Hormone Replacement
Fixed commercial HRT doses that do not match the labs sitting on the desk — that’s why Sterling Heights 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 Sterling Heights, MI — Sterling Heights is a mid-size city of about 133,306 residents in Macomb County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 2–4 business days. There is no Sterling Heights storefront.
Service area — shipping, not a storefront
We support Sterling Heights clinics with estradiol, progesterone, DHEA, pregnenolone, BiEst, and TriEst in oral, topical, and sublingual forms, prepared at our 503A pharmacy and shipped to Macomb County.
Sterling Heights (133,306 in Macomb 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.
Sterling Heights is a mid-size city of about 133,306 residents in Macomb 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.
Standard compounding time is five business days. After that, Sterling Heights should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
Winter in Michigan 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 Sterling Heights 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.
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.
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 Sterling Heights sits with the Michigan Board of Pharmacy.
We do not operate a compounding bench in Sterling Heights. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Sterling Heights 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 Sterling Heights.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders HRT compounds. Testosterone and other controlled substances also need DEA registration.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Sterling Heights storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Sterling Heights 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 |
| Ship-to | Clinic or patient in Sterling Heights | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
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 Sterling Heights storefront.