NAD+ Nasal Spray Online, Compared

What NAD+ nasal spray is

NAD+ nasal spray is compounded NAD+ formulated for intranasal delivery, a needle-free alternative to the subcutaneous injection that dominates this market. Like the injection, it is a prescription treatment: you complete an online intake, a licensed clinician reviews it, and a partner pharmacy dispenses and ships the spray if treatment is appropriate for you.

The practical appeal is straightforward. There is no needle, nothing to draw up, no sharps to dispose of, and the bottle travels easily. The trade-off usually cited is somewhat lower absorption than an injection at an equivalent published strength. Which route suits you is a clinical decision for the provider reviewing your intake, not one to make from a price list.

Providers offering NAD+ nasal spray

11 providers sell a nasal spray. All but one also sell an injection, so switching formats does not mean switching provider.

• 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
• Eden: $119 first month (~$15/shot) · 500–1,000 mg at 200 mg/mL

Current pricing

Nasal spray is generally the cheapest way into NAD+ treatment. Entry prices against renewal rates:

ReadyRx

From $84 → renews at Same price at every dose

System

Injection $89 · nasal $69 (first month) → renews at Shown during intake

bmiMD

$89/mo → renews at Price-locked at $89/mo

Embody

$99 → renews at Varies by plan

Eden

$119 first month (~$15/shot) → renews at Medication + $99/mo membership

RNK Health

$129/mo → renews at $129/mo

Shed

$144/mo nasal (20% off first month) → renews at $144 nasal / $169 injection & oral

He & She MD

$149/mo (12-month supply) → renews at Flat $149/mo across every format

Fridays

$179/mo (billed quarterly) → renews at Nasal & oral $229/mo

One thing to read carefully: System's $69 is a first-month price with the ongoing rate shown during intake. The full picture is on the NAD+ treatment cost page.

Medication quantities

Nasal strengths vary more widely than any other format on this site, which makes price comparison meaningless without them.

ReadyRx

4,500 mg nasal spray, the highest published strength we track

BetterMeRx

900 mg nasal spray

bmiMD

300 mg/mL nasal spray

Embody

Nasal spray offered alongside 500 mg and 1,000 mg injections

System, Shed, Fridays, RNK Health, He & She MD, Eden

Nasal strength not published before intake

Online consultation process

The intake is the same as for injections and is included in the price at every provider here. You complete an online questionnaire, a licensed clinician reviews your history and current medications, and the prescription is issued if treatment is appropriate. If you are choosing nasal specifically because you do not want to self-inject, say so in the intake, providers that sell both formats can prescribe accordingly.

Shipping and storage

Among nasal providers, bmiMD, ReadyRx and He & She MD publish free shipping, Embody and Eden publish free 2-day, BetterMeRx ships free by UPS or FedEx, RNK Health includes shipping at roughly 48 hours, and Fridays includes medication shipping. System and Shed do not publish detailed shipping terms.

Compounded NAD+ generally requires refrigeration on arrival. Follow the storage instructions supplied with your prescription, they are specific to the formulation you receive.

Subscription requirements

BetterMeRx publishes no membership requirement. Shed and RNK Health both require a recurring plan, and Fridays bills quarterly. Eden charges a $99/mo membership on top of medication after the first month. System shows ongoing pricing during intake rather than publishing it.

Customer support

He & She MD includes unlimited provider messaging, the most useful inclusion if you are new to the format, and ReadyRx includes ongoing care and support from its clinical team. RNK Health bundles coaching and check-ins into the subscription. Embody runs support through a HIPAA-compliant portal. Shed includes courses and a community, with 1:1 coaching as a paid add-on.

State availability

Most nasal providers do not publish a state list. Fridays states it is not available in all states. Everywhere else, confirm coverage during intake, we record “Not disclosed” rather than assuming nationwide availability.

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.