NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Las Vegas, NV. 660,929 residents in Clark County. No local bench.
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A Las Vegas clinic that needs NAD+ compounds does not need us to rent space in Clark County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. Las Vegas is a large city of about 660,929 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 3–5 business days.
Service area — shipping, not a storefront
We get the same first email from Las Vegas 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.
Clark County heat is the same class of problem as Phoenix: summer ground will cook a poorly packed GLP-1 vial. Refrigerated compounds into Las Vegas always go insulated, even when the calendar says shoulder season.
Las Vegas is in Clark County. We print that on this page because national pharmacy templates love to say “Greater Nevada.” Greater Nevada is not an address.
Summer air temperatures in Las Vegas routinely climb past what a vial should sit in on a porch. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. Typical transit after dispatch is 3–5 business days. In June–September, a Friday ship-to-home is the risky pattern — the carton can sit through a weekend at a desert hub. Clinic delivery or a Monday–Wednesday portal cutoff is the practical fix, not a local bench.
Credentialing is not a formality. We check an active Nevada-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
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 Las Vegas sits with the Nevada State Board of Pharmacy.
Nevada has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Las Vegas 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.
We do not operate a compounding bench in Las Vegas. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Las Vegas are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Clark County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Standard compounding time is five business days. After that, Las Vegas should plan on 3–5 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Ordering
Active Nevada 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 3–5 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Las Vegas storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Las Vegas transit & packaging | From Palm Harbor; typical 3–5 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Nevada compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Las Vegas storefront.