NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Lawrence, MA. 88,172 residents in Essex County. No local bench.
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A Lawrence clinic that needs NAD+ compounds does not need us to rent space in Essex County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. Lawrence is a mid-size city of about 88,172 residents in Essex County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
Most Lawrence clinics that call us are not shopping for a second storefront. They already have a protocol. What they do not have is a 503A bench that will compound injectable and IV NAD+ preparations for the patient on the Rx and get it to Essex County without turning into a shortage story.
Lawrence has about 88,172 residents in Essex County (U.S. Census Bureau, Vintage 2023 population estimates). We ship here as its own destination. Typical transit after dispatch is 2–4 business days.
We do not operate a compounding bench in Lawrence. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Lawrence are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Essex County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
From Palm Harbor, Florida to Lawrence, typical ground after dispatch is 2–4 business days. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan.
A mid-size market like Lawrence still lives or dies on repeat fills. Repeat fills of NAD+ compounds only work if next month’s Rx does not sit in a mystery queue. Portal ordering, a named account manager, and a five-day compounding clock are the unglamorous parts that keep a panel intact.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Lawrence accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Credentialing is not a formality. We check an active Massachusetts-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 Lawrence sits with the Massachusetts Board of Registration in Pharmacy.
Massachusetts has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Lawrence 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 Massachusetts 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 2–4 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lawrence storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Lawrence | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Lawrence 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 |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Questions we actually get
Massachusetts compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Lawrence storefront.