NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Frederick clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Ordering NAD+ compounds in Frederick is a shipping relationship with a Florida 503A pharmacy. Frederick is a mid-size city of about 85,793 residents in Frederick County (U.S. Census Bureau, Vintage 2023 population estimates). The Maryland Board of Pharmacy is the state regulator we answer to on nonresident shipments into Maryland.
Service area — shipping, not a storefront
Providers in Frederick can discuss patient-specific strengths, dosage forms, and availability for NAD+ compounds with our compounding team.
Frederick has about 85,793 residents in Frederick 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 Frederick all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Standard compounding time is five business days. After that, Frederick should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
From Palm Harbor, Florida to Frederick, typical ground after dispatch is 2–4 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
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 Frederick sits with the Maryland 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 Maryland Board of Pharmacy can tell you how Maryland expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Frederick. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Frederick 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 Frederick.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Frederick 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 Frederick storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Frederick 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
Ordering
Active Maryland 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
Maryland compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Frederick storefront.