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.
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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
We compound NAD+ compounds in Palm Harbor and ship to licensed providers and their patients in Pearl City, Hawaii.
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.
Pearl City combines heat and humidity, which is harder on packaging than dry heat alone. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs. 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. Discuss any expedited requirements during your onboarding call.
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. Chapter 797 addresses sterile compounding, and Chapter 800 addresses hazardous drug handling. 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 compounds for Pearl City 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 Pearl City.
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.
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 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 |
| 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.