NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Richmond clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Richmond providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Richmond is a smaller city of about 37,206 residents in Madison County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 1–3 business days.
Service area — shipping, not a storefront
Richmond is a smaller city of about 37,206 residents in Madison County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Richmond panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Central Kentucky accounts are easy to flatten into “Louisville/Lexington” on a national template. We ship to the city on the Rx — Richmond is Madison County, not a Louisville suburb.
Kentucky supports licensed nonresident pharmacy operations and has expanded telehealth prescribing access. Verify a pharmacy license on the Kentucky Board of Pharmacy site rather than trusting a marketing page, including this one.
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 Richmond sits with the Kentucky Board of Pharmacy.
From Palm Harbor, Florida to Richmond, typical ground after dispatch is 1–3 business days. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan.
Every tested batch has a Certificate of Analysis in the provider portal. If a Richmond medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Richmond is in Madison County. We print that on this page because national pharmacy templates love to say “Greater Kentucky.” Greater Kentucky is not an address.
We do not operate a compounding bench in Richmond. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Richmond are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Madison County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Richmond accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Ordering
Active Kentucky 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 1–3 business days. Refrigerated compounds go insulated.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Richmond storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Richmond transit & packaging | From Palm Harbor; typical 1–3 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in Richmond | Retail counter or mail-order PBM rules |
| 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Kentucky compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Richmond storefront.