Bioidentical Hormones
A commercial product that cannot follow the ratio on this morning’s labs — that’s why Portland clinics call. We compound BHRT compounds patient-by-patient and ship from Florida.
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For BHRT and integrative practices in Portland, 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. Portland is a mid-size city of about 69,104 residents in Cumberland 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
Portland is a mid-size city of about 69,104 residents in Cumberland County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Portland with clinic delivery and direct-to-patient shipping.
Portland (69,104 in Cumberland 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.
Maine has broad telehealth prescribing parity compared with many states, which is why video-first BHRT and integrative practices in Portland 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 Portland sits with the Maine Board of Pharmacy.
Winter in Maine delays trucks and freezes doorsteps. Most preparations for BHRT compounds in this category do not require frozen packing, but we still choose packaging for the weather the carton will actually sit in. If a Portland 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.
Standard compounding time is five business days. After that, Portland should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
A mid-size market like Portland 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 Portland. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Portland 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 Portland.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Portland accounts go to our compounding team in Palm Harbor.
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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Portland storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Portland 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Ship-to | Clinic or patient in Portland | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
Questions we actually get
Maine compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Portland storefront.