NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Sioux City clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Clinics in Sioux City can order NAD+ compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. Sioux City is a mid-size city of about 85,727 residents in Woodbury County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 2–4 business days.
Service area — shipping, not a storefront
We support Sioux City clinics with injectable and IV NAD+ preparations, prepared at our 503A pharmacy and shipped to Woodbury County.
Sioux City has about 85,727 residents in Woodbury County (U.S. Census Bureau, Vintage 2023 population estimates). We ship here as its own destination. Typical transit after dispatch is 2–4 business days.
We do not operate a compounding bench in Sioux City. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Sioux 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 Sioux City.
Credentialing is not a formality. We check an active Iowa-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Sioux City is a mid-size city of about 85,727 residents in Woodbury County (U.S. Census Bureau, Vintage 2023 population estimates). Wellness, longevity, and aesthetics clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
Every tested batch has a Certificate of Analysis in the provider portal. If a Sioux City medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
From Palm Harbor, Florida to Sioux City, typical ground after dispatch is 2–4 business days. Refrigerated preparations for NAD+ compounds ship in insulated packaging with season-appropriate cold packs.
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 Iowa Board of Pharmacy can tell you how Iowa expects a nonresident pharmacy to document that.
Iowa allows licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Iowa Board of Pharmacy site for current licensure information.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Sioux City storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Sioux City | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Sioux City transit & packaging | From Palm Harbor; typical 2–4 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Ordering
Active Iowa 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 2–4 business days. Refrigerated compounds go insulated.
Questions we actually get
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Sioux City storefront.