NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Des Moines clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Clinics in Des Moines can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Des Moines is a mid-size city of about 210,381 residents in Polk County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
We support Des Moines clinics with injectable and IV NAD+ preparations, prepared at our 503A pharmacy and shipped to Polk County.
Des Moines has about 210,381 residents in Polk 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.
Independent clinics, multi-site groups, and telehealth programs in Des Moines all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Credentialing is not a formality. We check an active Iowa-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Standard compounding time is five business days. After that, Des Moines should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
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 Des Moines sits with the Iowa Board of 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 Iowa Board of Pharmacy can tell you how Iowa expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Des Moines. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Des Moines 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 Des Moines.
From Palm Harbor, Florida to Des Moines, typical ground after dispatch is 2–4 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Des Moines storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Des Moines 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| 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 |
| Ship-to | Clinic or patient in Des Moines | Retail counter or mail-order PBM rules |
Ordering
Active Iowa 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.
Questions we actually get
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Des Moines storefront.