For NAD+ injections, identify the clinician who will evaluate you, the pharmacy that would dispense the preparation and the exact terms before committing. Home telehealth services and local clinics differ in setting, supervision and billing. Neither setting establishes proven wellness benefit. The provider checklist helps you record the answers, and the billing calculator compares the full commitment.
Do you need a prescription for NAD+ injections?
Yes. Compounded NAD+ for injection is dispensed by a pharmacy on a prescription, and the online programs below include the prescriber visit.
NAD is in Category 1 of FDA’s 503A nominated bulk-substance list, updated May 14, 2026 [1]. FDA is evaluating the substance; the interim enforcement policy is conditional on the nominated material and other applicable compounding requirements [2] [3]. A patient-specific prescription does not by itself prove that every requirement is satisfied. Compounded drugs are not FDA-approved, and FDA does not review each preparation for safety, effectiveness or quality before sale [14].
Route 1: telehealth programs that ship to your home
Most online programs follow the same path: an online intake, a review by a licensed clinician, then a compounded vial shipped from a pharmacy.
| Provider | Published unit | Commitment | What the page includes | Confirm before paying |
|---|---|---|---|---|
| Brightmeds [6] | $129 monthly | Monthly renewal on cited offer | Medication, evaluation, follow-up and shipping; no lab fee on this offer | Prescribed quantity, clinician and dispensing pharmacy for your state |
| Strut Health [7] | $149 per 500 mg vial | Monthly auto-refill | Consultation and shipping | Vials needed, cancellation deadline and state eligibility |
| HealthRX [8] | $161 one-month plan | Monthly; longer plans also listed | Medication, home kit, visit, follow-up messages and shipping | Any testing needed; total payment and renewal term for a longer plan |
| Oak [9] | $175 monthly current offer | Monthly offer; higher regular price displayed | Assessment, provider review, messaging and shipping | Exact renewal quote, state access and pharmacy |
| Live Vital [10] | $149 monthly equivalent | Three-month protocol | Clinician review and messaging | Total commitment, refund terms and state/formulation access |
Also offered by (no standing monthly price published): AgelessRx. These are selected cost/access examples, not proof of product legality, safety or benefit. Availability and testing must be confirmed for the individual prescription; no nationwide coverage is inferred from a shipping banner.
The NAD+ cost guide explains renewal pricing, nasal alternatives and the difference between a vial price, a monthly subscription and a prepaid protocol. The NAD+ provider comparison also explains the selection criteria and unresolved trade-offs.
Route 2: in-person clinics and IV lounges ("near me")
IV NAD+ is given in clinics as an infusion. Prices are set per session and vary by clinic, so ask for the per-session price and the total course before you book.
A controlled pharmacokinetic pilot used a six-hour infusion in eight men, with three men receiving saline. Plasma NAD+ did not rise during the first two hours. It measured blood chemistry rather than wellness benefit, and some authors were affiliated with NAD+ businesses [4]. A separate retrospective clinic study reported gastrointestinal symptoms, increased heart rate and chest pressure during IV NAD+ administration; it does not establish the risk of a home injection [13].
- Ask who prescribes it and who supervises the infusion.
- Ask for the per-session price and how many sessions they recommend, in writing.
- Ask which pharmacy supplies the NAD+.
What changes between programs
Programs differ most on plan length, whether a membership fee is added, and whether the price covers one vial or a month.
- Quantity. Strut’s offer is priced per 500 mg vial. Ask how much your own prescription requires rather than treating every vial as a comparable month.
- Commitment. HealthRX publishes one-month and longer plans; Live Vital’s advertised monthly figure is a three-month protocol. Ask for the total charged today and unused-month policy.
- Intro offers. AgelessRx’s main-site introductory first month requires a three-month plan billed in full. Its separate campaign has different vial prices and four-week billing; confirm the exact offer attached to your checkout. [12]
- Pharmacy. Request the pharmacy’s legal name, address and state license before dispensing. A broad “licensed pharmacy” statement does not identify the facility that would supply your product.
- State access. Confirm both the clinician’s authority where you are physically located and the pharmacy’s ability to dispense there. A general nationwide shipping banner does not guarantee access to every formulation.
Brightmeds’ cited offer says the medication, clinical evaluation, follow-ups and shipping are included and no lab fee is required. That is a description of this offer, not a statement that laboratory evaluation is never clinically appropriate [6]. Ask your prescriber what is appropriate for your history and what any additional testing would cost.
What to avoid
A research-material storefront is not a substitute for clinical evaluation or a licensed dispensing pharmacy. FDA advises checking an online pharmacy’s prescription requirement, US address, licensed pharmacist access and state licensing [15].
- No intake and no clinician: you add a vial to a cart and check out.
- "Research use only" or "not for human use" on the label.
- No named or licensed pharmacy, and no way to find out which one made it.
- No clinician you can message if something goes wrong.
These are reasons to stop and verify the service, rather than proof of a specific legal violation in every case. A research-use-only label does not make a product appropriate for self-treatment. If the seller cannot identify the clinician and dispensing pharmacy, you cannot perform the basic license and follow-up checks.
What the evidence does and doesn't show
No randomized wellness trial establishing that these at-home NAD+ injections slow aging or improve energy in healthy people was identified. The 2026 systematic review’s search through October 2025 found no eligible IV or intramuscular NAD+ anti-aging or wellness outcome trial [5].
The review screened 113 studies. Oral NMN and NR studies often raised NAD-related markers, but functional results were mixed; that is not evidence that the injected, nasal or patch products are interchangeable [5]. The review discloses its first author’s relationship to a company serving an aesthetics clinic that does not offer NAD+. See NAD+ timing evidence and the route comparison for the clinical limits.
Which program fits which goal
If fatigue is driving the search, discuss its possible causes and appropriate evaluation with a clinician first. A service’s convenience, price or selection score is not evidence that NAD+ will address the cause.
The energy shortlist puts the NAD+ programs that made the cut side by side. Not sure NAD+ is the right place to start? The 30-second match asks a few questions and points you to a short list.