NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Somerville clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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Somerville providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Somerville is a mid-size city of about 80,407 residents in Middlesex County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 2–4 business days.
Service area — shipping, not a storefront
We get the same first email from Somerville as from everywhere else: the commercial version of NAD+ compounds is awkward (wrong dose, wrong form, or not in stock), and the clinic does not want to send patients to a retail counter. That is the job. The rest is logistics.
Somerville has about 80,407 residents in Middlesex 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.
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 Somerville sits with the Massachusetts Board of Registration in Pharmacy.
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 Massachusetts Board of Registration in Pharmacy can tell you how Massachusetts expects a nonresident pharmacy to document that. Massachusetts is also one of the states where nonresident compounding is not a paperwork afterthought — expect extra documentation up front.
Standard compounding time is five business days. After that, Somerville should plan on 2–4 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
From Palm Harbor, Florida to Somerville, 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.
Somerville is a mid-size city of about 80,407 residents in Middlesex 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.
We do not operate a compounding bench in Somerville. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Somerville are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Middlesex 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 Somerville accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
Ordering
Active Massachusetts 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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Somerville storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Somerville 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Ship-to | Clinic or patient in Somerville | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Massachusetts compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Somerville storefront.