These are what change the price, the logistics, and the experience.
What you're getting, and in what format
Every option here is compounded NAD+, prepared by a pharmacy for an individual patient. Confirm the format (injection, nasal spray, or tablet), the dose, and how it ships before enrolling.
The full recurring monthly cost
Many programs advertise a first-month or starting price that rises after the first order. Ask what the recurring monthly cost is at the dose and plan length you intend to use.
Where it ships, and where it does not
State availability varies, and some providers exclude specific states. Confirm the program ships to your state, and how quickly, before you pay.
Who reviews and follows up on your care
A legitimate program includes a clinician review, a real prescription, and a way to reach a clinician if something feels off. Confirm which licensed pharmacy prepares your order.
About these products
Compounded NAD+ is a prescription product
The NAD+ programs compared here dispense compounded medication — prepared by a licensed pharmacy for an individual patient — not an FDA-approved finished product. A prescription and a clinician review are required. Share your full health history, including any personal or family history that a clinician should weigh, and confirm which licensed pharmacy is preparing your order.
This page is informational and does not replace medical advice, diagnosis, or treatment. Call 911 or seek immediate medical attention for emergencies.
Compounded NAD+ has not been evaluated or approved by the Food and Drug Administration for safety, effectiveness, or quality.
Compounded, not FDA-approved
The FDA does not review compounded NAD+ for safety, effectiveness, or quality before it reaches patients. This page compares access, format, and price, not clinical outcomes.
A prescription path still matters
A legitimate program includes a clinician review, a real prescription, and a licensed pharmacy filling the order. If a provider will not name the pharmacy preparing your medication, that is meaningful.
FAQ
Before you choose a program
How do online NAD+ programs work?+
You complete an intake — usually a health questionnaire, sometimes an async clinician review. If you are eligible, the provider writes a prescription and a licensed pharmacy prepares your compounded NAD+, which ships to you. Formats vary by provider: injection, nasal spray, or oral tablet.
Is compounded NAD+ FDA-approved?+
No. Compounded NAD+ is prepared by a licensed pharmacy for an individual patient and is not an FDA-approved finished product. The FDA does not review it for safety, effectiveness, or quality before it reaches patients.
What should I expect to pay each month?+
For the providers listed here, starting prices commonly run from roughly $144 to $249 per month depending on the format, dose, and plan length, with some first-month promotions. Several list a first-month price that steps up afterward, so confirm the recurring monthly total before enrolling.
Do I need a prescription?+
Yes. Every provider here requires a clinician review and a prescription before a licensed pharmacy prepares and ships your order. Avoid any site selling NAD+ without a legitimate prescription and a named licensed pharmacy.
How is the order shown chosen?+
The order blends consumer signal with the compensation we may receive when you choose a provider through our links. Compensation is one of the factors that affects the order; it does not change the prices you pay or the safety information on this page.
Still deciding between providers?
If format choice matters most, start with Shed. If you want one all-inclusive monthly price, compare Direct Meds.
Whichever you pick, confirm the recurring price and your state before you enroll.
Advertising disclosure: We earn a commission from partner links, and that affects the order shown. It never changes the prices you pay or the medical information on this page.
About this comparison: pricing reflects provider-published information as of publication and may have changed since. Confirm the current price and terms with the provider before enrolling. Read our editorial policy and medical disclaimer.