NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Pearl City clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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.
Pearl City providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Pearl City is a smaller city of about 45,295 residents in Honolulu County (U.S. Census Bureau, 2020 Decennial Census). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 4–7 business days.
Service area — shipping, not a storefront
If you practice in Pearl City, the honest version of this page is simple: we compound NAD+ compounds in Palm Harbor, we are licensed to ship into Hawaii, and we will not pretend a USPS tracking number is a local pharmacist down the street.
Pearl City has about 45,295 residents in Honolulu County (U.S. Census Bureau, 2020 Decennial Census). That is not a same-day courier market. 4–7 business days from Palm Harbor is the planning number, and we ship to Pearl City as Pearl City — not as a satellite of a larger metro.
Independent clinics, multi-site groups, and telehealth programs in Pearl City 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.
Pearl City 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 4–7 business days.
Standard compounding time is five business days. After that, Pearl City should plan on 4–7 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
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 Pearl City sits with the Hawaii Board of Pharmacy.
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 Hawaii Board of Pharmacy can tell you how Hawaii expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Pearl City. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Pearl City are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Honolulu 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 Hawaii-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 Hawaii 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 4–7 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Pearl City storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Pearl City | Retail counter or mail-order PBM rules |
| Pearl City transit & packaging | From Palm Harbor; typical 4–7 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, not yours to pull per patient |
| 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
Hawaii compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Pearl City storefront.