IV lounge, at-home injection, or nasal spray
IV NAD+ infusions deliver a large dose over several hours in a clinic chair, priced per session. At-home subcutaneous injections spread smaller doses across the week on an ongoing plan, prescribed and overseen through telehealth. The nasal spray is the needle-free at-home route at a lower price point. None of these is FDA-approved; compounded NAD+ in every form is prepared under an individual prescription. Which one fits depends on whether you want episodic high-dose sessions or ongoing therapy, your comfort with self-injection, and budget; the NAD+ cost guide lays out the real numbers as of August 2026.
How to vet an online NAD+ provider
- A real clinician gate: a health intake reviewed by a licensed clinician before anything is sold.
- A named, licensed pharmacy: PepScribe names its dispensing pharmacies, with addresses, on the pharmacy partners page.
- A published sourcing standard: PepScribe’s is licensed 503A pharmacies in the USA, not 503B and not international. No hidden overseas supply chain.
- Verifiable certification: PepScribe is LegitScript-certified (ID 49946300); the trust page shows how to verify it yourself.
- Clear ongoing pricing: if the headline number is an introductory rate tied to a prepay plan, know the rate you will pay from month two before you commit.
Skip the no-prescription vial
Websites selling injectable NAD+ without a prescription are selling outside the pharmacy system: no clinician evaluation, no licensed compounding, no verified sterility. For a self-administered injectable, the prescription pathway is the safety mechanism, not a formality. If cost is the concern, compare legitimate providers against each other; the market has real spread, and the nasal spray exists precisely as the lower-cost prescribed route.
Frequently asked questions
Can I get NAD+ injections prescribed online?
Yes, through telehealth. Injectable NAD+ for at-home use is prepared by compounding pharmacies under an individual prescription, so the path runs through a licensed clinician: complete a health assessment online, the clinician reviews it, and if NAD+ is appropriate, a licensed 503A compounding pharmacy dispenses it and ships it to you with supplies. At PepScribe the online visit is free and you pay only if a clinician prescribes.
Do I need to visit a clinic for NAD+ therapy?
Not for at-home subcutaneous injections or the nasal spray; the whole path is online at telehealth practices like PepScribe. IV NAD+ infusions are the in-person option: they run at infusion lounges, take hours per session, and are priced per visit. They are a different product from ongoing at-home therapy.
How fast can I start after signing up?
At PepScribe: the assessment takes about three minutes, a licensed clinician reviews it within 24 hours, and if prescribed, the medication is compounded by a licensed 503A pharmacy in the USA and shipped to your door with the supplies you need.
Injection or nasal spray, which should I pick?
They are different delivery routes at different price points (at PepScribe, $228 per month for injections versus $159 per month for the nasal spray as of August 2026). The clinician reviewing your intake can help you decide; the choice is part of the free online visit, not something you need to settle beforehand.
What does prescribed NAD+ cost?
PepScribe NAD+ injections are $228 per month, or $180 per month on the quarterly plan; the nasal spray is $159 per month, or $149 per month quarterly. Everything is included: medication, clinician oversight, supplies, and shipping, with no membership fee. Compounded NAD+ is not FDA-approved. The NAD+ injection cost guide covers the wider market.
