Nasal SprayFrom $166/mo
InjectionFrom $166/mo
Medically reviewed by Vanessa Niles, R.N., M.D., F.A.C.O.G. —
The short answer
You need a prescription from a licensed provider and NAD+ compounded by a licensed pharmacy. With NADMedics: book a free online consultation, a provider reviews your health, and if NAD+ fits, a licensed U.S. pharmacy ships it to you, with plans from $166 a month.
- Compounded NAD+ requires a prescription for an identified patient.
- A telehealth consultation can replace an office visit.
- Check that the pharmacy is licensed before you buy.
- Expect instructions on technique, storage and sharps disposal.
Step 1: Book a consultation
Book a free online consultation. HHS notes that telehealth lets you see a provider without going to an office; you'll need internet and a phone, tablet or computer.
Step 2: Provider review
A licensed provider reviews your health history, medicines and goals, explains what NAD+ can and can't do, and decides whether to prescribe. They may say no, and that's part of good care.
The roadmap
Four steps to your first dose
Consultation, review, pharmacy, delivery. Each step has a licensed professional behind it.
Step 3: Licensed pharmacy
Under section 503A of federal law, a pharmacy compounds NAD+ for you based on a valid prescription. Before buying anywhere, use the FDA's BeSafeRx resources or NABP's Safe.Pharmacy to check that an online pharmacy is legitimate.
Step 4: Delivery and first dose
Your NAD+ arrives in discreet, cold-packed packaging with supplies and step-by-step instructions. Your provider walks you through the technique, and you follow up as you go.
NAD+ terms used in this guide
Questions
Questions people also ask
Can I buy NAD+ injections without a prescription?
Legitimately compounded NAD+ injections require a prescription. Be wary of sellers who skip that step.
How long does it take?
The consultation is usually quick, and delivery typically takes a few business days once a prescription is sent.
Do I need lab work first?
Not always. Your provider will tell you if your history calls for tests.
Do I need an in-person visit?
Usually not. Your consultation is online. If a provider thinks you need an in-person exam or lab tests, they'll tell you.
Which states do you serve?
NADMedics has a page for each of the 50 states. A provider licensed where you're located reviews your health and decides whether to prescribe.
How much does it cost?
$199 for 1 month, $349 for 2 months or $499 for 3 months ($166/mo). Prices are indicative and confirmed after eligibility; you pay only if a provider prescribes.
Keep reading
Related NAD+ guides
- 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
- Does Insurance Cover NAD Injections? What You Need to KnowDoes insurance cover NAD+ injections? Usually not. See why compounded NAD+ is rarely covered, what Medicare rules say and whether an HSA or FSA may help.Getting started
- How to Inject NAD+: A Safe Step-by-Step Guide for BeginnersHow to inject NAD+ at home: prepare, draw your dose from the vial, inject under the skin, rotate sites and dispose of needles safely. A beginner's guide.NAD+ injections
Official sources
Sources and official resources
Official government and research sources behind this page, so you can check the facts yourself.
- U.S. Department of Health and Human ServicesWhy use telehealth?
What telehealth (telemedicine) is and when it can help.
- U.S. Food and Drug AdministrationHuman Drug Compounding Laws
How sections 503A and 503B of federal law govern compounding pharmacies and outsourcing facilities.
- U.S. Food and Drug AdministrationBeSafeRx: Your Source for Online Pharmacy Information
How to spot a legitimate online pharmacy and avoid unsafe sellers.
- National Association of Boards of PharmacySafe.Pharmacy
Check whether an online pharmacy is legitimate before you buy.
- U.S. Food and Drug AdministrationSafely Using Sharps (Needles and Syringes) at Home, at Work and on Travel
How to store and throw away used needles and syringes safely.
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