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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Clinics in Las Vegas can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. 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
Providers in Las Vegas can discuss patient-specific strengths, dosage forms, and availability for NAD+ compounds with our compounding team.
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 ship patient-specific compounds to clinics and patients in Las Vegas.
Summer air temperatures in Las Vegas routinely climb past what a vial should sit in on a porch. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs. 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 can help reduce weekend delays.
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 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.
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 compounds for Las Vegas 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 Las Vegas.
Standard compounding time is five business days. After that, Las Vegas should plan on 3–5 business days in transit. Discuss any expedited requirements during your onboarding call.
Ordering
Active Nevada 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 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 |
| 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.