NAD+. Every cell in your body runs on this.
Nicotinamide adenine dinucleotide, a coenzyme present in every cell. Levels decline with age. Injectable NAD+ is designed to support cellular energy production, DNA repair, and sirtuin activation. Compounded in the USA by licensed 503A pharmacies.
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
NAD+ pricing
RxPick the formulation that fits your routine.
NAD+ comes in two compounded forms. Choose the one that fits your routine; your price is set by the form you pick. A US-licensed clinician confirms it's appropriate during review.
Nasal
Daily metered spray
$149/month
Lower bioavailability than injectable; some patients prefer the form factor.
Start with Nasal$49 consult fee, refunded as your first-month credit if your clinician approves you, or refunded in full if no prescription is issued.
Auto-renews monthly after clinician approval. Pause or cancel any time before your next ship date. 48-hour refund window on first charge.
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
What it is
A coenzyme at the center of cellular metabolism.
NAD+ is a coenzyme central to hundreds of metabolic reactions, glycolysis, the Krebs cycle, fatty-acid oxidation. It’s also the substrate that sirtuins, PARPs, and CD38 consume to do their jobs in DNA repair, gene expression, and cellular stress response.
NAD+ levels decline with age, and that decline is associated with many of the hallmarks of aging. Injectable NAD+ aims to support the pool directly rather than relying on the less-efficient uptake of oral precursors.
Compounded NAD+ is prepared by a US-licensed 503A pharmacy under your clinician’s prescription, not 503B, not international.
How it works
Mechanism of action.
Cellular energy (redox cycling)
NAD+ cycles between oxidized (NAD+) and reduced (NADH) forms in the production of ATP. Supplementation aims to maintain the cellular pool that ages and exercise both deplete.
DNA repair and stress response
Sirtuins (SIRT1–7) and PARP enzymes consume NAD+ as a substrate. Higher NAD+ levels support their activity in DNA repair and cellular stress responses.
Metabolic and mitochondrial support
Linked to mitochondrial biogenesis and metabolic fitness. Research has explored roles in energy production, focus, and daily resilience.
Who it’s for
Clinician-reviewed, not everyone qualifies.
A licensed clinician reviews your intake and recommends NAD+ only when appropriate. Free assessment. If it’s not a fit, you aren’t charged.
- Considered for adults interested in cellular health, energy, and longevity goals
- Your clinician reviews your history for methylation-related considerations
- Injection-site reactions are possible; your clinician walks through dosing and technique
- Labs may be ordered to personalize protocol over time
What comes with the plan
Everything included.
- Clinician-prescribed, US-licensed
- Compounded in the USA by a licensed 503A pharmacy
- Flat monthly pricing, medication included
- Supplies and injection instructions
- Async clinician messaging
- HSA and FSA eligible
Compounded medications are prepared by licensed 503A pharmacies in the USA and are not FDA-approved. All prescriptions require approval by a licensed healthcare provider. Individual results may vary.
Start an NAD+ plan.
Three-minute assessment. Clinician review within 48 hours. You aren't charged unless NAD+ is prescribed.