NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Kearney, NE. 34,362 residents in Buffalo County. No local bench.
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Ordering NAD+ compounds in Kearney is a shipping relationship with a Florida 503A pharmacy. Kearney is a smaller city of about 34,362 residents in Buffalo County (U.S. Census Bureau, Vintage 2023 population estimates). The Nebraska Board of Pharmacy is the state regulator we answer to on nonresident shipments into Nebraska.
Service area — shipping, not a storefront
We compound NAD+ compounds in Palm Harbor and ship to licensed providers and their patients in Kearney, Nebraska.
Kearney has about 34,362 residents in Buffalo 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 Kearney as Kearney — not as a satellite of a larger metro.
We do not operate a compounding bench in Kearney. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Kearney 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 Kearney.
From Palm Harbor, Florida to Kearney, typical ground after dispatch is 2–4 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
Independent clinics, multi-site groups, and telehealth programs in Kearney all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Every tested batch has a Certificate of Analysis in the provider portal. If a Kearney medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Standard compounding time is five business days. After that, Kearney should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
USP chapters 795, 797, and 800 are the compounding standards we work to. Chapter 797 addresses sterile compounding, and Chapter 800 addresses hazardous drug handling. The Nebraska Board of Pharmacy can tell you how Nebraska expects a nonresident pharmacy to document that.
Nebraska permits licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Nebraska Board of Pharmacy site for current licensure information.
Ordering
Active Nebraska 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 Kearney storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Kearney 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Ship-to | Clinic or patient in Kearney | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Nebraska compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Kearney storefront.