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Shipping & refills

From the pharmacy floor to your fridge — kept cold, kept private.

Every MyPromise shipment is packed for cold-chain integrity, tracked end to end, and delivered in a discreet outer carton. Here's how the chain works, what to do if something arrives wrong, and how to pause or skip a refill from your dashboard.

The cold chain

Why the box is heavier than you expect.

Most compounded medications — semaglutide, tirzepatide, sermorelin among them — are stored between 2 and 8 °C and lose potency if they sit warm. To keep your dose at its labeled potency, the pharmacy ships every order in an insulated container with a phase-change cooling pack rated for 60 to 72 hours of transit.

The carton itself is unbranded. The shipping label reads MyPromise Pharmacy Services, with no mention of the medication inside. We do this because some members ship to a workplace, a doorman building, or a household where they'd rather not announce a treatment.

When the package arrives, refrigerate the medication promptly. The cooling pack will look soft or liquid by then — that's normal and expected. The included tracking sheet logs interior temperature at pack-out and, if it ever moved out of band during transit, your dashboard will flag it before you open the box.

What's in every box

  • Your protocol, labeled with your name and clinician of record
  • Insulated packaging with a phase-change cooling pack
  • A printed certificate of analysis for your batch
  • Disposal-ready vial or pen, with a sharps return mailer
  • A short, plain-English titration sheet from your clinician
  • A QR code linking to your dashboard for tracking and check-ins
After clinician approval
2 – 5 business days

Most U.S. addresses. We ship Monday through Thursday so cold-chain orders don't sit in a warehouse over a weekend.

First refill
Auto-timed

The pharmacy queues your refill so it arrives roughly five days before you'd run out — never twenty-five, never two.

Tracking visibility
Real time

Your dashboard updates with carrier scans, an interior-temperature log, and a delivery window the morning the package goes out.

When something's off

Damaged, delayed, or warm to the touch.

Cold-chain shipping is robust but not magical. If your package arrives compromised, here's the fastest way to make it right.

Damaged package or warm cooling pack

Don't open the medication. Take a photo of the outer box, the cooling pack, and any visible damage. Message member care from your dashboard or email care@mypromise.com. We will issue a replacement, expedited and at no charge, typically within forty-eight hours.

Delivery is late

If your tracking hasn't moved for 48 hours, message care. We'll trace it with the carrier and, if it's truly stuck, ship a replacement before the original ever arrives. We do not ask you to wait out a lost package.

The temperature log says "out of band"

If our internal temperature data shows your package moved outside its acceptable range, your dashboard will flag the shipment and the pharmacy will reissue it before you ever administer the medication. You don't need to do anything — we catch it on our side.

Refills, on your terms

Pause, skip, or reschedule — from your phone.

Membership is monthly. Refills are auto-timed. Both can bend around your life without an email exchange or a phone call.

How to pause a refill

Pausing tells the pharmacy not to ship the next cycle, while keeping your clinician relationship and dashboard active. Useful for travel, a busy month, or an extended pause between titration steps.

  1. Open your dashboard and select Membership.
  2. Tap Pause my refill and choose how many cycles to skip.
  3. Confirm. Your card is not charged for any paused cycle.

How to skip a single shipment

Skipping pushes only the next refill — useful when you're still working through a vial or going somewhere a refrigerator isn't reliable.

  1. Open your dashboard and select Refills.
  2. Find the upcoming shipment and tap Skip this one.
  3. Pick the new ship date. Your clinician is auto-notified.
Common questions

What members ask about shipping.

Do you ship to all 50 states?
We ship to every U.S. state. Some treatments have state-specific availability based on local regulations; if a protocol isn't available where you live, your clinician will tell you on review and won't charge you for an order that can't ship.
Will I need to sign for the package?
Most cold-chain shipments are delivered without a signature, by carrier discretion. If you're worried about porch dwell time, you can request signature confirmation from your dashboard or have packages routed to a workplace address.
What if I'll be away when my refill is supposed to arrive?
Skip the cycle from your dashboard, or reschedule it to a date you'll be home. We strongly recommend not having cold-chain shipments sit at a porch for more than a few hours — the pack is rated for 60 to 72 hours, but a hot afternoon shortens that window.
Is shipping free?
Yes. Standard temperature-controlled shipping is included in your membership. Expedited replacements for damaged or delayed shipments are also free — we never charge a member for a fulfillment problem.
Ready when you are

A promise is just a plan with a witness.

Take the twelve-minute eligibility review. A licensed clinician will read your intake, recommend a protocol — or tell you honestly that we're not the right fit. Either way, you'll know within a day.