How to Get NAD+ Treatment Online

Buying NAD+ online is not like buying a supplement. Injectable and nasal spray NAD+ are prescription treatments, so the purchase runs through a telehealth provider: you fill in an online intake, a licensed clinician reviews your answers, and a pharmacy dispenses and ships the medication if treatment is appropriate for you. The provider you choose determines what you pay, how much medication you get, what supplies arrive with it and how easily you can stop.

This page compares every provider we track on exactly those terms. Published starting prices currently run from $79/mo (list $199/mo) to around $250 a month, and the gap between a good deal and a bad one usually comes down to three things: the renewal price rather than the intro price, whether a long subscription is required to reach the advertised rate, and whether shipping and supplies are actually included.

How online NAD+ treatment works

The process is broadly the same across providers, and it is genuinely fast, most people go from intake to a package on the doorstep inside a week.

• Online intake. A health questionnaire covering your history, current medications and goals. It takes five to ten minutes.
• Clinician review. A licensed provider reviews your intake, usually within 24 hours. Several providers refund you in full if you are not approved.
• Prescription and dispensing. If treatment is appropriate, a partner pharmacy prepares your NAD+ in the format and quantity prescribed.
• Shipping. The medication ships to your home, in most cases free and within one to two business days.
• Ongoing care. Refills arrive on your plan schedule, and most providers include messaging with the clinical team between refills.

NAD+ injection providers

18 of the providers we track sell a subcutaneous NAD+ injection for at-home use. This is the most common format and the one most plans are priced around. Vial strengths of 500 mg and 1,000 mg are the market standard.

• DirectMeds: $79/mo (list $199/mo). 500 mg and 1,000 mg vials.
• BettermeRx: Shown after free evaluation. Injection 500/1,000 mg; nasal 900 mg.
• System: Injection $89 · nasal $69 (first month). Not disclosed.
• Lttl: From $99. Same price at every dose; strength not disclosed.
• bmiMD: $89/mo. Nasal 300 mg/mL; injection per protocol.
• ReadyRx: From $84. Injection 500/1,000 mg; nasal 4,500 mg.
• Enhanced.com: $139/mo (was $232, save 40%). Personalized clinician protocol.
• Embody: $99. 500 mg and 1,000 mg vials.
• Wellmedr: $99. 500 mg and 1,000 mg vials.
• Remote Pharmacy: $99. 500 mg and 1,000 mg vials.

Full breakdown on the NAD+ injections online page.

NAD+ nasal spray providers

11providers offer a needle-free NAD+ nasal spray. Most sell it alongside injections so you can switch formats. Published nasal strengths vary widely, from 300 mg/mL up to ReadyRx's 4,500 mg spray, so compare the quantity column rather than the headline price alone.

• BettermeRx: Shown after free evaluation. Injection 500/1,000 mg; nasal 900 mg.
• System: Injection $89 · nasal $69 (first month). Not disclosed.
• Lttl: From $99. Same price at every dose; strength not disclosed.
• bmiMD: $89/mo. Nasal 300 mg/mL; injection per protocol.
• ReadyRx: From $84. Injection 500/1,000 mg; nasal 4,500 mg.
• Embody: $99. 500 mg and 1,000 mg vials.
• He & She MD: $149/mo (12-month supply). Supplied as a 12-month course.
• Fridays: $179/mo (billed quarterly). Oral 50/100/150 mg daily; injection 3×/week.
• RNK Health: $129/mo. Clinician-titrated.
• Shed: $144/mo nasal (20% off first month). Provider-determined.

Full breakdown on the NAD+ nasal spray online page.

Online consultation process

Every provider on this page includes the medical consultation in the quoted price, none of them charge a separate consult fee. What differs is turnaround and what happens if you are declined. DirectMeds and CareBareRx both publish a 24-hour provider review window. bmiMD, Embody, Enhance MD and Sprout Health all state that you are refunded, or simply not charged, if a clinician decides the treatment is not appropriate for you.

Expect the intake to ask about existing conditions, current prescriptions, allergies and what you are hoping to get out of treatment. Answer it accurately: the clinician's decision, and your dose, are based on it.

Treatment formats

Three formats are sold online. Which ones a provider offers is the single biggest practical difference between them.

Subcutaneous injection

Offered by 18 providers. Self-administered at home with a short needle, typically two to three times a week. The default format across the market.

Nasal spray

Offered by 11 providers. Needle-free and portable. Usually priced at or slightly below the injection plan at the same provider.

Oral and topical

Less common. Fridays sells a liposomal oral NAD+, Shed sells oral tablets, Enhance MD sells a sublingual wafer, and He & She MD sells a topical cream.

Medication quantities

Price per month means very little without the quantity behind it. Two providers can both charge $99 and ship materially different amounts of NAD+.

• 500 mg and 1,000 mg injection vials are the market standard - Remote Pharmacy, DirectMeds, Wellmedr, Embody, BetterMeRx, ReadyRx and Eden all publish these strengths.
• Sprout Health is the most explicit: a 1,000 mg / 5 mL vial, dosed twice weekly, published before you enrol.
• Nasal strengths vary most. bmiMD publishes 300 mg/mL, BetterMeRx 900 mg and ReadyRx 4,500 mg.
• Several providers publish nothing. CareBareRx, Tmates, RXSpan, Wellorithm and System do not disclose quantity before intake, worth knowing before you hand over payment details.

Monthly pricing

Current published starting prices, cheapest first. Read these as entry prices, the renewal rate is often different, which is covered in detail on the NAD+ treatment cost page.

DirectMeds

$79/mo (list $199/mo)

ReadyRx

From $84

Enhance MD

Wafers $84/mo; injection $169/mo

System

Injection $89 · nasal $69 (first month)

bmiMD

$89/mo

Shipping and storage

Free shipping is close to universal among the providers that disclose it. Enhanced.com, Remote Pharmacy, DirectMeds and Wellmedr all publish free 1–2 day delivery; Embody and Eden publish free 2-day; BetterMeRx ships free by UPS or FedEx; Sprout Health ships free and discreetly. RNK Health includes shipping and quotes roughly 48 hours.

Compounded NAD+ is generally shipped cold and needs refrigeration once it arrives, so plan to be home on delivery day or have somewhere cool for the package to sit. Your provider supplies the specific storage instructions for your prescription, follow those rather than general guidance.

Injection supplies

If you are buying injections, the supplies matter: needles, syringes, alcohol wipes and a sharps container. Most providers include them in a home kit at no extra charge, Eden publishes a “full home injection kit”, Sprout Health includes the injection kit with the free consultation, and Enhanced.com, DirectMeds, bmiMD, Embody, BetterMeRx, ReadyRx, Fridays, RNK Health, Shed and Enhance MD all include supplies with the medication. Where a provider does not publish what is in the box, we say so rather than assuming.

Subscription terms

This is where the advertised price and the price you actually pay diverge most often.

• No subscription required: DirectMeds and Wellmedr both let you reorder manually. Remote Pharmacy and BetterMeRx also publish no recurring requirement.
• Long commitment for the headline rate:He & She MD's $149/mo is locked on a 12-month supply, Enhanced.com's $129 needs the six-month plan, Enhance MD's lowest rates need a 12-month prepaid term and Tmates' ~$88 needs a longer plan.
• Membership on top of medication: Eden charges $39 for the first month then $99/mo for membership in addition to the medication, the only provider here that does.
• Billed in blocks: Fridays bills quarterly rather than monthly, so the real first payment is three months at once.

Cancellation terms

Check this before you enrol, not after. Enhanced.com has the strongest published terms: a 90-day money-back guarantee, no questions asked. Embody and Sprout Health both state you can cancel anytime. bmiMD, Enhance MD and Sprout Health refund you if a clinician decides you are not eligible. At the other end, Shed requires you to complete at least two months before cancelling, and RNK Health does not refund once medication has shipped. Many providers publish nothing at all about cancellation, treat that as a cost.

Provider support

Ongoing access to the clinical team is included in most plans and is worth more than it looks on a price list, especially in your first month. He & She MD includes unlimited provider messaging, and ReadyRx includes ongoing care and support from its clinical team. DirectMeds publishes 1:1 medical support with review inside 24 hours. Enhance MD includes provider check-ins and messaging. RNK Health bundles coaching and wellness check-ins into the subscription, and Shed includes courses and a community, though its 1:1 coaching is a paid add-on.

Pricing and plan terms last verified August 2026. Provider terms change often, always confirm the current price, renewal rate and cancellation policy on the provider's own site before enrolling. We may earn a commission from partner links on this page, which never affects our rankings - see our disclosure. This page is informational and is not medical advice.