Sexual Health
Sildenafil, tadalafil, oxytocin, and custom combination formulations — 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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North Las Vegas providers order sexual health compounds from Promise Pharmacy as a licensed nonresident 503A, not as a local retail counter. North Las Vegas is a large city of about 284,771 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). Compounds leave Palm Harbor under 21 U.S.C. § 353a and usually arrive in 3–5 business days.
Service area — shipping, not a storefront
North Las Vegas is a large city of about 284,771 residents in Clark County (U.S. Census Bureau, Vintage 2023 population estimates). We support practices in North Las Vegas with clinic delivery and direct-to-patient shipping.
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.
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 compounds for North Las Vegas 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 North Las Vegas.
Standard compounding time is five business days. After that, North Las Vegas should plan on 3–5 business days in transit. Discuss any expedited requirements during your onboarding call.
North Las Vegas is in Clark County. We ship patient-specific compounds to clinics and patients in North Las Vegas.
Summer air temperatures in North Las Vegas routinely climb past what a vial should sit in on a porch. Most preparations for sexual health 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 3–5 business days. In June–September, a Friday ship-to-home is the risky pattern — the carton can sit through a weekend at a desert hub. Clinic delivery or a Monday–Wednesday portal cutoff can help reduce weekend delays.
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.
Nevada supports telehealth-to-pharmacy workflows and permits licensed nonresident compounding pharmacies to ship prescriptions. Verify a pharmacy license on the Nevada State Board of Pharmacy site for current licensure information.
Nevada has broad telehealth prescribing parity compared with many states, which is why video-first urology, men’s health, and women’s wellness practices in North Las Vegas are a normal account type for us. Controlled substances are still federal: testosterone remains Schedule III, and state telehealth laws do not waive Ryan Haight requirements. For the underlying 503A vs 503B split, we keep a longer explainer on 503A vs 503B compounding.
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 | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Ship-to | Clinic or patient in North Las Vegas | Retail counter or mail-order PBM rules |
| 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 |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer COA |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Ordering
Active Nevada 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 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.