Injectable route
NAD+ Injections, Compared on Price — and on Evidence
53 clinician-supervised programs sell a subcutaneous NAD+ injection you give yourself at home, at published prices from $93 to $399 a month. Each is ranked on what we can check: whether the price is published, whether the advertised number is what you are charged, and who reviews you first.
The part the ads leave out: no human trial shows that injected NAD+ improves focus, energy or cognition. Not one — including for the pick we are paid on. This page ranks providers, never an outcome. The honest version of “before and after” is here.
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.
#1 · our pick
CoreAge Rx
Doctor-reviewed NAD+ nasal spray (“Hello Energy”) with flat pricing and built-in human support.
- Price
- $93 / month, flat
- Routes sold
- Nasal spray + injection
- Transparent flat $93/month — same price for the nasal spray or the injection, no separate membership or lab fee
- Doctor-reviewed protocols filled by a 503A compounding pharmacy
- Included 1:1 support from a nurse and a registered dietitian
- Automatic refund if you are not approved for treatment
Worth knowing: Single-category focus — not a full hormone-optimization clinic. Like all compounded NAD+, it is not an FDA-approved product, and nasal NAD+ has no rigorous cognition trial (see our evidence review).
Every other NAD+ injection we could price
Some of the providers here pay us, and that can influence placement — we would rather say so than let you infer it. Prices are quoted exactly as published, so a program that charges differently for the injection and the spray is shown doing that.
- #2
HealthRX
$161 / month injection (1,000 mg); $134 / month nasal spray
Sub-Q injection + nasal spray
- #3
RxSpan MD
$249/mo for the injection or nasal spray and $199/mo for the flex-dose tablet, with prepay blocks at $597/$997/$1,797 (injection), $597/$949/$1,797 (nasal) and $549/$949/$1,797 (tablet). The three-month prepay is preselected when the panel opens, and every card is labeled “(For the first month)”. An $80 telehealth fee applies if no prescription is issued.
Injection, nasal spray, flex-dose tablet
- #4
Willow
$199 / month, published on the public product page; HSA/FSA eligible
Subcutaneous injection
- #5
Enhance MD
$199 per 4-week cycle for the injection and $99 per 4-week cycle for the sublingual wafers — 13 charges a year, so about $216 and $107 a month. The advertised $169 and $84 rates are 48-week prepay blocks ($2,028 and $1,008) divided by twelve, and its own comparison table prints them under the heading “Monthly Price”.
Sub-Q injection + sublingual wafers
Before you sign up: The headline “$169/mo” injection rate requires a 12-month prepay — the real month-to-month price is $199, and that is what we quote
- #6
Sprout Health
$249 every 4 weeks — 13 charges a year, about $270 a month equivalent — with $199 for the first month. The dose is published: 2 doses a week at 1,000 mg (5 mL), and the injection kit, clinician evaluation and overnight delivery are inside the price.
Sub-Q injection (kit included)
FDA warning letter to Sprout Health Partners LLC dba Sprout Health, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Before you sign up: The advertised “$199” is a first-month promotion — the recurring rate is $249, roughly 2.7× CoreAge's flat $93
- #7
System Labs
NAD+ lander publishes $149 struck through to $89 for the first month — a first-month teaser against the struck-through standing rate
Injection + nasal spray
Before you sign up: The published $89 is a first month, struck through from $149 — it is a promotional figure against a standing rate, not the rate you renew at
- #8
Shed
$169 injection / $144 nasal spray / $169 oral tablets per month, with no prepay ladder — but every program carries a two-month minimum, so the shortest commitment is $288 (spray) or $338 (injection or tablets)
Injection (3×/week), nasal spray, oral tablets
Before you sign up: Shed does not publish whether the clinician consult or a membership fee is included — and it charges a separate membership on its brand-name lines
- #9
Lttl
$199 / month month-to-month, falling to $169 on three months, $149 on six and $129 on twelve (billed $1,548 up front); a $149 first-month special runs against a $229 struck-through rate. Same price at every dose.
Injection, nasal spray, oral liposomal liquid
Before you sign up: All fourteen product cards hardcode “from $129/mo”. For NAD+ that is the twelve-month prepay rung rather than a monthly rate — and for the four longevity products whose ladder tops out at $119 it is higher than any price Lttl charges, so the figure is wrong in both directions
- #10
Pallas Health
No month-to-month option. Nasal spray $79 the first month, then $567 billed every 12 weeks (advertised as “$189/mo average”); injection $89 the first month, then $597 billed every 12 weeks (advertised as “$199/mo average”). Cash-pay only, no insurance, free shipping when prescribed.
Nasal spray + subcutaneous injection
Read our full Pallas Health review
Before you sign up: There is no month-to-month rung for either route. The funnel renders no cadence selector: the advertised “$189/mo average” is a $567 charge every twelve weeks divided by three, so the second payment after a $79 first month is $567 in one go, four weeks later
- #11
MadeMed
No month-to-month plan. Injection $209/mo on a 3-month plan ($627) or $199/mo on 6 months ($1,194); nasal spray $279/mo on 3 months, $269/mo on 6
Sub-Q injection (1,000 mg/mo) + nasal spray
Before you sign up: There is no month-to-month plan at all: the shortest commitment is three months at $627 up front, so the advertised “from $199/mo” is a six-month prepay
- #12
Strut Health
NAD+ 500 mg subcutaneous injection, from $149 / month. Strut's advertised rates across its catalog are auto-refill rates; it publishes a one-off 30-day price for only two of its products, and on one of those the one-off costs 63% more
Sub-Q injection
Read our full Strut Health review
FDA warning letter to Strut Health, LLC dba Strut, February 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
- #13
Breeze Meds
NAD+ injection $169 / month and nasal spray $210 / month, the figures its product cards and its own machine-readable catalog agree on. The same page's hero says “Just $179 to start” and its own FAQ calls $249/month the regular rate
Injection + nasal spray
- #14
Peter MD
$369 for an 8–10 week supply (2 vials, 200mg/mL injectable) — roughly $147–184/month depending on how many weeks you stretch the supply
Injection
- #15
MyDrHank
$199 / month nasal spray and $225 / month month-to-month injection. The advertised “from $137” and “$155” are the twelve-month rungs, costing $1,644 and $1,859 up front; the quarterly and six-month rungs are $507 / $913 (nasal) and $574 / $1,033 (injection)
Nasal spray + sub-Q injection
Before you sign up: Every price it shows is the twelve-month prepay rung. The nasal spray's real month-to-month rate is $199 and the injection's is $225; neither number is rendered on any page of the site, and “$137” costs $1,644 up front
- #16
Wellorithm
$150 first month, then $200/mo* — the asterisk reads “*Price shown applies to 500mg (2.5mL) 3-month plan paid upfront or with buy now, pay later programs. Actual price will depend on product and plan prescribed.”
Injection
Before you sign up: The $200/mo applies to a 500 mg (2.5 mL) three-month plan paid upfront or financed, and the footnote adds that the actual price depends on the plan prescribed — so there is no month-to-month rate behind the headline
- #17
Synergy Rx
$275 / month month-to-month for the NAD+ injection, falling to $175/mo on three months ($525), $150/mo on six ($899) and $133/mo on twelve ($1,599). Glutathione is $275 and B-12 $109 on the same shelf
Sub-Q injection
- #18
Ageless
Listed one-month shop prices: NAD+ 200 mg troche $149, NAD+ injection $169 for the 1,200 mg “high strength” and $199 for the 1,000 mg, methylene blue capsules $149. Ageless states on its own product pages that the final amount is shown after clinical review, so these are listings rather than rates
Sub-Q injection + oral troche
FDA warning letter to Lovely Meds, Inc. dba Lovely Meds, September 2025. It concerns the compounded GLP-1 line of Lovely Meds, Inc., which Try Ageless's own regulation page names as the operator of tryageless.com — the letter does not mention NAD+. Look it up in the FDA warning-letter database
- #19
Oak
Pricing not published. No non-GLP-1 program on Oak's site carries a price, and the figure is set only after the quiz and a clinician approval. We publish no estimate for it
Sub-Q injection (anti-aging program) + topical NAD+
- #20
Eden
Injection “Starting at $119 first month”, nasal spray “Starting at $112 first month” — medication only. An Eden membership is required on top: $39 for the first month, then $99/month
Injection, nasal spray, topical cream, and a separate oral supplement
FDA 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
Before you sign up: “Starting at $119” is medication only — the mandatory membership ($39 first month, $99/month after) is disclosed in an asterisked footnote, not in the headline
- #21
bmiMD
NAD+ injection $159/month month to month. Three months is $149, billed once as $447. Six months drops it to $129 and twelve to $119. A nasal spray is sold on its own ladder.
Injection and nasal spray
Before you sign up: The pricing block opens on the 3-Month tab, so the default figure is a commitment rate
- #22
Embody
$99/month flat for the injection, and the same $99/month for the nasal spray, with the telehealth visit and the prescription included and no membership. Injections are offered from 500mg to 1000mg at that one price.
Injection and nasal spray
- #23
He & She MD
$199/month for injectable NAD+, the same price at 500 mg and at 1,000 mg, with the prescription and telehealth visit included. The page also advertises "from just $99/month" and publishes no term, total or commitment for that figure anywhere.
Sub-Q injection (500–1,000 mg)
Read our full He & She MD review
Before you sign up: The advertised "$99/month" has no published terms at all: no plan length, no charged total and no commitment language appears anywhere on the NAD+ page, so the number the marketing leads with cannot be checked before you hand over a medical history. Budget against the $199 the same page prints
From here down: not currently a paid partner — shown for honest comparison, same standard applied
#24AgelessRx
Injection from $185–235/mo; nasal from $125; patch from $160
Injection, nasal spray, transdermal patch
- #25
Hone Health
Injection $165/mo + $25/mo membership (~$190)
Injection
Before you sign up: Stacked fees — the medication, a consult, and a $25/mo membership add up to roughly $190 vs CoreAge's flat $93
- #26
Invigor Medical
Starting at $340 / month (includes doctor consult and supplies)
Injection + oral
Before you sign up: Starter fee and shifting first-month promotions make the true ongoing cost harder to pin down
- #27
Yucca Health
“NAD+ As low as $215” in its own treatment menu; a promotional badge image reads “Exclusive $158 per month lowest price ever, 3 month plan”. Checkout routes to an intake quiz, so the charged figure is gated
Injection
Before you sign up: That $158 is a promotional “lowest price ever” tied to a three-month plan, against a standing “as low as $215”
- #28
Maves
$149 for the first month, then $169/month on the three-month plan; $159 first month, then $179/month billed monthly. The homepage card advertises only the $149
Injection
- #29
Obu Health
“Starting From $219”, stated as $219 per month in the product page's closing block. Its own comparison table claims a $129 starting price that matches nothing it sells
Injection
- #30
Taurus Meds
“Limited Time: $79 for your first month. Auto-applied at checkout.” The struck-through $179 beside it carries no billing period at all, and no recurring rate is published anywhere on the page
Injection
- #31
Bioverse
“Starting at $339” beside “$259/mo”; the page's own footnote ties the $259 to a twelve-month plan, benchmarked against twelve competitors
Injection; a separate topical NAD+ face cream
FDA warning letter to Bioverse, Inc. dba Bioverse, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Before you sign up: Two prices sit side by side in the same hero, and the cheaper one is a twelve-month commitment rather than a monthly rate
- #32
Ivim Health
$129 for a one-month supply PLUS a $75/month membership. The $74.50/mo figure on the same page is a two-month prepay billed as $149 upfront, not a standing rate
Injection
FDA warning letter to Ivim Services LLC dba Ivim, February 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Before you sign up: The $129 is only two-thirds of the cost; the $75/month membership is mandatory and is what makes the real figure $204
- #33
HealthOn
Three figures for one product. The injection page headline reads “From $195 / month”; the PRICING DETAILS block on that same page reads “$350 per month”; the site's own navigation reads “Starting at $150 /mo*”. The nasal spray repeats the pattern at “From $110/month” against “$325 per month”
Injection + nasal spray
FDA warning letter to Healthon Inc. dba Healthon, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
- #34
LifespanningRx
“From $225.00”: $225.00 for a one-month supply and $590.00 for three months, against a banner offering “Buy 2 months, Get 1 free” on a quarterly subscription
Injection
- #35
CeliaRx
NAD+ injectable $399/fill; sermorelin injectable $349/fill; PT-141 nasal spray $349/fill — each a one-time per-fill price, not a subscription — plus a separate $55 one-time Celia Onboarding Consultation (15 minutes)
Injection (NAD+, sermorelin); nasal spray (PT-141); topical (peptide skincare)
- #36
The Edit
$249 / month for the injection, printed identically on all three surfaces that carry it
Injection + nasal spray
- #37
Mondae
$129 / month month-to-month; $279 total for three months, which Mondae itself prints as $93/mo
Sub-Q injection
Before you sign up: The homepage's “$93 Billed monthly” is the prepay rate mislabeled — the monthly plan is $129
- #38
Alinwell
$199 / month at the walked checkout — while the homepage advertises the same product at $249/mo
Sub-Q injection
- #39
Bayan Health
$99.00 / month for the injection, printed with no “from” and confirmed at checkout
Injection, nasal spray, oral capsule
- #40
Believe Health
$199 / month, published as a floor and confirmed as the only plan at checkout
Sub-Q injection
- #41
Longevixx
$199 / month, published as a floor with the same single plan at checkout
Sub-Q injection
- #42
AHBARx
$299 / month for the injection at checkout with no code; the nasal spray is $279
Injection + nasal spray
- #43
Magnolia Regen
$149.00 / month month-to-month ($249.00 for the NAD+/glutathione blend)
Sub-Q injection
Before you sign up: The advertised $135 and $225 are prepay-derived per-month figures published without that qualifier
- #44
Goldspan Health
$199 with the plan card reading “Billed every 28 days” — thirteen charges a year, not twelve
Sub-Q injection
- #45
Auren Rx
$125/mo to $219/mo on subscription and $155 to $249 one-off; the page loads on $179
Injection, nasal spray, cream
- #46
Nex Gen Health Rx
$299.00 at the walked checkout, qualified “STARTING AT” despite no higher tier existing
Sub-Q injection
- #47
Nova (TryNova)
Headline “Starting at $134/mo” against a monthly all-in of $204 on the same page
Injection, nasal spray, troche
- #48
Pepti
$249 a vial / $319 the pen per ~4 weeks; the nasal SKU's $269 covers a stated ~62 days
Injection + nasal spray
- #49
Trellis Vitality
“Treatment plans starting at $129/month” — the only NAD+ figure Trellis publishes
Sub-Q injection
- #50
NEUVÉ Health
“STARTING AT” $217 / month — a floor, and the only NAD+ figure published anywhere
Sub-Q injection
- #51
Lighter You
“Starting at” $199 per four weeks for the injection; $229 for the nasal and oral routes
Injection, nasal spray, oral
- #52
Superior Remedies
“from $199/mo” — a floor with no ceiling, no dose tier and no plan menu behind it
Sub-Q injection
- #53
Rehydra+ Wellness
No monthly rate exists — a bare $279.00 against a “4 Weeks” variation, sold as a cart product
Injection, nasal spray, oral
Oral NAD+ precursors are absent on purpose — this page is about the needle. They are the only forms with human trial data behind them, and they sit on the main NAD+ ranking, which also carries the full pros and cons for every provider above.
A clinic drip near you, or a syringe at your kitchen table?
This is the question behind most “NAD+ injections near me” searches, and we are not answering it with a map: we do not run a clinic directory. Here is how the two options genuinely differ — which, outside logistics and money, is less than the marketing suggests.
Clinic IV infusion
- Billed per session. Sessions typically run from roughly one to several hundred dollars each and are often sold in packages, so the real cost depends entirely on how many you buy.
- Someone else administers it. Clinic staff place the line and control the rate — which matters, because NAD+ infused quickly causes transient flushing, nausea and chest or abdominal tightness. That is why a drip is run slowly, and why a session costs you an afternoon.
At-home subcutaneous injection
- Billed per month. The programs above quote a monthly figure, and for most of them the clinician visit, supplies and shipping sit inside it — from $93 a month at the low end to $399 at the high end.
- You administer it. A licensed clinician reviews an online intake and prescribes; the injections are then self-administered, with follow-up by message rather than in a chair.
- The commitment is the catch. A monthly plan is easier to keep paying for than a session is to rebook, and several price their headline on a prepay or a promotional first month.
Now the part that decides it. Neither route has a cognition trial behind it. The only human data on intravenous NAD+ is a small pilot that tracked NAD+ metabolites in plasma and urine through a six-hour infusion and measured no cognitive outcomes whatsoever — we go through it in NAD+ IV for mental clarity. For the subcutaneous injection there is not even that. So the drip is not the “serious” version and the syringe is not the compromise: they are two delivery methods for the same unproven claim, and the only honest basis for choosing is cost and convenience. A monthly plan at the low end above is far cheaper than a package of drips — an argument about price, not about results.
“Before and after”: what you can actually expect
Thousands of people a month go looking for NAD+ injection before-and-afters and find testimonials, clinic galleries and week-one diaries. Here is the answer instead of the gallery: no rigorous human trial shows that injected NAD+ improves cognition, energy or fatigue. There is no before-and-after to report, because the after was never measured under conditions that would separate an effect from an expectation.
That matters more here than in most categories, because of what is being measured. Energy and clarity are self-reported and slippery, the treatment is unmissable — you are giving yourself an injection — and you have just paid a few hundred dollars for it. Each of those lifts a self-rating on its own, and untangling them is exactly what a placebo control is for. Nobody has run one here. The nearest real result is unhelpful for the needle: in the best-controlled cognition trial of an oral NAD+ precursor, blood NAD+ rose and cognition did not move against placebo.
So what can you reasonably expect? A clinician reviewing your intake, a compounded prescription that is not an FDA-approved product, a recurring monthly charge in the range above, and injections you give yourself. On tolerability the record is limited but not alarming — a systematic review found NAD-based interventions generally well tolerated while noting the evidence for benefit is inconsistent. What you should not expect is a measured cognitive change. We would rewrite this page the day a randomized, placebo-controlled trial of subcutaneous NAD+ reports a pre-registered cognition endpoint.
Until then, the full read is in our pillar review, NAD+, brain fog and focus: what the evidence shows, and if it is the drained, can't-think feeling you are trying to fix, the causes worth ruling out first are in NAD+ for cognitive energy and fatigue.
Common questions
What do NAD+ injections actually do?
NAD+ is a coenzyme every cell uses to turn food into usable energy, and a subcutaneous injection puts it into the tissue under the skin rather than through the gut. What happens after that in a person has not been measured properly: there is no randomized, placebo-controlled trial of injected NAD+ reporting a cognition, energy or fatigue outcome. Clinics sell the injection for energy and focus, but that is a marketing claim, not a trial result.
What do NAD+ injections cost?
Among the clinician-supervised programs that publish a confirmable figure, injection pricing runs from $93 to $399 a month. Our #1 pick, CoreAge Rx, is a flat $93 a month for either the injection or the nasal spray, and Willow publishes a flat $199 on its public product page with nothing to fill in first. Read the ladder carefully, because several of these numbers are not month-to-month rates: MadeMed sells no single month at all, with a three-month $627 minimum; Pallas Health sells no single month either, and its advertised "$199/mo average" is a $597 charge billed every twelve weeks after an $89 first month; Wellorithm's $200 applies to a 500 mg three-month plan paid upfront; Enhance MD's advertised $169 is a twelve-month prepay against a $199 month-to-month rate; Sprout Health's $199 is a first-month promotion against a $249 recurring rate; System Labs shows $89 for a first month struck through from $149; Maves advertises $149 on its homepage when $149 is a first month against a $169 or $179 standing rate; Eden's "starting at $119" is medication only, with a mandatory membership at $39 then $99 a month on top; Taurus Meds runs a $79 first month and publishes no recurring rate at all; and Hone Health stacks a $25 monthly membership on top of a $165 medication price.
Do NAD+ injections work for energy or focus?
For that specific outcome, nothing has shown that they do. The best-controlled human cognition data in this field is for oral nicotinamide riboside, where blood NAD+ rose and cognition did not improve versus placebo. The only human data on a parenteral route is a small pilot that tracked NAD+ metabolites during a six-hour intravenous infusion and measured no cognitive outcomes at all. For the subcutaneous injection specifically there is no rigorous trial in either direction, so anyone quoting a number for how much sharper you will feel is quoting something that was never measured.
Are NAD+ injections safe, and what are the side effects?
Safety and effectiveness are separate questions, and the safety record here is thinner than it looks. A systematic review found NAD-based interventions generally well tolerated while stressing that the evidence for benefit is inconsistent, and high-dose oral nicotinamide riboside was generally safe in a randomized trial. Infused too quickly, NAD+ causes transient flushing, nausea and chest or abdominal tightness, which is why clinics run a drip over hours. What does not exist is a published characterization of the injectable route's tolerability. Compounded NAD+ is not an FDA-approved product, so ask a clinician before starting, especially if you take other medication.
Injection vs nasal spray vs IV vs oral — which route is better?
Only the oral precursors have human randomized trials, and what those trials show is that they raise blood NAD+ — the ones that also measured thinking found no cognitive benefit. Nasal, intravenous and subcutaneous NAD+ have no cognition trial behind them at all, so no route can be recommended over another on proven results. What the routes genuinely differ on is cost, supervision and convenience: a drip is billed per session in a clinic, an injection or spray is billed per month and self-administered at home, and an oral supplement needs no prescription.
Do you need a prescription for NAD+ injections?
In the United States, yes. Injectable NAD+ is a compounded preparation dispensed by a pharmacy after a licensed clinician reviews your intake, and every provider on this page runs that review before shipping anything. Compounded drugs are not FDA-approved for safety or effectiveness the way a brand-name medicine is. Oral NAD+ precursors such as nicotinamide riboside and NMN are sold as supplements and need no prescription — and they are the only forms with human trial data behind them.
This page is informational and not medical advice. Compounded NAD+ is not an FDA-approved product, and nothing here is approved to treat, cure or prevent any condition. Prices were verified against each provider's own published page and change without notice — check the current figure before you buy, and rule out the ordinary causes of a foggy head before you spend anything at all.