Bioidentical Hormones
Lab-guided bioidentical estradiol, progesterone, testosterone, DHEA, pregnenolone, BiEst, and TriEst — compounded in Palm Harbor, Florida and shipped to Cedar Rapids, IA. 135,958 residents in Linn County. No local bench.
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For BHRT and integrative practices in Cedar Rapids, Promise Pharmacy compounds lab-guided bioidentical estradiol, progesterone, testosterone, DHEA, pregnenolone, BiEst, and TriEst on a patient-specific prescription, then ships from Palm Harbor, Florida. Cedar Rapids is a mid-size city of about 135,958 residents in Linn 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 support Cedar Rapids clinics with lab-guided bioidentical estradiol, progesterone, testosterone, DHEA, pregnenolone, BiEst, and TriEst, prepared at our 503A pharmacy and shipped to Linn County.
Cedar Rapids has about 135,958 residents in Linn 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.
Iowa allows licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Iowa Board of Pharmacy site for current licensure information.
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 Cedar Rapids sits with the Iowa Board of Pharmacy.
Standard compounding time is five business days. After that, Cedar Rapids should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
Credentialing is not a formality. We check an active Iowa-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders BHRT compounds. Testosterone and other controlled substances also need DEA registration.
Cedar Rapids is in Linn County. We ship patient-specific compounds to clinics and patients in Cedar Rapids.
We do not operate a compounding bench in Cedar Rapids. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Cedar Rapids 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 Cedar Rapids.
Every tested batch has a Certificate of Analysis in the provider portal. If a Cedar Rapids medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Ordering
Active Iowa 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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Cedar Rapids storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Cedar Rapids 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 |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Ship-to | Clinic or patient in Cedar Rapids | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
Questions we actually get
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Cedar Rapids storefront.