Hormone Replacement
Fixed commercial HRT doses that do not match the labs sitting on the desk — that’s why Cedar Rapids clinics call. We compound HRT compounds patient-by-patient and ship from Florida.
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Promise Pharmacy is a 503A compounding pharmacy in Palm Harbor, Florida. It prepares patient-specific HRT compounds and ships them to licensed providers in Cedar Rapids, IA — Cedar Rapids is a mid-size city of about 135,958 residents in Linn County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 2–4 business days. There is no Cedar Rapids storefront.
Service area — shipping, not a storefront
Most Cedar Rapids clinics that call us are not shopping for a second storefront. They already have a protocol. What they do not have is a 503A bench that will compound estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms for the patient on the Rx and get it to Linn County without turning into a shortage story.
Cedar Rapids has about 135,958 residents in Linn 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.
USP chapters 795, 797, and 800 are the compounding standards we work to — not a slogan. Sterile work is a 797 problem; hazardous handling is an 800 problem. The Iowa Board of Pharmacy can tell you how Iowa expects a nonresident pharmacy to document that.
Iowa allows licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Iowa Board of Pharmacy site rather than trusting a marketing page, including this one.
Standard compounding time is five business days. After that, Cedar Rapids should plan on 2–4 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
Credentialing is not a formality. We check an active Iowa-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders HRT compounds. Testosterone and other controlled substances also need DEA registration.
Cedar Rapids is a mid-size city of about 135,958 residents in Linn County (U.S. Census Bureau, Vintage 2023 population estimates). Women’s health and menopause clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
We do not operate a compounding bench in Cedar Rapids. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific HRT compounds for Cedar Rapids are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Linn County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Every tested batch has a Certificate of Analysis in the provider portal. If a Cedar Rapids medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Cedar Rapids storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Ship-to | Clinic or patient in Cedar Rapids | Retail counter or mail-order PBM rules |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Cedar Rapids 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 |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Ordering
Active Iowa prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
HRT compounds are 503A. Each patient needs their own 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
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Cedar Rapids storefront.