Hormone Replacement
Estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms — compounded in Palm Harbor, Florida and shipped to Ann Arbor, MI. 119,381 residents in Washtenaw County. No local bench.
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For women’s health and menopause clinics in Ann Arbor, 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. Ann Arbor is a mid-size city of about 119,381 residents in Washtenaw 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
Ann Arbor 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.
Ann Arbor (119,381 in Washtenaw 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.
We do not operate a compounding bench in Ann Arbor. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Ann Arbor 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 Ann Arbor.
Standard compounding time is five business days. After that, Ann Arbor should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
Ann Arbor is in Washtenaw County. We ship patient-specific compounds to clinics and patients in Ann Arbor.
Every tested batch has a Certificate of Analysis in the provider portal. If a Ann Arbor medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Ann Arbor accounts go to our compounding team in Palm Harbor.
Michigan permits licensed nonresident pharmacies to ship compounded prescriptions and has a large healthcare provider workforce. Verify a pharmacy license on the Michigan Board of Pharmacy site for current licensure information.
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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Ann Arbor storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Ann Arbor | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ann Arbor 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 |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
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.
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Ann Arbor storefront.