NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Missoula. Five-day compounding, then about 3–5 business days in transit. Census: 77,757 (U.S. Census Bureau, Vintage 2023 population estimates).
Get Provider Access
Talk with our clinical team about GLP-1, hormones, aesthetics, and specialty compounding. We'll verify your credentials and get you up and running.
Schedule a Call →By scheduling, you agree to our Privacy Policy.
Missoula providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Missoula is a mid-size city of about 77,757 residents in Missoula County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 3–5 business days.
Service area — shipping, not a storefront
Missoula sits in the Mountain West region, with about 4,800+ licensed prescribers statewide. That statewide figure is not a Missoula headcount — and we are not going to invent one. What we can say is how the work is done: patient-specific NAD+ compounding under 503A, shipped from Florida.
Missoula (77,757 in Missoula County, U.S. Census Bureau, Vintage 2023 population estimates) loses winter days to weather. An unattended porch is a worse destination than a staffed suite when the compound is temperature-sensitive. Typical transit is 3–5 business days.
Montana permits licensed nonresident pharmacies to ship compounded prescriptions and has a growing telehealth infrastructure serving rural communities. Verify a pharmacy license on the Montana Board of Pharmacy site rather than trusting a marketing page, including this one.
Montana has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Missoula 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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Missoula accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Standard compounding time is five business days. After that, Missoula should plan on 3–5 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Independent clinics, multi-site groups, and telehealth programs in Missoula all write NAD+ compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
We do not operate a compounding bench in Missoula. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Missoula are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Missoula County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Credentialing is not a formality. We check an active Montana-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Ordering
Active Montana 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 3–5 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Missoula storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Missoula | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Missoula 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 |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Questions we actually get
Montana compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Missoula storefront.