Hormone Replacement
Estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms — compounded in Palm Harbor, Florida and shipped to Ames, IA. 65,686 residents in Story County. No local bench.
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For women’s health and menopause clinics in Ames, Promise Pharmacy compounds estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms on a patient-specific prescription, then ships from Palm Harbor, Florida. Ames is a mid-size city of about 65,686 residents in Story 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
Ames is a mid-size city of about 65,686 residents in Story County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in Ames with clinic delivery and direct-to-patient shipping.
Ames has about 65,686 residents in Story 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.
We do not operate a compounding bench in Ames. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Ames 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 Ames.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Ames accounts go to our compounding team in Palm Harbor.
A mid-size market like Ames needs reliable repeat fills. We support repeat prescriptions for HRT compounds with portal ordering, a named account manager, and five-day compounding.
Every tested batch has a Certificate of Analysis in the provider portal. If a Ames medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Standard compounding time is five business days. After that, Ames should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
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 Ames sits with the Iowa Board of Pharmacy.
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 Ames storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Ship-to | Clinic or patient in Ames | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Ames 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 |
Questions we actually get
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Ames storefront.