NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Miramar clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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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 Miramar, FL — Miramar is a mid-size city of about 138,319 residents in Broward County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 1–2 business days. There is no Miramar storefront.
Service area — shipping, not a storefront
Miramar sits in the Southeast region, with about 92,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Miramar in Broward County (138,319 residents, U.S. Census Bureau, Vintage 2023 population estimates) combines heat and humidity. Refrigerated compounds into this city need insulated packaging even when the drive from Florida is short.
We do not operate a compounding bench in Miramar. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Miramar 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 Miramar.
Every tested batch has a Certificate of Analysis in the provider portal. If a Miramar medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Independent clinics, multi-site groups, and telehealth programs in Miramar all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package.
Standard compounding time is five business days. After that, Miramar should plan on 1–2 business days in transit. Discuss any expedited requirements during your onboarding call.
Credentialing is not a formality. We check an active Florida-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 Miramar sits with the Florida Board of Pharmacy.
Florida has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Miramar 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.
Ordering
Active Florida 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 1–2 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Miramar 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 |
| Miramar transit & packaging | From Palm Harbor; typical 1–2 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
Questions we actually get
Florida compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Miramar storefront.