NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Haverhill clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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A Haverhill clinic that needs NAD+ compounds does not need us to rent space in Essex County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. Haverhill is a mid-size city of about 67,415 residents in Essex County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
Most Haverhill clinics that call us are not shopping for a second storefront. They already have a protocol. What they do not have is a 503A bench that will compound injectable and IV NAD+ preparations for the patient on the Rx and get it to Essex County without turning into a shortage story.
Haverhill has about 67,415 residents in Essex 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 Haverhill 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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Haverhill accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Every tested batch has a Certificate of Analysis in the provider portal. If a Haverhill medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
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 Haverhill sits with the Massachusetts Board of Registration in Pharmacy.
Massachusetts has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Haverhill 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 Haverhill. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Haverhill are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Essex County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Standard compounding time is five business days. After that, Haverhill should plan on 2–4 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Haverhill storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Ship-to | Clinic or patient in Haverhill | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Haverhill 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 |
Ordering
Active Massachusetts 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.
Questions we actually get
Massachusetts compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Haverhill storefront.