Hormone Therapy
Testosterone, estradiol, progesterone, DHEA, and combination hormone preparations — compounded in Palm Harbor, Florida and shipped to North Las Vegas, NV. 284,771 residents in Clark County. No local bench.
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Ordering hormone compounds in North Las Vegas is a shipping relationship with a Florida 503A pharmacy. North Las Vegas is a large city of about 284,771 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). The Nevada State Board of Pharmacy is the state regulator we answer to on nonresident shipments into Nevada.
Service area — shipping, not a storefront
If you practice in North Las Vegas, the honest version of this page is simple: we compound hormone compounds in Palm Harbor, we are licensed to ship into Nevada, and we will not pretend a USPS tracking number is a local pharmacist down the street.
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.
USP chapters 795, 797, and 800 are the compounding standards we work to — not a slogan. Sterile work is a 797 problem; hazardous handling is an 800 problem. 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 TRT, HRT, and BHRT practices in North Las Vegas 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.
Standard compounding time is five business days. After that, North Las Vegas should plan on 3–5 business days in transit. If your protocol cannot survive that clock, say so on the onboarding call — expedite exists, magic does not.
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.
Independent clinics, multi-site groups, and telehealth programs in North Las Vegas all write hormone compounds differently. The compounding constraint is the same: one patient, one prescription, one labeled package — not a crate of stock bottles for the fridge.
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 hormone compounds for North Las Vegas are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Clark County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from North Las Vegas accounts go to the same compounding team — not a city-specific pharmacist we invented for this URL.
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 |
| 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 |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Ship-to | Clinic or patient in North Las Vegas | Retail counter or mail-order PBM rules |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
Ordering
Active Nevada 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 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.