Hormone Replacement
Estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms — compounded in Palm Harbor, Florida and shipped to Lewiston, ME. 38,404 residents in Androscoggin County. No local bench.
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For women’s health and menopause clinics in Lewiston, 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. Lewiston is a smaller city of about 38,404 residents in Androscoggin 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
Lewiston sits in the New England region, with about 7,000+ licensed prescribers statewide. This figure is a statewide estimate. We prepare patient-specific prescriptions under 503A and ship them from Florida.
Lewiston has about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). That is not a same-day courier market. 2–4 business days from Palm Harbor is the planning number, and we ship to Lewiston as Lewiston — not as a satellite of a larger metro.
Maine has broad telehealth prescribing parity compared with many states, which is why video-first women’s health and menopause clinics in Lewiston 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 Maine Board of Pharmacy can tell you how Maine expects a nonresident pharmacy to document that.
Credentialing is not a formality. We check an active Maine-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders HRT compounds. Testosterone and other controlled substances also need DEA registration.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Lewiston accounts go to our compounding team in Palm Harbor.
Lewiston is in Androscoggin County. We ship patient-specific compounds to clinics and patients in Lewiston.
We do not operate a compounding bench in Lewiston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Lewiston 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 Lewiston.
Winter in Maine delays trucks and freezes doorsteps. Most preparations for HRT 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 Lewiston 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 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 Lewiston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in Lewiston | Retail counter or mail-order PBM rules |
| Lewiston 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 |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| 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 Lewiston storefront.