Nasal SprayFrom $166/mo
InjectionFrom $166/mo
Medically reviewed by Vanessa Niles, R.N., M.D., F.A.C.O.G. —
The short answer
Usually not. NAD+ has no FDA-approved use and is compounded, and insurers rarely cover that. Medicare Part D rules say compounded products as a whole don't meet the definition of a Part D drug. Some people use an HSA or FSA; check with your plan first.
- Compounded NAD+ is rarely covered by insurance.
- Medicare Part D treats compounded products differently from approved drugs.
- The IRS counts prescribed medicines as medical expenses; ask your HSA/FSA administrator.
- NADMedics is self-pay: $199, $349 or $499 for 1, 2 or 3 months.
Why insurance rarely pays
Insurers generally cover drugs for approved uses. NAD+ has no FDA-approved use, and the FDA doesn't approve compounded drugs. Medicare's prescription drug manual says compounded products as a whole don't satisfy the definition of a Part D drug; only qualifying components can count.
HSAs and FSAs
IRS Publication 502 lets you include amounts paid for prescribed medicines and drugs as medical expenses, and a prescribed drug is one that requires a doctor's prescription. Whether NAD+ qualifies under your HSA or FSA depends on your plan, so ask your administrator and keep your receipts.
This isn't tax advice; a tax professional can confirm what applies to you.
Paying for NAD+
Insurance, HSA or self-pay
Insurance rarely applies, an HSA or FSA might, and clear 1-, 2- or 3-month plans keep things predictable.
What NADMedics costs
$199 for 1 month, $349 for 2 months or $499 for 3 months ($166/mo), for nasal spray or injections, covering provider care, NAD+ and shipping. Prices are indicative and confirmed after eligibility. The consultation is free and you're billed only if a provider prescribes.
NAD+ terms used in this guide
Questions
Questions people also ask
Can I get a receipt for my HSA or FSA?
Email team@nadmedics.org and our team can help with the records your plan asks for.
Does Medicare cover NAD+?
Compounded NAD+ is unlikely to be covered under Medicare Part D rules. Check with your plan.
Is there a cheaper option than insurance?
NADMedics plans are $199 for 1 month, $349 for 2 months or $499 for 3 months, with shipping and provider care included.
Can I pay with an HSA or FSA card?
Ask your plan administrator. IRS Publication 502 counts prescribed medicines as medical expenses, but plans differ.
Does Medicaid cover NAD+?
Coverage varies by state, but compounded NAD+ without an approved use is rarely covered. Check with your plan.
Are there discounts?
Yes. Multi-month packages cost less per month: $349 for 2 months and $499 for 3 months ($166/mo).
Keep reading
Related NAD+ guides
- How to Get NAD Injections: Your Easy Start-to-Finish RoadmapHow to get NAD+ injections legally and safely: book a free online consultation, get a provider review and prescription, and have NAD+ shipped by a pharmacy.Getting started
- What Is NAD Injections? A Simple, Friendly Beginner's GuideNew to NAD+ injections? Learn what they are, how a shot under the skin works, what research shows, who should skip them and what they cost at NADMedics.NAD+ injections
- How Long Should You Take NAD+ Injections? A Usage Guide NowHow long should you take NAD+ injections? There's no long-term data, so plans are reviewed regularly. Learn when to reassess, pause or stop with your provider.NAD+ injections
Official sources
Sources and official resources
Official government and research sources behind this page, so you can check the facts yourself.
- Centers for Medicare & Medicaid ServicesMedicare Prescription Drug Benefit Manual, Chapter 6
How Medicare Part D treats compounded (extemporaneous) drugs.
- HHS Office of Inspector GeneralCMS Has Limited Oversight of Selected Compounded Drugs Prescribed to Medicare Part D Enrollees (2026)
Federal audit of compounded drugs in Medicare Part D.
- Internal Revenue ServicePublication 502: Medical and Dental Expenses
Which medical costs, including prescribed medicines, count as medical expenses.
- HealthCare.govHealth Savings Account (HSA)
How HSAs let you pay for qualified medical expenses with pre-tax money.
- U.S. Food and Drug AdministrationCompounding and the FDA: Questions and Answers
What compounded medicines are and why they aren't FDA-approved.
Medically reviewed by Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G., on October 12, 2026. This article is general education, not medical advice. NAD+ has no FDA-approved use, and compounded NAD+ is not FDA-approved or evaluated by the FDA for safety or effectiveness. Only your provider can set your dose.
Talk it through with a provider
Book a free online consultation. If NAD+ fits, a licensed U.S. provider prescribes the nasal spray or injection, with plans from $166 a month.
Book a free consultation