NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Hilo clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Hilo providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Hilo is a smaller city of about 44,186 residents in Hawaii County (U.S. Census Bureau, 2020 Decennial Census). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 4–7 business days.
Service area — shipping, not a storefront
We get the same first email from Hilo as from everywhere else: the commercial version of NAD+ compounds is awkward (wrong dose, wrong form, or not in stock), and the clinic does not want to send patients to a retail counter. That is the job. The rest is logistics.
Hilo has about 44,186 residents in Hawaii County (U.S. Census Bureau, 2020 Decennial Census). That is not a same-day courier market. 4–7 business days from Palm Harbor is the planning number, and we ship to Hilo as Hilo — not as a satellite of a larger metro.
Independent clinics, multi-site groups, and telehealth programs in Hilo 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 Hawaii-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Every tested batch has a Certificate of Analysis in the provider portal. If a Hilo medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Hawaii allows telehealth prescribing by out-of-state providers in many circumstances and accepts nonresident pharmacy licenses. Verify a pharmacy license on the Hawaii Board of Pharmacy site rather than trusting a marketing page, including this one.
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 Hawaii Board of Pharmacy can tell you how Hawaii expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Hilo. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Hilo are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Hawaii 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 Hilo accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Ordering
Active Hawaii 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 4–7 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Hilo storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| 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 |
| Ship-to | Clinic or patient in Hilo | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Hilo transit & packaging | From Palm Harbor; typical 4–7 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
Questions we actually get
Hawaii compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Hilo storefront.