NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Gaithersburg clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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A Gaithersburg clinic that needs NAD+ compounds does not need us to rent space in Montgomery County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. Gaithersburg is a mid-size city of about 69,563 residents in Montgomery County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
The useful question is not “does Promise Pharmacy serve Gaithersburg?” It is “can a Maryland license, a five-day compounding SLA, and 2–4 business days of transit cover the way this clinic actually doses NAD+ compounds?” For most wellness, longevity, and aesthetics clinics, the answer is yes.
Gaithersburg has about 69,563 residents in Montgomery 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 Gaithersburg all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
Credentialing is not a formality. We check an active Maryland-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Gaithersburg accounts go to the same compounding team — not a city-specific pharmacist we invented for this 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 Maryland Board of Pharmacy can tell you how Maryland expects a nonresident pharmacy to document that.
Maryland has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Gaithersburg 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.
We do not operate a compounding bench in Gaithersburg. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Gaithersburg are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Montgomery County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Every tested batch has a Certificate of Analysis in the provider portal. If a Gaithersburg medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Ordering
Active Maryland 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 Gaithersburg storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Gaithersburg | Retail counter or mail-order PBM rules |
| Gaithersburg 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
Questions we actually get
Maryland compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Gaithersburg storefront.