How much NAD+ injections cost

What the monthly price includes

Your monthly price covers a supply of compounded NAD+ for self-injection at home, prepared and dispensed by a licensed U.S. pharmacy, along with the clinical side of treatment. A licensed clinician reviews your health history and current medications, decides whether NAD+ is reasonable for you, sets your schedule, and checks in on how you're tolerating it.

Shipping and taxes are shown before you pay. There's no membership or platform fee on top of the monthly price.

• Compounded NAD+ for subcutaneous injection
• Pharmacy dispensing and delivery
• Online clinician visit and personalized plan
• Follow-up and a clear point to decide whether to continue

What isn't included

Lab work is billed separately. Your clinician may suggest a Comprehensive Lab Panel ($199) to look for common, treatable reasons for low energy, such as thyroid problems, anemia, low vitamin D or blood sugar issues, before you spend money on a wellness injection.

Other longevity treatments are priced on their own. For example, Glutathione Injection starts at $125 per month and B12 Injection starts at $125 per month. We don't offer IV infusions or in-person sessions.

What a year might cost, and why to start shorter

At list price, twelve months of NAD+ injections is $2,388 billed monthly, or $1,996 as four 3-month packages, plus any labs. Rather than committing to a full year up front, it's sensible to plan a trial period, such as three months ($499 as a package, or $597 billed monthly), then review honestly with your clinician whether you've noticed a meaningful difference.

That review point matters because the evidence for NAD+ injections is still early. Paying month to month costs more per month than a package, but it lets you stop if it isn't helping.

What the evidence does and doesn't show

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme every cell uses for energy metabolism, and it's the main active form of vitamin B3 in the body. Levels appear to fall with age in some tissues, which is why it attracts interest in longevity care.

Most human research so far has looked at oral precursors such as nicotinamide riboside (NR). In a small 2018 randomized crossover trial of 30 healthy adults aged 55 to 79, NR was well tolerated and raised NAD+ in blood cells, but it didn't show clear improvements in metabolic measures, exercise capacity or motor function. Research on injected NAD+ in humans is limited, and no large trials show that injections improve energy, aging or disease outcomes.

Compounded, not FDA-approved

There is no FDA-approved NAD+ injection. Our NAD+ is compounded by a licensed pharmacy for your individual prescription. Compounded drugs are not FDA-approved, and the FDA does not verify their safety, effectiveness or quality before they're sold.

Common effects people report with NAD+ injections include injection-site discomfort or redness, flushing and nausea. NAD+ isn't used during pregnancy or breastfeeding.

Comparing injections with IV clinics and supplements

IV NAD+ clinics usually charge per session, and the total depends on how many sessions they recommend, how long each takes and whether you need time away from work. If you're comparing, ask for the all-in monthly cost, not the price of a single drip.

Oral NR and other precursor supplements cost less and don't require a prescription, but they deliver a precursor rather than NAD+ itself. See our comparison page for a balanced look at injections versus supplements.

Questions worth asking before you pay

Because NAD+ is an out-of-pocket wellness expense, it's worth being clear about your goal before starting. If you're hoping for more energy, write down what "better" would look like after three months, such as fewer afternoon crashes or easier workouts, so you and your clinician can judge it honestly.

It's also worth asking whether something more basic could explain how you feel. Poor sleep, untreated sleep apnea, perimenopause, low testosterone, thyroid disease, iron deficiency and some medications can all cause fatigue, and addressing them may matter more than any injection.

Insurance, HSA and FSA

Insurance doesn't generally cover compounded NAD+, and it's typically used for general wellness rather than a diagnosed condition. IRS guidance excludes expenses that are merely beneficial to general health, so HSA or FSA eligibility is uncertain. Ask your plan administrator before you pay, and be prepared to budget for NAD+ as an out-of-pocket cost.