NAD+
NAD+ supply that cannot keep a weekly IV calendar — that’s why Troy clinics call. We compound NAD+ compounds patient-by-patient and ship from Florida.
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For wellness, longevity, and aesthetics clinics in Troy, Promise Pharmacy compounds injectable and IV NAD+ preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Troy is a mid-size city of about 87,339 residents in Oakland County (U.S. Census Bureau, Vintage 2023 population estimates). Fulfillment target is five business days in the pharmacy, plus 2–4 business days in transit.
Service area — shipping, not a storefront
We compound NAD+ compounds in Palm Harbor and ship to licensed providers and their patients in Troy, Michigan.
Troy (87,339 in Oakland 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 Troy. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Troy 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 Troy.
Every tested batch has a Certificate of Analysis in the provider portal. If a Troy medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Troy is in Oakland County. We ship patient-specific compounds to clinics and patients in Troy.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Troy accounts go to our compounding team in Palm Harbor.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders NAD+ compounds. Testosterone and other controlled substances also need DEA registration.
Michigan has broad telehealth prescribing parity compared with many states, which is why video-first wellness, longevity, and aesthetics clinics in Troy are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and state telehealth laws do not waive Ryan Haight requirements. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding.
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 Troy sits with the Michigan Board of Pharmacy.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Troy storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in Troy | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Troy 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 Michigan 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
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Troy storefront.