How to Get NAD+ Treatment Online
Every provider on this page sells NAD+ for at-home use, ships it to your door and includes the online consultation in the price. Compare all 22 on price, format, medication quantity, shipping, supplies and cancellation terms.
- Physician-Prescribed Only
- 22 Providers Compared
- Results in 2–4 Weeks
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 Nasal $49 first month (12-mo plan) 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.
Best online NAD+ providers
These are our three highest-rated providers for buying NAD+ online. Full reviews of all 22 are on the provider reviews hub.
- NAD+ injection, cream, or nasal spray at a flat $149/mo
- $149/mo pricing is based on a 12-month supply
- No membership cost, no hidden fees, free expedited shipping
- NAD+Rx injections from $139/mo (regularly $232 — save up to 42%)
- Personalized protocol prescribed and monitored by board-certified providers
- 90-day money-back guarantee, no questions asked — free 1–2 day shipping
- 500 mg and 1,000 mg NAD+ injections from $99
- Online medical consultation and prescription included
- Free shipping with estimated 1–2 day arrival
NAD+ injection providers
17 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.
- ›He & She MD — $149/mo (12-month supply). Supplied as a 12-month course.
- ›Enhanced.com — $139/mo (was $232). Personalized clinician protocol.
- ›Remote Pharmacy — $99. 500 mg and 1,000 mg vials.
- ›DirectMeds — $99 first month (500mg). 500 mg and 1,000 mg vials.
- ›bmiMD — $89/mo (annual plan). Nasal 300 mg/mL; injection per protocol.
- ›Wellmedr — $99. 500 mg and 1,000 mg vials.
- ›Embody — $99/mo (up to $100 off). 500 mg and 1,000 mg vials.
- ›BettermeRx — Shown after free evaluation. Injection 500/1,000 mg; nasal 900 mg.
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; Telos is nasal-only. 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.
- ›He & She MD — $149/mo (12-month supply). Supplied as a 12-month course.
- ›bmiMD — $89/mo (annual plan). Nasal 300 mg/mL; injection per protocol.
- ›Embody — $99/mo (up to $100 off). 500 mg and 1,000 mg vials.
- ›BettermeRx — Shown after free evaluation. Injection 500/1,000 mg; nasal 900 mg.
- ›ReadyRx — Shown at intake. Injection 500/1,000 mg; nasal 4,500 mg.
- ›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.
Where to buy NAD+ online: full provider comparison
Scroll sideways to see every column. “Not disclosed” means the provider does not publish that detail before you start their intake.
| Rank | Provider | Best for | Starting price | Treatment format | Injection | Nasal spray | Medication quantity | Consultation | Supplies | Shipping | Subscription | Cancellation | Support | States served | Rating | Visit |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | He & She MD | People who want a choice of injection, cream, or nasal spray at one flat, transparent price with included ongoing care | $149/mo (12-month supply) | Injection, topical cream & nasal spray | Yes | Yes | Supplied as a 12-month course | Included — no separate consult fee | Not disclosed | Free expedited shipping | $149/mo rate requires a 12-month supply | Not disclosed | Unlimited provider messaging | Not disclosed | 9.9 | Visit Site |
| 2 | Enhanced.com | Adults who want a personalized, clinician-supervised NAD+ protocol backed by a 90-day money-back guarantee | $139/mo (was $232) | Injection | Yes | No | Personalized clinician protocol | Included with the plan | Injection supplies included | Free, 1–2 day delivery | Monthly plan; 6-month term lowers the rate | 90-day money-back guarantee, no questions asked | Board-certified provider monitoring | Not disclosed | 9.9 | Visit Site |
| 3 | Remote Pharmacy | People who want affordable physician-prescribed NAD+ injections with fast, free shipping | $99 | Injection | Yes | No | 500 mg and 1,000 mg vials | Included — consult and prescription bundled | Not disclosed | Free, 1–2 day delivery | Not required | Not disclosed | Online provider messaging | Not disclosed | 9.9 | Visit Site |
| 4 |  DirectMeds | People who want exact upfront pricing and no forced subscription, reordering on their own schedule | $99 first month (500mg) | Injection | Yes | No | 500 mg and 1,000 mg vials | Included — provider review within 24 hours | Injection supplies included | Free, 1–2 day delivery | Not required — reorder manually | No plan to cancel; satisfaction guarantee applies | 1:1 medical support | Not disclosed | 9.6 | Visit Site |
| 5 |  bmiMD | People who want affordable injectable NAD+ with a no-risk approval guarantee | $89/mo (annual plan) | Injection + nasal spray | Yes | Yes | Nasal 300 mg/mL; injection per protocol | Included with the plan | Injection supplies included | Free shipping | Plan required — monthly, quarterly, 6-month or annual | Full refund if you are not approved | Online provider messaging | Not disclosed | 9.3 | Visit Site |
| 6 |  Wellmedr | People seeking affordable physician-supervised NAD+ therapy without memberships or hidden fees | $99 | Injection | Yes | No | 500 mg and 1,000 mg vials | Included — evaluation and prescription bundled | Not disclosed | Free, ships 1–2 days after approval | Not required — no membership | No recurring commitment to cancel | Prescription management included | Not disclosed | 9.8 | Visit Site |
| 7 |  Embody | People seeking high-potency prescription NAD+ at an accessible price with a zero-risk intake and a proven 180,000+ track record | $99/mo (up to $100 off) | Injection + nasal spray | Yes | Yes | 500 mg and 1,000 mg vials | Included with the plan | Injection supplies included | Free 2-day from a US-certified pharmacy | No membership required | Cancel anytime; refund if not eligible | Online provider support, HIPAA-compliant portal | Not disclosed | 9.8 | Visit Site |
| 8 |  BettermeRx | People who want to choose between injection, nasal spray, or liposomal NAD+ with flat, no-surprise pricing | Shown after free evaluation | Injection, nasal spray & liposomal oral | Yes | Yes | Injection 500/1,000 mg; nasal 900 mg | Included — free online evaluation | Injection supplies included | Free UPS/FedEx on every order | Not required | Not disclosed | US board-certified physician evaluation | Not disclosed | 9.7 | Visit Site |
| 9 |  ReadyRx | People who want lab-tested NAD+ with a needle-free high-strength nasal option and physician messaging | Shown at intake | Injection + nasal spray | Yes | Yes | Injection 500/1,000 mg; nasal 4,500 mg | Included with the plan | Injection supplies included | Free shipping | Not required | Not disclosed | Unlimited physician messaging | Not disclosed | 9.6 | Visit Site |
| 10 |  RenuviaRX | People who want a board-certified physician to design their NAD+ protocol for both anti-aging skin benefits and improved energy and mental clarity. | $179 to start | Injection | Yes | No | Per physician protocol | Included — online medical evaluation | Not disclosed | Free shipping on every order | Recurring plan — renews at $249/mo | Not disclosed | Board-certified physician oversight | Not disclosed | 9.6 | Visit Site |
| 11 |  Fridays | People wanting personalized NAD+ with a choice of injection, nasal spray, or oral delivery | $179/mo (billed quarterly) | Injection, nasal spray & oral liposomal | Yes | Yes | Oral 50/100/150 mg daily; injection 3×/week | Included — online medical evaluation | Injection supplies included | Medication shipping included | Required — billed quarterly | Not disclosed | Personalized protocol support | Not available in all states | 9.4 | Visit Site |
| 12 |  RNK Health | Optimizing performance, healthy aging, and longevity | $129/mo | Injection, nasal & oral liposomal | Yes | Yes | Clinician-titrated | Included — online medical consultation | Injection supplies included | Included, roughly 48 hours | Required — subscription includes ongoing care | No refund once medication ships | Coaching and wellness check-ins included | Not disclosed | 9.1 | Visit Site |
| 13 |  Shed | People who want format choice plus built-in wellness coaching resources | $144/mo nasal (20% off first month) | Nasal spray, injection & oral tablets | Yes | Yes | Provider-determined | Included — online medical evaluation | Injection supplies included | Shipped to your door | Required — recurring plan | Requires completing at least two months | Health courses and community; 1:1 coaching costs extra | Not disclosed | 8.9 | Visit Site |
| 14 |  Sprout Health | People who want full upfront disclosure of dose, frequency, and renewal price before starting | $149 first month | Injection | Yes | No | 1,000 mg / 5 mL vial, twice weekly | Free consultation included | Injection kit included | Free and discreet | Required — renews every 4 weeks | Cancel anytime, no hidden fees | Online provider messaging | Not available in AR, KS or NM | 8.8 | Visit Site |
| 15 |  Enhance MD | People weighing injectable NAD+ against a needle-free sublingual wafer with full price transparency | Wafers $84/mo; injection $169/mo | Injection + sublingual wafer | Yes | No | Per physician protocol | Included — online eligibility review | Injection supplies included | Included | Lowest rates require a 12-month prepaid term | Full refund if you are found ineligible | Provider check-ins and messaging | Not disclosed | 8.5 | Visit Site |
| 16 |  Eden | People who want flexible financing and FSA/HSA payment for physician-supervised NAD+ | $119 first month (~$15/shot) | Injection (+ separate nasal spray) | Yes | Yes | 500–1,000 mg at 200 mg/mL | Included with membership | Full home injection kit included | Free 2-day delivery | Required — $39 first month, then $99/mo membership | Not disclosed | Membership includes provider access | Not disclosed | 8.3 | Visit Site |
| 17 |  CareBareRx | People who want a simple online NAD+ intake with FSA/HSA payment and fast provider review | $199/mo | Not disclosed | Not disclosed | Not disclosed | Not disclosed | Included — provider review within 24 hours | Not disclosed | Not disclosed | Recurring monthly pricing applies | Not disclosed | Online provider review | Not disclosed | 7.8 | Visit Site |
| 18 | System | People choosing between injectable and nasal NAD+ with separate, accessible first-month pricing | Injection $89 · nasal $69 (first month) | Injection + nasal spray | Yes | Yes | Not disclosed | Included — fully online intake | Not disclosed | Not disclosed | Ongoing pricing shown during intake | Not disclosed | Online provider support | Not disclosed | 8.7 | Visit Site |
| 19 |  Tmates | People comfortable with a longer plan commitment to reach the lowest monthly NAD+ price | $149/mo (as low as ~$88 on longer plans) | Not disclosed | Not disclosed | Not disclosed | Not disclosed | Included — fully online intake | Not disclosed | Not disclosed | Lowest rate requires a longer plan commitment | Not disclosed | Online provider support | Not disclosed | 8.6 | Visit Site |
| 20 | Telos | People who prefer a needle-free nasal NAD+ option at a low entry price | Nasal $49 first month (12-mo plan) | Nasal spray | No | Yes | Not disclosed | Included — fully online intake | Not applicable — nasal spray only | Not disclosed | Lowest rate requires a 12-month plan | Not disclosed | Online provider support | Not disclosed | 8.5 | Visit Site |
| 21 | RXSpan | People who want a physician-consulted NAD+ plan with clear recurring billing before checkout | ~$249 (recurring) | Not disclosed | Not disclosed | Not disclosed | Not disclosed | Included — online medical consultation | Not disclosed | Not disclosed | Recurring billing shown before checkout | Not disclosed | Online provider support | Not disclosed | 8.4 | Visit Site |
| 22 |  Wellorithm | People who want a lower first-month NAD+ price and understand pricing rises afterward | ~$150 first month | Not disclosed | Not disclosed | Not disclosed | Not disclosed | Included — online medical consultation | Not disclosed | Not disclosed | Recurring — regular rate applies after month one | Not disclosed | Online provider support | Not disclosed | 8.3 | Visit Site |
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 17 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. BetterMeRx and Fridays sell 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.
- Telos
- Nasal $49 first month (12-mo plan)
- Enhance MD
- Wafers $84/mo; injection $169/mo
- bmiMD
- $89/mo (annual plan)
- System
- Injection $89 · nasal $69 (first month)
- Remote Pharmacy
- $99
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, our comparison table says 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 based on a 12-month supply, bmiMD's $89 requires the annual plan, Enhance MD's lowest rates need a 12-month prepaid term, Telos' $49 nasal price needs a 12-month plan 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 comparison table, especially in your first month. He & She MD and ReadyRx both include unlimited provider messaging. 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.
Ready to buy NAD+ online?
Compare every provider side by side on price, format, quantity, shipping and cancellation terms.
Compare all providersBuying NAD+ online: frequently asked questions
Yes. Injectable and nasal spray NAD+ are prescription treatments, so you buy them through a telehealth provider rather than off a shelf. You complete an online intake, a licensed clinician reviews it, and if the treatment is appropriate the medication is dispensed by a pharmacy and shipped to your home.
Among the providers we track, the lowest published entry prices are Telos (Nasal $49 first month (12-mo plan)), Enhance MD (Wafers $84/mo; injection $169/mo), bmiMD ($89/mo (annual plan)). Compare the renewal rate as well as the intro rate — several providers advertise a discounted first month and then renew higher.
Most providers ship within one to two business days of clinician approval, and several include free 1–2 day or 2-day delivery. Shipping time is separate from the intake review, which typically takes up to 24 hours.
It depends on the provider. Some, such as DirectMeds and Wellmedr, let you reorder manually with no recurring plan. Others require a subscription, and the lowest advertised prices are often tied to a 6- or 12-month commitment. Check the subscription and cancellation columns in the comparison table before enrolling.
At most injection providers, yes — needles, syringes and alcohol wipes come with the medication as part of a home kit. A few providers do not publish what is in the kit, which is noted as "Not disclosed" in our comparison table.
Yes. 11 of the 22 providers we track offer an NAD+ nasal spray, and Telos sells a nasal-only plan. Nasal spray is the usual choice for people who do not want to self-inject.
Keep reading
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.