NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Palm Coast, FL. 102,113 residents in Flagler County. No local bench.
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Palm Coast providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Palm Coast is a mid-size city of about 102,113 residents in Flagler County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 1–2 business days.
Service area — shipping, not a storefront
We get the same first email from Palm Coast as from everywhere else: the commercial version of NAD+ compounds is awkward (wrong dose, wrong form, or not in stock), and the clinic does not want to send patients to a retail counter. That is the job. The rest is logistics.
Palm Coast in Flagler County (102,113 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.
A mid-size market like Palm Coast still lives or dies on repeat fills. Repeat fills of NAD+ compounds only work if next month’s Rx does not sit in a mystery queue. Portal ordering, a named account manager, and a five-day compounding clock are the unglamorous parts that keep a panel intact.
Palm Coast combines heat and humidity, which is harder on packaging than dry heat alone. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. Typical transit after dispatch is 1–2 business days.
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.
Florida has a large provider market with strong telehealth adoption and favorable compounding regulations under 503A. Verify a pharmacy license on the Florida Board of Pharmacy site rather than trusting a marketing page, including this one.
USP chapters 795, 797, and 800 are the compounding standards we work to — not a slogan. Sterile work is a 797 problem; hazardous handling is an 800 problem. The Florida Board of Pharmacy can tell you how Florida expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Palm Coast. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Palm Coast are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Flagler County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Standard compounding time is five business days. After that, Palm Coast should plan on 1–2 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Ordering
Active Florida 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 1–2 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Palm Coast storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Palm Coast 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 |
| Ship-to | Clinic or patient in Palm Coast | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Florida compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Palm Coast storefront.