Skip to the numbers
Pricing, in full

How much does NAD+ therapy cost?

Every number, on one page — including what our own “from $109” headline actually means, and why most people pay more than that.

Prices current as of July 14, 2026 · Not medical advice

The numbers

Same price for injection, nasal spray, or oral dropper. What changes the price is how long you commit.

PlanYou payWorks out to
Month-to-month$149 first 4 weeks, then $199/mo$199/mo
12-week plan$507 upfront$169/mo

No consult fee. No lab gate. Change routes or cancel anytime.

Our own headline

Why our page says “from $109” when most people pay $199

Look at our shop page and you'll see “from $109/mo.” That number is real. It's also the cheapest possible version — the price if you prepay 52 weeks upfront. Most people don't start that way. Starting month-to-month, you'll pay $149 for the first four weeks and $199/mo after that.

So why lead with $109? Because everyone in this category leads with their floor, and a headline that says $199 next to a competitor's $109 loses the click — even when the competitor's $109 has the same asterisk ours does.

That's the honest explanation, and we'd rather give it than let you find the $199 later and wonder what else we rounded.

Here's the part that matters: the floor is real and it's reachable. It isn't a teaser rate that expires into something worse. If you prepay the year, $109/mo is what you pay, for the year. The number goes down with commitment, not up. That's the opposite of an intro rate, and it's the thing worth checking when you compare us to anyone else.

What drives the number

Term changes the price. Route doesn't.

Injection, nasal spray and oral dropper all cost the same. That's deliberate. Your clinician confirms the route with you based on what fits your life and your situation — we'd rather that conversation not be shaped by a price difference we invented.

What actually moves the number is how long you commit, and the reason is unglamorous: a year of predictable dispensing costs less to run than twelve unpredictable months. We pass that through instead of pocketing it.

The all-in number

What's in the price

Included

  • Clinician review and prescribing
  • The medication itself
  • Shipping to your door, with what you need to start
  • Route changes at any time
  • Cancellation at any time

Not charged separately

  • No consult fee
  • No membership fee
  • No lab gate. Recommended labs, where they're used, are a clinician's call — not a condition of getting started

Not included, and worth knowing

  • NAD+ isn't covered by insurance. Nobody's is — it's not an FDA-approved product, which means there's no billing code to submit.

Before the number matters

This is a compounded prescription, not a supplement

NAD+ is not FDA-approved for any use. What you're getting is a compounded medication — prepared by a licensed pharmacy for you specifically, on a clinician's prescription.

The FDA currently lists NAD as a Category 1 substance for 503A compounding: nominated with enough supporting information for the agency to evaluate it, on no restricted list, and the FDA doesn't intend to act against pharmacies compounding with it while the review runs. That's a real and clean status. It is not approval, and anyone telling you otherwise is telling you something FDA's own document doesn't say.

It's also not the NAD+ in a supplement aisle. A prescription compounded product and an over-the-counter capsule are different things under different rules, whatever the label on the front says.

The method

Five questions that make prices comparable

  1. Is the headline price the month-to-month price, or the prepay floor? Almost always the floor. Ask for both.
  2. Does the first month's price hold? An intro rate that steps up is a different product than a rate that holds.
  3. Is there a consult fee, membership fee, or lab requirement on top? Those are part of the price whether or not they're on the pricing page.
  4. Does the price change by route or dose? If yes, ask what the clinical reason is.
  5. What happens if you cancel mid-term on a prepay plan? Ask before you prepay, not after.

Run those five at us too. That's the point of writing them down.

Compounded, not FDA-approved. Compounded medications are prepared by a licensed pharmacy for an individual patient and are not reviewed by the FDA for safety, effectiveness, or manufacturing the way approved drugs are. They are not the same as brand-name products, and they're only appropriate when a licensed clinician determines FDA-approved options don't fit your situation.

See whether it fits

Eligibility takes about two minutes and costs nothing. A licensed clinician reviews whether NAD+ makes sense for you — and if it doesn't, they'll say so.

Licensed U.S. clinicians Per-batch sterility & endotoxin testing No consult fee, no lab gate Compounded · not FDA-approved

Questions people ask

How much does NAD+ therapy cost?

Month-to-month is $149 for the first four weeks, then $199/mo. A 12-week plan is $507 upfront, which works out to $169/mo. A 52-week plan is the lowest ongoing price at $109/mo, prepaid. There's no consult fee and no membership fee.

Why does your site say “from $109”?

Because $109/mo is the lowest price we offer — it's the 52-week prepay rate. It's real and it's reachable, but it isn't what most people pay when they start. Month-to-month, you'll pay $149 for the first four weeks and $199/mo after. We'd rather explain that here than have you find it later.

Does the price change depending on the route?

No. Injection, nasal spray and oral dropper are the same price. Your clinician confirms the route with you based on your situation, not the cost.

Are there hidden fees, labs, or a consult charge?

No. There's no consult fee and no membership fee. Recommended labs, where they're used, are a clinician's call rather than a requirement to get started. You can change routes or cancel at any time.

Is NAD+ covered by insurance?

No. It isn't an FDA-approved product, so there's no billing code to submit to an insurer. Compounded NAD+ is a cash-pay medication everywhere it's offered.

Is compounded NAD+ FDA-approved?

No. NAD+ isn't FDA-approved for any use. The FDA currently lists NAD as a Category 1 bulk substance for 503A compounding, meaning it's under evaluation with enough information for the agency to assess it, and the FDA doesn't intend to take action against pharmacies compounding with it while that review runs. That's a real status, and it isn't approval.