Hormone Replacement
Fixed commercial HRT doses that do not match the labs sitting on the desk — that’s why North Las Vegas clinics call. We compound HRT compounds patient-by-patient and ship from Florida.
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Clinics in North Las Vegas can order HRT compounds through a credentialed 503A account, with five-day compounding and packaging selected for the shipping conditions. North Las Vegas is a large city of about 284,771 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). Transit after dispatch is typically 3–5 business days.
Service area — shipping, not a storefront
Providers in North Las Vegas can discuss patient-specific strengths, dosage forms, and availability for HRT compounds with our compounding team.
North Las Vegas sits in Clark County (284,771 residents, U.S. Census Bureau, Vintage 2023 population estimates). Desert heat on the last mile is the packaging constraint. Direct-to-patient and clinic ship-to both have to survive that climate; a cardboard mailer does not.
We do not operate a compounding bench in North Las Vegas. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for North Las Vegas 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 North Las Vegas.
Every tested batch has a Certificate of Analysis in the provider portal. If a North Las Vegas medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
North Las Vegas is in Clark County. We ship patient-specific compounds to clinics and patients in North Las Vegas.
Summer air temperatures in North Las Vegas routinely climb past what a vial should sit in on a porch. 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. Typical transit after dispatch is 3–5 business days. In June–September, a Friday ship-to-home is the risky pattern — the carton can sit through a weekend at a desert hub. Clinic delivery or a Monday–Wednesday portal cutoff can help reduce weekend delays.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from North Las Vegas accounts go to our compounding team in Palm Harbor.
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 Nevada State Board of Pharmacy can tell you how Nevada expects a nonresident pharmacy to document that.
Nevada has broad telehealth prescribing parity compared with many states, which is why video-first women’s health and menopause clinics in North Las Vegas 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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a North Las Vegas storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| North Las Vegas transit & packaging | From Palm Harbor; typical 3–5 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
| Ship-to | Clinic or patient in North Las Vegas | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
Ordering
Active Nevada 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 3–5 business days. Refrigerated compounds go insulated.
Questions we actually get
Nevada compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a North Las Vegas storefront.