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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A Sioux City clinic that needs NAD+ compounds does not need us to rent space in Woodbury County. It needs a credentialed 503A account, a five-day compounding clock, and packaging that survives the trip. 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
Most Sioux City clinics that call us are not shopping for a second storefront. They already have a protocol. What they do not have is a 503A bench that will compound injectable and IV NAD+ preparations for the patient on the Rx and get it to Woodbury County without turning into a shortage story.
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 NAD+ compounds for Sioux City are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Woodbury 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 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 NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan.
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 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 rather than trusting a marketing page, including this one.
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, not yours to pull per patient |
| 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.
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 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.