NAD+
A credentialed 503A account for wellness, longevity, and aesthetics clinics in Westland. Five-day compounding, then about 2–4 business days in transit. Census: 82,574 (U.S. Census Bureau, Vintage 2023 population estimates).
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Westland providers order NAD+ compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Westland is a mid-size city of about 82,574 residents in Wayne 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
The useful question is not “does Promise Pharmacy serve Westland?” 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.
Westland (82,574 in Wayne 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.
A mid-size market like Westland 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.
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 Westland 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.
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.
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 Westland 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 Westland 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.
We do not operate a compounding bench in Westland. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific NAD+ compounds for Westland are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Wayne 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 Westland accounts go to the same compounding team — not a city-specific pharmacist we invented for this 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 Westland storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Westland 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 |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Ship-to | Clinic or patient in Westland | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| 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 Westland storefront.