NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Reno, NV. 274,915 residents in Washoe County. No local bench.
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Ordering NAD+ compounds in Reno is a shipping relationship with a Florida 503A pharmacy. Reno is a large city of about 274,915 residents in Washoe 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
Reno is a large city of about 274,915 residents in Washoe County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Reno panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Reno sits in Washoe County (274,915 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 Reno 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.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Reno accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Summer air temperatures in Reno routinely climb past what a vial should sit in on a porch. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. 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 is the practical fix, not a local bench.
Nevada supports telehealth-to-pharmacy workflows and permits licensed nonresident compounding pharmacies to ship prescriptions. Verify a pharmacy license on the Nevada State 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 Nevada State Board of Pharmacy can tell you how Nevada expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Reno. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Reno are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Washoe 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 Nevada-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Reno storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Reno | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Reno 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 |
Ordering
Active Nevada 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.
Questions we actually get
Nevada compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Reno storefront.