NAD+ therapy, prescribed online
Choose a needle-free nasal spray or a quick at-home injection. A free online consultation with a licensed provider comes first, and if NAD+ fits, it ships to your door, with plans from $166 a month.
Medically reviewed by Vanessa Niles, R.N., M.D., F.A.C.O.G. —
Two ways to take it
Same price, same provider care. The difference is how it fits your day.
Compare
Neither form has been shown to work better. The right one is the one that fits your comfort and routine.
| NAD+ nasal spray | NAD+ injection | |
|---|---|---|
| How it's taken | Sprayed into the nose | Small shot just under the skin |
| Needles | None | A small, fine needle |
| Time per dose | A few seconds | About a minute |
| How often | Usually daily, as directed | On the schedule your provider sets |
| Common side effects | Nose irritation, headache, flushing | Injection-site soreness, flushing, nausea |
| Storage | As labeled, often refrigerated | As labeled, often refrigerated |
| Best for | People who prefer no needles | People who want a measured dose |
| Strength | 30 mg per 0.1 mL · 15 mL bottle | 200 mg/mL · 5 mL vial |
| Price | From $166 a month | From $166 a month |
| FDA status | No FDA-approved use; compounded | No FDA-approved use; compounded |
The science, simply
NAD+ works like a rechargeable shuttle. It picks up energy released from the food you eat, carries it to your mitochondria and comes back for more.
How it works
Pick a time and answer a short health questionnaire. There's no charge to talk with a provider.
A licensed U.S. provider reviews your history and medicines, answers questions and decides whether NAD+ is a fit.
If prescribed, a licensed pharmacy ships your spray or vials with instructions, and your care team follows up.
At home
No clinic chair and no drive across town. Whether you choose the nasal spray or the injection, NAD+ is used at home on the schedule your provider sets, and your care team checks in along the way.
Straight talk
We’d rather you start with clear expectations than big promises.
NAD+ is essential to how cells make energy and run repair enzymes, and levels fall in several tissues as we age.
Whether topping up NAD+ changes how people age or feel. Most trials use oral precursors; studies of nasal or injected NAD+ are few and small.
That NAD+ boosts energy, focus or longevity. It has no FDA-approved use, and compounded NAD+ isn’t FDA-reviewed.
Is it right for you?
A licensed provider makes the final call at your free consultation. These are the usual starting points.
Pricing
Indicative price · confirmed after eligibility · prescription treatment
Prescription treatment — available only to eligible patients after clinical evaluation.
The same plans for the spray or the injection. No insurance needed.
The consultation is free and you pay only if a provider prescribes. NAD+ has no FDA-approved use; compounded NAD+ is not FDA-approved.
Your physicians
Board-certified physicians with decades of practice oversee NADMedics care. A licensed provider makes every prescribing decision.
R.N., M.D., F.A.C.O.G.
Obstetrics & gynecologyA board-certified OB-GYN with more than 40 years in practice, known for treating the whole person rather than a single symptom.
M.D.
Metabolic health & longevityBoard certified in anesthesiology, a specialty built on how drugs move through the body. He applies that precision to dosing and monitoring NAD+ care.
Buy safely
Four checks the FDA and pharmacy regulators recommend before buying prescription medicine online.
Real NAD+ therapy needs a prescription. Be wary of any site that sells it without a health review.
Compounded NAD+ should come from a state-licensed pharmacy, never an anonymous overseas seller.
FDA BeSafeRx: spot a safe online pharmacy ↗Look up any online pharmacy before you buy to confirm it's legitimate and licensed.
Verify a pharmacy at Safe.Pharmacy (NABP) ↗Healthcare sites certified by LegitScript have been checked against legal and safety standards.
See the LegitScript lookup for NADMedics ↗By state
Consultations are online and NAD+ ships to your door. Find your state for local details.
Keep learning
Physician-reviewed answers to the questions we hear most.
Questions
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme that every cell relies on to turn food into energy. NAD+ therapy means taking it directly, here as a nasal spray or a shot under the skin, prescribed by a licensed provider who decides whether it suits you.
$199 for 1 month, $349 for 2 months or $499 for 3 months ($166/mo), the same for the nasal spray or the injection. Prices are indicative and confirmed after eligibility. The consultation is free, you don't need insurance, and you pay only if a provider prescribes.
No. NAD+ has no FDA-approved use. Your NAD+ is compounded by a licensed U.S. pharmacy under a prescription, and the FDA doesn't evaluate compounded medicines for safety or effectiveness.
It mostly comes down to comfort and routine. The spray is needle-free and takes seconds; the injection gives a measured dose under the skin. Neither has been shown to work better, and your provider can help you pick.
It isn't prescribed during pregnancy or breastfeeding, for anyone under 18, or during active cancer treatment without the oncologist's agreement. Your provider reviews your history and medicines and may say no if it isn't a safe fit.
Book a free consultation and your provider will confirm whether NAD+ can be prescribed and shipped where you live before you pay anything.
A licensed U.S. pharmacy prepares it and ships it in discreet packaging with written instructions. Follow the storage directions on the label; NAD+ is often kept in the refrigerator.
Honestly, no one can promise any. Research on NAD+ is active but human studies of these forms are few and small, and experiences vary. Your provider checks in with you and helps you decide whether to continue.
Official sources
Official government and research sources behind this page, so you can check the facts yourself.
Explains how the body turns niacin (vitamin B3) into NAD, a coenzyme used by more than 400 enzymes.
Review of how NAD+ works in cells and how levels change with age.
Weighs early promise against the lack of long-term human trials.
FDA's hub on compounding, including that compounded drugs aren't FDA-reviewed for safety or effectiveness.
What compounded medicines are and why they aren't FDA-approved.
How to spot a legitimate online pharmacy and avoid unsafe sellers.
Official guide to how telehealth visits work, what they cost and how to prepare.
Evidence-based habits that support healthy aging, from activity to sleep.
Talk it over with a licensed provider. The consultation is free, and you only pay if NAD+ is prescribed.
Book a free consultation