NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Flint clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Flint providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Flint is a mid-size city of about 79,661 residents in Genesee 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
When planning orders for NAD+ compounds in Flint, allow five business days for compounding plus 2–4 business days in transit. Discuss your practice’s scheduling requirements with our team.
Flint (79,661 in Genesee 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.
We do not operate a compounding bench in Flint. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Flint 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 Flint.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Flint accounts go to our compounding team in Palm Harbor.
A mid-size market like Flint needs reliable repeat fills. We support repeat prescriptions for NAD+ compounds with portal ordering, a named account manager, and five-day compounding.
Every tested batch has a Certificate of Analysis in the provider portal. If a Flint 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.
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 Michigan Board of Pharmacy can tell you how Michigan expects a nonresident pharmacy to document that.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Flint 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.
Ordering
Active Michigan 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 Flint storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Flint 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 |
| Ship-to | Clinic or patient in Flint | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Flint storefront.