NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Lewiston. Five-day compounding, then about 2–4 business days in transit. Census: 38,404 (U.S. Census Bureau, Vintage 2023 population estimates).
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Clinics in Lewiston can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Lewiston is a smaller city of about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
We support Lewiston clinics with injectable and IV NAD+ preparations, prepared at our 503A pharmacy and shipped to Androscoggin County.
Lewiston has about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). That is not a same-day courier market. 2–4 business days from Palm Harbor is the planning number, and we ship to Lewiston as Lewiston — not as a satellite of a larger metro.
Lewiston is a smaller city of about 38,404 residents in Androscoggin 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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Lewiston accounts go to our compounding team in Palm Harbor.
Standard compounding time is five business days. After that, Lewiston should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
USP chapters 795, 797, and 800 are the compounding standards we work to. Chapter 797 addresses sterile compounding, and Chapter 800 addresses hazardous drug handling. The Maine Board of Pharmacy can tell you how Maine expects a nonresident pharmacy to document that.
Maine has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Lewiston 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 Lewiston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Lewiston 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 Lewiston.
Winter in Maine delays trucks and freezes doorsteps. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs. If a Lewiston clinic would rather take delivery at the suite than leave a carton on a stoop over a weekend, we ship to the suite. Typical transit after dispatch is 2–4 business days.
Ordering
Active Maine 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 2–4 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lewiston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Lewiston | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Lewiston 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Maine compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Lewiston storefront.