Hormone Therapy
Testosterone, estradiol, progesterone, DHEA, and combination hormone preparations — compounded in Palm Harbor, Florida and shipped to Lewiston, ME. 38,404 residents in Androscoggin County. No local bench.
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For TRT, HRT, and BHRT practices in Lewiston, Promise Pharmacy compounds testosterone, estradiol, progesterone, DHEA, and combination hormone preparations 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. That statewide figure is not a Lewiston headcount — and we are not going to invent one. What we can say is how the work is done: patient-specific hormone therapy compounding under 503A, shipped 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.
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 Lewiston sits with the Maine Board of Pharmacy.
Maine has broad telehealth prescribing parity compared with many states, which is why video-first TRT, HRT, and BHRT practices in Lewiston are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and Ryan Haight is not waived by a friendly state telehealth statute. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding rather than restating it on every city URL.
Every tested batch has a Certificate of Analysis in the provider portal. If a Lewiston medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Standard compounding time is five business days. After that, Lewiston 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.
Lewiston is a smaller city of about 38,404 residents in Androscoggin County (U.S. Census Bureau, Vintage 2023 population estimates). TRT, HRT, and BHRT practices 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 Lewiston. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific hormone compounds for Lewiston are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Androscoggin County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Winter in Maine delays trucks and freezes doorsteps. Most hormone 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.
Hormone 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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Lewiston storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| Ship-to | Clinic or patient in Lewiston | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
| Account model | Credentialed provider account + named manager | Retail profile or PBM network |
| 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
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.