Bioidentical Hormones
A commercial product that cannot follow the ratio on this morning’s labs — that’s why Lewiston clinics call. We compound BHRT compounds patient-by-patient and ship from Florida.
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Lewiston providers order BHRT compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Lewiston is a smaller city of about 38,404 residents in Androscoggin 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
Lewiston sits in the New England region, with about 7,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Lewiston has about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). That is not a same-day courier market. 2–4 business days from Palm Harbor is the planning number, and we ship to Lewiston as Lewiston — not as a satellite of a larger metro.
Maine has expanded telehealth legislation and permits nonresident pharmacies to ship to Maine patients. Verify a pharmacy license on the Maine 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 Lewiston sits with the Maine Board of Pharmacy.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Lewiston accounts go to our compounding team in Palm Harbor.
Credentialing is not a formality. We check an active Maine-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders BHRT compounds. Testosterone and other controlled substances also need DEA registration.
A smaller market like Lewiston needs reliable repeat fills. We support repeat prescriptions for BHRT compounds with portal ordering, a named account manager, and five-day compounding.
We do not operate a compounding bench in Lewiston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Lewiston 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 Lewiston.
Standard compounding time is five business days. After that, Lewiston should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lewiston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Lewiston | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Lewiston 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 Maine 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
Maine compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Lewiston storefront.