Telehealth
Direct-to-patient compounding across GLP-1, hormones, sexual health, and wellness — compounded in Palm Harbor, Florida and shipped to Ann Arbor, MI. 119,381 residents in Washtenaw County. No local bench.
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Promise Pharmacy is a 503A compounding pharmacy in Palm Harbor, Florida. It prepares patient-specific telehealth fulfillment and ships them to licensed providers in Ann Arbor, MI — Ann Arbor is a mid-size city of about 119,381 residents in Washtenaw County (U.S. Census Bureau, Vintage 2023 population estimates). Typical transit after dispatch is 2–4 business days. There is no Ann Arbor storefront.
Service area — shipping, not a storefront
Ann Arbor is a mid-size city of about 119,381 residents in Washtenaw County (U.S. Census Bureau, Vintage 2023 population estimates). That number is here because it changes how a pharmacy account actually runs — a Ann Arbor panel is not the same as a rural solo shop, and we should not write the same paragraph for both.
Ann Arbor (119,381 in Washtenaw 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.
Ann Arbor is a mid-size city of about 119,381 residents in Washtenaw County (U.S. Census Bureau, Vintage 2023 population estimates). Telehealth companies and digital clinics here usually need two ship-to patterns: the suite, and the patient who never comes in. We do both on the same account.
Every tested batch has a Certificate of Analysis in the provider portal. If a Ann Arbor medical director wants the COA on file before the first patient injection, that is a normal request, not a special favor.
Credentialing is not a formality. We check an active Michigan-recognized prescribing license (MD, DO, NP, PA, or equivalent) before the account orders telehealth fulfillment. Testosterone and other controlled substances also need DEA registration.
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 Michigan Board of Pharmacy can tell you how Michigan expects a nonresident pharmacy to document that.
Michigan permits licensed nonresident pharmacies to ship compounded prescriptions and has a large healthcare provider workforce. Verify a pharmacy license on the Michigan Board of Pharmacy site rather than trusting a marketing page, including this one.
We do not operate a compounding bench in Ann Arbor. Promise Pharmacy is a 503A pharmacy at 31818 US Hwy 19 N, Palm Harbor, FL 34684. Patient-specific telehealth fulfillment for Ann Arbor are prepared there, then shipped to the clinic or the patient named on the prescription. If you need a walk-in window on Washtenaw County streets, we are the wrong vendor — and we would rather say that than pretend otherwise.
Winter in Michigan delays trucks and freezes doorsteps. Refrigerated telehealth fulfillment ship in insulated packaging with season-appropriate cold packs — a cardboard mailer is not a plan. If a Ann Arbor 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 Michigan prescribing license (and DEA if you will order controlled substances). Approval is typically within 48 hours — not instant.
Telehealth fulfillment 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 Ann Arbor storefront comparison.
| Promise Pharmacy (503A) | Commercial / retail | |
|---|---|---|
| What is being filled | Patient-specific 503A compound | Manufacturer stock bottle |
| Quality documentation | Third-party testing; COA in the portal | Manufacturer CoA, not yours to pull per patient |
| Ann Arbor 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 Ann Arbor | Retail counter or mail-order PBM rules |
| Dosing | Written to the prescription, including custom strengths | Fixed commercial SKUs |
| Where it is made | Palm Harbor, FL compounding bench | Factory + wholesaler |
Questions we actually get
Michigan compounding
These are separate programs on the same 503A account — still shipped from Palm Harbor, still not a Ann Arbor storefront.