What you are actually paying for
NAD+ (nicotinamide adenine dinucleotide) for at-home use is prepared by compounding pharmacies under an individual prescription; it is not an FDA-approved manufactured product. A legitimate monthly plan bundles the clinician who decides whether NAD+ fits your case, the licensed pharmacy that compounds and sterility-tests an injectable, supplies, shipping, and ongoing oversight. PepScribe’s plans put all of that in one number: $189 per month for injections or $159 per month for the nasal spray, with quarterly plans at $150 and $149 per month respectively, a free online visit, and payment only if a clinician prescribes. Every dose is compounded in the USA by licensed 503A pharmacies, not 503B and not international. No hidden overseas supply chain. The dispensing pharmacies are named, with addresses, on the pharmacy partners page.
Reading intro prices and prepay anchors
Subscription NAD+ providers commonly anchor on a discounted entry price tied to a prepay plan. As of August 2026, AgelessRx lists its NAD+ injections at $79 for the first month, with that price applying to the quarterly plan billed in full and the ongoing rate at $149 per month. There is nothing wrong with the structure, but the number to compare is the ongoing monthly rate you will pay from month two onward, on the plan you would actually choose. PepScribe’s quarterly plan works the opposite way: the $150 per month rate is simply the quarterly billing rate, every quarter, not an introductory tier.
Why cadence sets the yearly cost
Two more models sit at the edges of the market. Some clinics give NAD+ as an in-office intramuscular injection, priced per visit and sometimes scheduled as often as weekly, and the per-visit price multiplies with every week of the schedule. An IV drip delivers many times the dose of a single intramuscular injection, which is part of why one session costs more. At the other end, oral NMN and NR are supplements sold without a prescription: they raise NAD+ indirectly by feeding the salvage pathway, and they belong to a different product class with a different evidence base.
How long a rise in NAD+ lasts after a dose is not settled. That is why session frequency, more than the price of any one session, decides what a year of NAD+ costs, and why a per-session price and a per-month price only compare once both are converted to the same cadence.
Injection or nasal spray?
Subcutaneous injection is the delivery route most at-home NAD+ programs are built around; the nasal spray is the needle-free alternative at a lower price point ($159 versus $189 per month at PepScribe, as of September 2026). They are different delivery routes rather than interchangeable doses, and the right choice depends on your goals and your clinician’s judgment. Both PepScribe forms live on the NAD+ page, and the nasal spray has its own dedicated page. For what NAD+ is and what the research actually shows, start with the NAD+ overview.
AgelessRx and RxPepsDirect are trademarks of their respective owners. PepScribe is not affiliated with or endorsed by either. Competitor prices were read from each company’s own public pages in August 2026 and may have changed; check the provider’s site for current terms.
Frequently asked questions
How much do NAD+ injections cost per month?
As of August 2026, clinician-prescribed at-home NAD+ programs from US telehealth providers generally run roughly $125 to $230 per month across published injection and nasal-spray plans. As of September 2026, PepScribe NAD+ injections are $189 per month all-inclusive ($150 per month on the quarterly plan) with the online visit free and payment only if a clinician prescribes. AgelessRx lists NAD+ injections at $79 for the first month on its quarterly plan and $149 per month after. Per-order models price by the vial instead. Compounded NAD+ is not FDA-approved.
Is the nasal spray cheaper than injections?
Usually, yes. PepScribe NAD+ nasal spray is $159 per month ($149 per month quarterly) against $189 per month for injections, and as of August 2026 AgelessRx lists its NAD+ nasal spray at $125 per month. Injections deliver NAD+ subcutaneously; the spray is a different delivery route at a lower price point. A clinician can help you decide which fits your goals.
Why are NAD+ IV drips so much more expensive?
IV lounges price NAD+ per session, with staff time, infusion time (often several hours), and facility overhead built into each visit, which is why a single infusion commonly costs several hundred dollars. At-home subcutaneous injections prescribed through telehealth spread a month of doses across one plan price, which is why the monthly totals are far lower. They are different products: episodic high-dose infusion versus ongoing self-administered therapy.
What is included in a monthly NAD+ plan?
At PepScribe: the medication, clinician oversight, injection supplies (or the spray), and shipping, in one flat monthly price with no membership fee. The online visit is free and you pay only if a clinician prescribes. Every dose is compounded in the USA by licensed 503A pharmacies.
Is NAD+ covered by insurance?
Compounded NAD+ is typically a self-pay therapy. Compounded medications are not FDA-approved, and insurance plans generally do not reimburse them; confirm with your own insurer if you want to be certain.
