The nasal route
Every NAD+ nasal spray provider
19 providers sell a NAD+ nasal spray at a published price, from $93 a month (median $149), and 6 more price it only after an intake quiz. They are listed in the order of our provider ranking, filtered to this format — not re-ranked.
- #1
CoreAge Rx
From $93/moNo rigorous cognition trialNasal spray + injectionNAD+ nasal spray or injection advertised from $93/month, with online clinical review.
- #2
HealthRX
From $134/moNo rigorous cognition trialSub-Q injection + nasal sprayPublishes its whole price ladder in the open — both routes, with the provider visit, the supplies and the shipping already inside the figure.
- #3
RxSpan MD
From $199/moNo rigorous cognition trialInjection, nasal spray, flex-dose tabletPhysician-led telehealth with three NAD+ routes and its whole price ladder readable before the intake.
- #4
System Labs
$149 listed ($89 intro)No rigorous cognition trialInjection + nasal sprayBoth of the routes our #1 pick is ranked on, with the price on a separate lander — and the number in the headline is a first month, not a rate.
- #5
Shed
From $144/moNo rigorous cognition trialInjection (3×/week), nasal spray, oral tabletsThree NAD+ routes at prices that really are the recurring rate — over a two-month minimum term that is printed only in the terms.
- #6
Lttl
$149/moNo rigorous cognition trialInjection, nasal spray, oral liposomal liquidPublished monthly and prepaid NAD+ plans, with a lower first-month offer and a clear commitment behind the annual headline.
- #7
MyDrHank
From $137/mo (protocol dependent)No rigorous cognition trialNasal spray + sub-Q injectionA public NAD+ starting price qualified by the final prescribed protocol and dose.
- #8
Eden
From $130 first moNo rigorous cognition trialInjection, nasal spray, topical cream, and a separate oral supplementFDA warning letter to Eden Health International Inc. dba Eden, June 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Two NAD+ routes — subcutaneous injection and nasal spray — behind a membership the headline price leaves out.
- #9
bmiMD
$159/mo monthlyNo rigorous cognition trialInjection and nasal sprayPublishes all four rungs with the total beside each — and advertises only the one that costs a year.
- #10
Embody
$99/mo, either routeNo rigorous cognition trialInjection and nasal sprayOne flat $99 covers either route — against an implied $199 the sale banner never dates.
- #11
Pallas Health
$179/4 wksNo rigorous cognition trialSubcutaneous injection; confirm current nasal availabilityNAD+ injection with a first-month promotion and a recurring four-week rate; provider care included.
- #12
AgelessRx
From $125/moNo rigorous cognition trialInjection, nasal spray, transdermal patchNAD+ injection, nasal spray and iontophoresis patches with different offer terms.
- #13
EdgeRx
$119/mo nasal offerNo rigorous cognition trialNasal spray and sublingual trocheNAD+ nasal and sublingual product pages, with a promotional nasal rate below its standard price.
- #14
The Edit
$249/moNo rigorous cognition trialInjection + nasal sprayOne NAD+ price on three surfaces, with no intro promo and no prepay ladder behind it.
- #15
Bayan Health
$99/moNo rigorous cognition trialInjection, nasal spray, oral capsuleThe cheapest published NAD+ injection rate here, printed unqualified and confirmed at checkout.
- #16
AHBARx
$299/moNo rigorous cognition trialInjection + nasal spraySells the same three NAD+ products at two different price sets, on two of its own pages.
- #17
Auren Rx
$179/mo selectedNo rigorous cognition trialInjection, nasal spray, creamEleven NAD+ figures on one page, behind a selector most readers will never touch.
- #18
Pepti
$249–$279/4 wksNo rigorous cognition trialInjection + nasal sprayTwo injection vial strengths with a four-week supply; confirm billing and refill timing.
- #19
Rehydra+ Wellness
$279 / 4 weeksNo rigorous cognition trialInjection, nasal spray, oralSells NAD+ as a one-time cart item, so there is no monthly rate to quote.
Sold, but priced only after a quiz
These sell the format and advertise a starting figure they do not commit to, so they are not comparable with the list above and are excluded from every figure on this page.
- MadeMedCurrent price not published
- Breeze MedsVaries — site conflicts
- Telos RxFrom $116/mo (gated)
- HealthOnVaries — site conflicts
- Nova (TryNova)Varies — site conflicts
- Lighter YouFrom $229 (cycle not stated)
Prices are each provider's own published figure, ordered by our ranking rather than by cost. For the same providers ordered by price, and for every other route, see what NAD+ costs.
Before you buy the format
The nasal spray is sold on the idea that it gets NAD+ closer to the brain than a needle does. No published human study has measured brain NAD+ after a nasal dose, and none has measured focus, memory or mental clarity after either route. The only NAD+ format with randomized placebo-controlled cognitive trials is the oral precursor, and those trials found the blood marker rises while the thinking stays flat.
Our page on the nasal route goes through what is and is not known, the route comparison covers the choice against the needle, and the brain-fog evidence check covers the causes worth ruling out first.
Our top-ranked nasal provider
CoreAge Rx leads this list because it leads our provider ranking, at From $93/mo. Compounded NAD+ is not an FDA-approved product and nasal NAD+ has no rigorous cognition trial behind it; this is a note on what the program costs and includes, not a promise about focus.
A note on how we're funded. We want to be gentle and honest here: a few of the links on this page are affiliate or referral links handled through the Katalys network, and if you decide to start a treatment or buy a product through one, we may earn a commission — at no extra cost to you. What we write about any product, and the price you pay, are the same either way. You're welcome to read the whole story here.
Common questions
- Which providers sell a NAD+ nasal spray?
- 19 of the telehealth providers on our ranking sell one with a published price, and 6 more sell it behind an intake quiz. Prices start at $93 a month, with a median of $149. Almost all of them sell the injection as well, at the same price.
- How much does a NAD+ nasal spray cost?
- Among providers publishing a figure, $93 to $149 a month covers most of the market; the spread above that is plan structure rather than the format. The route almost never changes the bill, because the same program usually includes the injection too.
- Does a NAD+ nasal spray work for focus?
- No published human trial has measured focus, memory or mental clarity after an intranasal NAD+ dose. The trials that exist are for oral precursors, and they found the blood marker rises while measured cognition stays flat. Treat any claim of sharper thinking from a spray as marketing.
- Is a nasal spray safer than an injection?
- Neither format is FDA-approved for cognition and both are compounded, so neither carries the safety file an approved drug would. The practical difference is that the spray involves no needle and no sharps disposal. Anything beyond that is not established by published evidence.