NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Hagerstown. Five-day compounding, then about 2–4 business days in transit. Census: 43,553 (U.S. Census Bureau, Vintage 2023 population estimates).
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Promise Pharmacy is a 503A compounding pharmacy in Palm Harbor, Florida. It prepares patient-specific NAD+ compounds and ships them to licensed providers in Hagerstown, MD — Hagerstown is a smaller city of about 43,553 residents in Washington County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 2–4 business days. There is no Hagerstown storefront.
Service area — shipping, not a storefront
Hagerstown is a smaller city of about 43,553 residents in Washington County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Hagerstown panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Hagerstown has about 43,553 residents in Washington County (U.S. Census Bureau, Vintage 2023 population estimates). That is not a same-day courier market. 2–4 business days from Palm Harbor is the planning number, and we ship to Hagerstown as Hagerstown — not as a satellite of a larger metro.
Hagerstown is a smaller city of about 43,553 residents in Washington County (U.S. Census Bureau, Vintage 2023 population estimates). Wellness, longevity, and aesthetics clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
Every tested batch has a Certificate of Analysis in the provider portal. If a Hagerstown 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 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.
Maryland has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Hagerstown 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.
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 Hagerstown sits with the Maryland Board of Pharmacy.
We do not operate a compounding bench in Hagerstown. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Hagerstown are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Washington County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Hagerstown accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
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 Hagerstown storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Hagerstown 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 |
| Ship-to | Clinic or patient in Hagerstown | Retail counter or mail-order PBM rules |
Questions we actually get
Maryland compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Hagerstown storefront.