NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Dearborn. Five-day compounding, then about 2–4 business days in transit. Census: 105,811 (U.S. Census Bureau, Vintage 2023 population estimates).
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Dearborn providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Dearborn is a mid-size city of about 105,811 residents in Wayne County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 2–4 business days.
Service area — shipping, not a storefront
Dearborn is a mid-size city of about 105,811 residents in Wayne County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Dearborn panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Dearborn (105,811 in Wayne 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 2–4 business days.
A mid-size market like Dearborn still lives or dies on repeat fills. Repeat fills of NAD+ compounds only work if next month’s Rx does not sit in a mystery queue. Portal ordering, a named account manager, and a five-day compounding clock are the unglamorous parts that keep a panel intact.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Every tested batch has a Certificate of Analysis in the provider portal. If a Dearborn medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Dearborn 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.
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 Dearborn sits with the Michigan Board of Pharmacy.
We do not operate a compounding bench in Dearborn. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Dearborn are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Wayne County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Standard compounding time is five business days. After that, Dearborn should plan on 2–4 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Ordering
Active Michigan 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 Dearborn storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Ship-to | Clinic or patient in Dearborn | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Dearborn 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 |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Dearborn storefront.