NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Grand Rapids clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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For wellness, longevity, and aesthetics clinics in Grand Rapids, Promise Pharmacy compounds injectable and IV NAD+ preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Grand Rapids is a mid-size city of about 196,608 residents in Kent 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
Grand Rapids sits in the Midwest region, with about 44,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Grand Rapids (196,608 in Kent 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 Grand Rapids. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Grand Rapids 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 Grand Rapids.
Every tested batch has a Certificate of Analysis in the provider portal. If a Grand Rapids medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Grand Rapids is in Kent County. We ship patient-specific compounds to clinics and patients in Grand Rapids.
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.
Standard compounding time is five business days. After that, Grand Rapids should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
Michigan permits licensed nonresident pharmacies to ship compounded prescriptions and has a large healthcare provider workforce. Verify a pharmacy license on the Michigan Board of Pharmacy site for current licensure information.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Grand Rapids 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 Grand Rapids storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Grand Rapids 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Ship-to | Clinic or patient in Grand Rapids | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Grand Rapids storefront.