NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why North Las Vegas clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Ordering NAD+ compounds in North Las Vegas is a shipping relationship with a Florida 503A pharmacy. North Las Vegas is a large city of about 284,771 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). The Nevada State Board of Pharmacy is the state regulator we answer to on nonresident shipments into Nevada.
Service area — shipping, not a storefront
North Las Vegas sits in the Southwest region, with about 12,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
North Las Vegas sits in Clark County (284,771 residents, U.S. Census Bureau, Vintage 2023 population estimates). Desert heat on the last mile is the packaging constraint. Direct-to-patient and clinic ship-to both have to survive that climate; a cardboard mailer does not.
A large market like North Las Vegas needs reliable repeat fills. We support repeat prescriptions for NAD+ compounds with portal ordering, a named account manager, and five-day compounding.
Standard compounding time is five business days. After that, North Las Vegas should plan on 3–5 business days in transit. Discuss any expedited requirements during your onboarding call.
Summer air temperatures in North Las Vegas routinely climb past what a vial should sit in on a porch. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs. Typical transit after dispatch is 3–5 business days. In June–September, a Friday ship-to-home is the risky pattern — the carton can sit through a weekend at a desert hub. Clinic delivery or a Monday–Wednesday portal cutoff can help reduce weekend delays.
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 Nevada State Board of Pharmacy can tell you how Nevada expects a nonresident pharmacy to document that.
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 North Las Vegas sits with the Nevada State Board of Pharmacy.
We do not operate a compounding bench in North Las Vegas. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for North Las Vegas 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 North Las Vegas.
Every tested batch has a Certificate of Analysis in the provider portal. If a North Las Vegas medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Ordering
Active Nevada 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 3–5 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a North Las Vegas storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Ship-to | Clinic or patient in North Las Vegas | Retail counter or mail-order PBM rules |
| 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 |
| North Las Vegas 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 |
Questions we actually get
Nevada compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a North Las Vegas storefront.