Hormone Therapy
A credentialed 503A account for TRT, HRT, and BHRT practices in Flint. Five-day compounding, then about 2–4 business days in transit. Census: 79,661 (U.S. Census Bureau, Vintage 2023 population estimates).
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For TRT, HRT, and BHRT practices in Flint, Promise Pharmacy compounds testosterone, estradiol, progesterone, DHEA, and combination hormone preparations on a patient-specific prescription, then ships from Palm Harbor, Florida. Flint is a mid-size city of about 79,661 residents in Genesee 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
Flint sits in the Midwest region, with about 44,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Flint (79,661 in Genesee 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.
Flint is in Genesee County. We ship patient-specific compounds to clinics and patients in Flint.
Every tested batch has a Certificate of Analysis in the provider portal. If a Flint medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders hormone 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 TRT, HRT, and BHRT practices in Flint 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.
USP chapters 795, 797, and 800 are the compounding standards we work to. Chapter 797 addresses sterile compounding, and Chapter 800 addresses hazardous drug handling. The Michigan Board of Pharmacy can tell you how Michigan expects a nonresident pharmacy to document that.
We do not operate a compounding bench in Flint. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Flint 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 Flint.
Winter in Michigan delays trucks and freezes doorsteps. Most preparations for hormone 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 Flint 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.
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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Flint storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Flint 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 |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Flint storefront.