NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to St Louis, MO. 281,754 residents in St. Louis City. No local bench.
Get Provider Access
Talk with our clinical team about GLP-1, hormones, aesthetics, and specialty compounding. We'll verify your credentials and get you up and running.
Schedule a Call →By scheduling, you agree to our Privacy Policy.
St Louis providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. St Louis is a large city of about 281,754 residents in St. Louis City (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
St Louis is a large city of about 281,754 residents in St. Louis City (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a St Louis panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
St. Louis City is an independent city, not a county suburb of itself. We ship to the city and to St. Louis County as separate destinations so labels match the patient address the prescriber actually wrote.
St Louis is in St. Louis City. We print that on this page because national pharmacy templates love to say “Greater Missouri.” Greater Missouri is not an address.
Every tested batch has a Certificate of Analysis in the provider portal. If a St Louis 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 St Louis, 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.
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 St Louis sits with the Missouri Board of 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 Missouri Board of Pharmacy can tell you how Missouri expects a nonresident pharmacy to document that.
We do not operate a compounding bench in St Louis. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for St Louis are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on St. Louis City 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 St Louis accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a St Louis storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in St Louis | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| St Louis 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 |
Ordering
Active Missouri 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
Missouri compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a St Louis storefront.