NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Detroit clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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For wellness, longevity, and aesthetics clinics in Detroit, Promise Pharmacy compounds injectable and IV NAD+ preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Detroit is a large city of about 633,218 residents in Wayne 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 Detroit 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.
Detroit and the Oakland/Macomb/Wayne tri-county area still lose winter days to weather. Refrigerated compounds ship insulated; testosterone and other non-refrigerated 503A preparations use the same tracked ground as the rest of the Midwest.
Detroit is in Wayne County. We print that on this page because national pharmacy templates love to say “Greater Michigan.” Greater Michigan is not an address.
Every tested batch has a Certificate of Analysis in the provider portal. If a Detroit medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
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.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Detroit 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.
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 Michigan Board of Pharmacy can tell you how Michigan expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Detroit. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Detroit 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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Detroit accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
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 Detroit storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Detroit | Retail counter or mail-order PBM rules |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Detroit 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Detroit storefront.