NAD+
Injectable and IV NAD+ preparations — compounded in Palm Harbor, Florida and shipped to Sterling Heights, MI. 133,306 residents in Macomb County. No local bench.
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Ordering NAD+ compounds in Sterling Heights is a shipping relationship with a Florida 503A pharmacy. Sterling Heights is a mid-size city of about 133,306 residents in Macomb County (U.S. Census Bureau, Vintage 2023 population estimates). The Michigan Board of Pharmacy is the state regulator we answer to on nonresident shipments into Michigan.
Service area — shipping, not a storefront
The useful question is not “does Promise Pharmacy serve Sterling Heights?” It is “can a Michigan license, a five-day compounding SLA, and 2–4 business days of transit cover the way this clinic actually doses NAD+ compounds?” For most wellness, longevity, and aesthetics clinics, the answer is yes.
Sterling Heights (133,306 in Macomb County, U.S. Census Bureau, Vintage 2023 population estimates) loses winter days to weather. An unattended porch is a worse destination than a staffed suite when the compound is temperature-sensitive. Typical transit is 2–4 business days.
We do not operate a compounding bench in Sterling Heights. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Sterling Heights are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Macomb 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 Sterling Heights accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
A mid-size market like Sterling Heights still lives or dies on repeat fills. Repeat fills of NAD+ compounds only work if next month’s Rx does not sit in a mystery queue. Portal ordering, a named account manager, and a five-day compounding clock are the unglamorous parts that keep a panel intact.
Standard compounding time is five business days. After that, Sterling Heights 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.
Winter in Michigan delays trucks and freezes doorsteps. Refrigerated NAD+ compounds ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. If a Sterling Heights clinic would rather take delivery at the suite than leave a carton on a stoop over a weekend, we ship to the suite. 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 Sterling Heights sits with the Michigan Board of Pharmacy.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Sterling Heights are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and Ryan Haight is not waived by a friendly state telehealth statute. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding rather than restating it on every city URL.
Ordering
Active Michigan 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 Sterling Heights storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| 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 |
| Sterling Heights 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 |
| Ship-to | Clinic or patient in Sterling Heights | Retail counter or mail-order PBM rules |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Sterling Heights storefront.