NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Lexington, KY. 320,154 residents in Fayette County. No local bench.
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Promise Pharmacy is a 503A compounding pharmacy in Palm Harbor, Florida. It prepares patient-specific NAD+ compounds and ships them to licensed providers in Lexington, KY — Lexington is a large city of about 320,154 residents in Fayette County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 1–3 business days. There is no Lexington storefront.
Service area — shipping, not a storefront
We compound NAD+ compounds in Palm Harbor and ship to licensed providers and their patients in Lexington, Kentucky.
Lexington is a large Kentucky market — about 320,154 people in Fayette County (U.S. Census Bureau, Vintage 2023 population estimates). Clinic delivery and direct-to-patient shipments are prepared at our Palm Harbor pharmacy.
We do not operate a compounding bench in Lexington. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Lexington 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 Lexington.
Credentialing is not a formality. We check an active Kentucky-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
A large market like Lexington needs reliable repeat fills. We support repeat prescriptions for NAD+ compounds with portal ordering, a named account manager, and five-day compounding.
Every tested batch has a Certificate of Analysis in the provider portal. If a Lexington medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
From Palm Harbor, Florida to Lexington, typical ground after dispatch is 1–3 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
Kentucky has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Lexington 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.
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 Kentucky Board of Pharmacy can tell you how Kentucky expects a nonresident pharmacy to document that.
Ordering
Active Kentucky 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 1–3 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lexington storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Lexington transit & packaging | From Palm Harbor; typical 1–3 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Kentucky compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Lexington storefront.