Hormone Replacement
Estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms — compounded in Palm Harbor, Florida and shipped to Savannah, GA. 147,748 residents in Chatham County. No local bench.
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For women’s health and menopause clinics in Savannah, 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. Savannah is a mid-size city of about 147,748 residents in Chatham County (U.S. Census Bureau, Vintage 2023 population estimates). Fulfillment target is five business days in the pharmacy, plus 1–2 business days in transit.
Service area — shipping, not a storefront
Savannah is a mid-size city of about 147,748 residents in Chatham County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Savannah panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Savannah in Chatham County (147,748 residents, U.S. Census Bureau, Vintage 2023 population estimates) combines heat and humidity. Refrigerated compounds into this city need insulated packaging even when the drive from Florida is short.
A mid-size market like Savannah still lives or dies on repeat fills. Repeat fills of HRT compounds only work if next month’s Rx does not sit in a mystery queue. Portal ordering, a named account manager, and a five-day compounding clock are the unglamorous parts that keep a panel intact.
Credentialing is not a formality. We check an active Georgia-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders HRT compounds. Testosterone and other controlled substances also need DEA registration.
Savannah combines heat and humidity, which is harder on packaging than dry heat alone. Most 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 1–2 business days.
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 Savannah sits with the Georgia Board of Pharmacy.
Georgia permits nonresident pharmacies to ship compounded medications with proper licensure. Verify a pharmacy license on the Georgia Board of Pharmacy site rather than trusting a marketing page, including this one.
We do not operate a compounding bench in Savannah. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific HRT compounds for Savannah are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Chatham County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Standard compounding time is five business days. After that, Savannah should plan on 1–2 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Savannah storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Savannah | Retail counter or mail-order PBM rules |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Savannah transit & packaging | From Palm Harbor; typical 1–2 business days; insulated when the compound needs it | Local pickup or a chain that may not compound this Rx |
Ordering
Active Georgia 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 1–2 business days. Refrigerated compounds go insulated.
Questions we actually get
Georgia compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Savannah storefront.