Procurement steps pain and physical medicine practices use
Pain management and physical medicine practices tend to run a tighter procurement checklist than a single-physician office, because more than one prescriber may be ordering under the same group account. Before approving a vendor, these practices typically request the lot release record, the donor eligibility summary, and confirmation of the sterility testing performed by a third-party laboratory.
We supply that same documentation set to every verified San Francisco account regardless of practice size, and we keep it organized by lot so a multi-physician group can match paperwork to the specific units a given provider used.
San Francisco
NPPES registry listings, primary taxonomy, retrieved 2026-10-27
159- Pain Medicine
- 71
- Physical Medicine & Rehabilitation
- 88
Opening a verified account
Ordering is limited to licensed physicians and to clinics operating under physician supervision, and every account is tied to an NPI number we confirm against the national registry before activation. A practice manager can start the application, but the physician of record is the named account holder.
Verified accounts can request a peer-to-peer call focused on product documentation, lot structure, and record-keeping. These calls address sourcing questions only; they do not cover injection technique, dosing, or patient selection, which remain decisions for the treating physician.
Shipping and receiving across the West region
Cryopreserved products are shipped overnight on dry ice in validated containers and stored at -80 degrees Celsius until use; a San Francisco practice should have freezer capacity ready before the delivery window rather than after. Lyophilized exosome and Wharton's jelly formats are shelf-stable and travel without the same cold-chain requirement, though they still ship with lot-specific handling instructions.
Because every lot carries its own identifier, we recommend recording that identifier at the patient-record level for internal traceability, consistent with how most multi-provider practices already track other biologic inventory.
Regulatory questions belong with your medical board and counsel
There are no FDA-approved exosome products, and exosome formulations are generally regulated as biologic drugs rather than under the 361 HCT/P pathway that applies to many Wharton's jelly products. Whether a specific Wharton's jelly product and its intended use in your practice meets the minimal-manipulation and homologous-use criteria is a determination for your practice and its counsel, not something we can resolve for you.
We recommend confirming your practice's marketing language and clinical use policies with the California medical board and your own healthcare attorney, especially given increased FDA attention to distributor and clinic website claims in 2026.
FDA has stated there are no FDA-approved exosome products. Exosome products are generally regulated as biologic drugs under section 351 of the Public Health Service Act, not as 361 HCT/Ps. Purchase and clinical use decisions belong to the physician with their own regulatory counsel.
These products are not FDA approved or licensed for any disease or condition. Information is for licensed healthcare professionals and is not medical or legal advice.
Frequently asked questions
Do you supply pain management practices in San Francisco?+
Yes. We open NPI-verified accounts for licensed pain management and physical medicine physicians and groups in San Francisco and provide the same documentation set to every verified account.
What is the difference between how Wharton's jelly and exosome products are regulated?+
Wharton's jelly products are offered under the supplier's HCT/P framework, while exosome products have no FDA approval and are generally regulated as biologic drugs. Whether a specific use qualifies under either framework is a question for your counsel.
Can our group account cover multiple prescribers?+
Yes. The account is tied to the supervising physician's NPI, and a practice manager can manage ordering on behalf of multiple prescribers within that verified account.