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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A Largo clinic that needs NAD+ compounds does not need us to rent space in Pinellas County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. 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. That statewide figure is not a Largo headcount — and we are not going to invent one. What we can say is how the work is done: patient-specific NAD+ compounding under 503A, shipped 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 NAD+ compounds for Largo are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Pinellas County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Largo combines heat and humidity, which is harder on packaging than dry heat alone. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. 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 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.
Ordering
Active Florida 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 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.