NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Largo, FL. 82,248 residents in Pinellas County. No local bench.
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Clinics in Largo can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Largo is a mid-size city of about 82,248 residents in Pinellas County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 1–2 business days.
Service area — shipping, not a storefront
Largo sits in the Southeast region, with about 92,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Largo in Pinellas County (82,248 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.
We do not operate a compounding bench in Largo. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Largo 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 Largo.
Largo 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.
Largo is a mid-size city of about 82,248 residents in Pinellas 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.
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.
Every tested batch has a Certificate of Analysis in the provider portal. If a Largo 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 Largo sits with the Florida Board of Pharmacy.
Florida has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Largo 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.
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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Largo 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 |
| Largo 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 |
| Ship-to | Clinic or patient in Largo | Retail counter or mail-order PBM rules |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Florida compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Largo storefront.