NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Homestead clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Homestead providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Homestead is a mid-size city of about 81,659 residents in Miami-Dade County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 1–2 business days.
Service area — shipping, not a storefront
Providers in Homestead can discuss patient-specific strengths, dosage forms, and availability for NAD+ compounds with our compounding team.
Homestead in Miami-Dade County (81,659 residents, U.S. Census Bureau, Vintage 2023 population estimates) combines heat and humidity. Refrigerated compounds into this city need insulated packaging even when the drive from Florida is short.
Florida has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Homestead 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.
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 Homestead sits with the Florida Board of Pharmacy.
Credentialing is not a formality. We check an active Florida-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Homestead combines heat and humidity, which is harder on packaging than dry heat alone. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs. Typical transit after dispatch is 1–2 business days.
A mid-size market like Homestead needs reliable repeat fills. We support repeat prescriptions for NAD+ compounds with portal ordering, a named account manager, and five-day compounding.
We do not operate a compounding bench in Homestead. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Homestead 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 Homestead.
Every tested batch has a Certificate of Analysis in the provider portal. If a Homestead medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Homestead storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Homestead transit & packaging | From Palm Harbor; typical 1–2 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 |
| Ship-to | Clinic or patient in Homestead | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
Ordering
Active Florida 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 1–2 business days. Refrigerated compounds go insulated.
Questions we actually get
Florida compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Homestead storefront.