusetts is also one of the states where nonresident compounding is not a paperwork afterthought — expect extra documentation up front.
Ordering
Active Massachusetts 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 2–4 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Boston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Boston 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 |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Massachusetts compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Boston storefront.