NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Flagstaff clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Ordering NAD+ compounds in Flagstaff is a shipping relationship with a Florida 503A pharmacy. Flagstaff is a mid-size city of about 76,586 residents in Coconino County (U.S. Census Bureau, Vintage 2023 population estimates). The Arizona State Board of Pharmacy is the state regulator we answer to on nonresident shipments into Arizona.
Service area — shipping, not a storefront
Flagstaff is a mid-size city of about 76,586 residents in Coconino County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Flagstaff with clinic delivery and direct-to-patient shipping.
Flagstaff sits in Coconino County (76,586 residents, U.S. Census Bureau, Vintage 2023 population estimates). Desert heat on the last mile is the packaging constraint. Direct-to-patient and clinic ship-to both have to survive that climate; a cardboard mailer does not.
Independent clinics, multi-site groups, and telehealth programs in Flagstaff all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Every tested batch has a Certificate of Analysis in the provider portal. If a Flagstaff medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Standard compounding time is five business days. After that, Flagstaff should plan on 3–5 business days in transit. Discuss any expedited requirements during your onboarding call.
Arizona has favorable telehealth prescribing laws, making it a leading state for telehealth-to-pharmacy workflows. Verify a pharmacy license on the Arizona State Board of Pharmacy site for current licensure information.
Arizona has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Flagstaff are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and state telehealth laws do not waive Ryan Haight requirements. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding.
We do not operate a compounding bench in Flagstaff. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Flagstaff 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 Flagstaff.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Flagstaff accounts go to our compounding team in Palm Harbor.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Flagstaff storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Flagstaff | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Flagstaff 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 |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Ordering
Active Arizona 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 3–5 business days. Refrigerated compounds go insulated.
Questions we actually get
Arizona compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Flagstaff storefront.