Hormone Therapy
Testosterone, estradiol, progesterone, DHEA, and combination hormone preparations — compounded in Palm Harbor, Florida and shipped to Sioux City, IA. 85,727 residents in Woodbury County. No local bench.
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Sioux City providers order hormone compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. Sioux City is a mid-size city of about 85,727 residents in Woodbury County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 2–4 business days.
Service area — shipping, not a storefront
We support Sioux City clinics with testosterone, estradiol, progesterone, DHEA, and combination hormone preparations, prepared at our 503A pharmacy and shipped to Woodbury County.
Sioux City has about 85,727 residents in Woodbury County (U.S. Census Bureau, Vintage 2023 population estimates). We ship here as its own destination. Typical transit after dispatch is 2–4 business days.
We do not operate a compounding bench in Sioux City. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific compounds for Sioux City 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 Sioux City.
Amy Patel, RPh, our COO, has more than 25 years in sterile compounding. Clinical questions from Sioux City accounts go to our compounding team in Palm Harbor.
Sioux City is a mid-size city of about 85,727 residents in Woodbury 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.
Standard compounding time is five business days. After that, Sioux City should plan on 2–4 business days in transit. Discuss any expedited requirements during your onboarding call.
From Palm Harbor, Florida to Sioux City, typical ground after dispatch is 2–4 business days. Most preparations for hormone compounds in this category do not require frozen packing, but we still choose packaging for the weather the carton will actually sit in.
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 Sioux City sits with the Iowa Board of Pharmacy.
Iowa allows licensed nonresident pharmacies to ship compounded prescriptions with proper licensure. Verify a pharmacy license on the Iowa Board of Pharmacy site for current licensure information.
Ordering
Active Iowa 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.
How this actually differs
This is a shipping 503A relationship with a Florida pharmacy — not a Sioux City storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| 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 |
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Sioux City 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
Iowa compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Sioux City storefront.