NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Framingham, MA. 71,875 residents in Middlesex County. No local bench.
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For wellness, longevity, and aesthetics clinics in Framingham, Promise Pharmacy compounds injectable and IV NAD+ preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Framingham is a mid-size city of about 71,875 residents in Middlesex 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 compound NAD+ compounds in Palm Harbor and ship to licensed providers and their patients in Framingham, Massachusetts.
Framingham has about 71,875 residents in Middlesex 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.
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 Massachusetts Board of Registration in Pharmacy can tell you how Massachusetts expects a nonresident pharmacy to document that. Massachusetts is also one of the states where nonresident compounding is not a paperwork afterthought — expect extra documentation up front.
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 Framingham sits with the Massachusetts Board of Registration in Pharmacy.
Standard compounding time is five business days. After that, Framingham should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
From Palm Harbor, Florida to Framingham, typical ground after dispatch is 2–4 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
Independent clinics, multi-site groups, and telehealth programs in Framingham all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
We do not operate a compounding bench in Framingham. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Framingham 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 Framingham.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Framingham accounts go to our compounding team in Palm Harbor.
Ordering
Active Massachusetts 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 Framingham storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Framingham 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 |
| Ship-to | Clinic or patient in Framingham | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
Questions we actually get
Massachusetts compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Framingham storefront.