NAD+ Nasal Spray Online, Compared
11 providers sell a needle-free NAD+ nasal spray, from $49 for the first month. Compare them on price, published spray strength, shipping, subscription terms and support.
- Physician-Prescribed Only
- 32 Providers 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 comparison table.
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.
- ›He & She MD — $149/mo (12-month supply) · Supplied as a 12-month course
- ›BettermeRx — Shown after free evaluation · Injection 500/1,000 mg; nasal 900 mg
- ›bmiMD — $89/mo · Nasal 300 mg/mL; injection per protocol
- ›System — Injection $89 · nasal $69 (first month) · Not disclosed
- ›Embody — $99 · 500 mg and 1,000 mg vials
- ›ReadyRx — From $84 · 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
- ›Eden — $119 first month (~$15/shot) · 500–1,000 mg at 200 mg/mL
- ›Telos — Nasal $49 first month (12-mo plan) · Not disclosed
- NAD+ Any Format, $149/mo
- Two needle-free NAD+ formats (cream and nasal spray), rare anywhere in this category
- Zero membership fees, zero hidden costs — the price you see is the price you pay
- Unlimited provider messaging included for the life of your plan
- NAD+ in 2 Formats, Starting At Just $99
- Injection or needle-free nasal spray options
- Skip the clinic — delivered to your door
- Access to U.S. board-certified physicians included, not billed separately
- Lowest-Price NAD+ Injections
- Starting at $89/month, one of the lowest verified prices in the category
- Provider visit and consultation included, no extra fees
- Full refund if your clinician doesn't approve you
NAD+ nasal spray providers compared
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 injection, cream, or nasal spray at one identical price, so the decision is about comfort rather than cost | $149/mo (12-month supply) | Injection, topical cream & nasal spray | Yes | Yes | Supplied as a 12-month course | Included — no separate consult fee; HSA/FSA accepted | Not disclosed | Free expedited shipping | $149/mo rate is locked on a 12-month supply | Not disclosed | Unlimited provider messaging for the life of your plan | Not disclosed | 9.9 | Visit Site |
| 2 | BettermeRx | People who want to choose between an injection and a needle-free nasal spray with flat, no-surprise pricing | Shown after free evaluation | Injection & nasal spray | 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 | 9.9 | Visit Site |
| 3 | bmiMD | Budget-conscious patients who want NAD+ therapy without compromising on pharmacy-grade quality control or paying separate consultation fees | $89/mo | Injection + nasal spray | Yes | Yes | Nasal 300 mg/mL; injection per protocol | Included with the plan | Injection supplies included | Free shipping | Monthly plan, price-locked from $89/mo | Full refund if you are not approved | Online provider messaging | Not disclosed | 9.9 | Visit Site |
| 4 |  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 | 9.8 | Visit Site |
| 5 |  Embody | People who want to try prescription NAD+ in either injection or nasal spray form without a long-term commitment | $99 | Injection + nasal spray | Yes | Yes | 500 mg and 1,000 mg vials | Included with the plan | Injection supplies included | Free, 1–2 day delivery from an FDA-registered US pharmacy | No membership required | Cancel anytime; refund if not eligible | Telemedicine support included with the plan | Not disclosed | 9.4 | Visit Site |
| 6 |  ReadyRx | People who want a fully online NAD+ program with one price at every dose, no membership, and fast free shipping | From $84 | 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 | Ongoing care from the ReadyRx clinical team | Not disclosed | 9.3 | Visit Site |
| 7 |  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 | 9.2 | Visit Site |
| 8 |  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 |
| 9 |  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 | 9.0 | Visit Site |
| 10 |  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 | 8.7 | Visit Site |
| 11 |  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 | 8.1 | Visit Site |
Only providers that offer an NAD+ nasal spray are listed here. Several also sell injections — the treatment format column shows which.
Current pricing
Nasal spray is generally the cheapest way into NAD+ treatment. Entry prices against renewal rates:
- Telos
- Nasal $49 first month (12-mo plan) → renews at Shown during intake
- ReadyRx
- From $84 → renews at Same price at every dose
- bmiMD
- $89/mo → renews at Price-locked at $89/mo
- System
- Injection $89 · nasal $69 (first month) → renews at Shown during intake
- 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
Two things to read carefully. Telos' $49 is a first-month price on a 12-month plan, and 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
- Telos, 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. Telos, 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. Telos reserves its $49 rate for a 12-month plan. 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 — our comparison table records “Not disclosed” rather than assuming nationwide availability.
Compare needle-free NAD+ options
Price, published strength, shipping, subscription terms and support across every nasal spray provider.
Open the comparison hubNAD+ nasal spray: frequently asked questions
Yes. 11 of the providers we track offer an NAD+ nasal spray, and it is a prescription treatment like the injection — you complete an online intake, a clinician reviews it, and the spray ships to your home if treatment is appropriate.
Telos is the cheapest entry point at $49 for the first month on a 12-month plan. System sells nasal at $69 for the first month. Shed prices nasal at $144/mo, below its $169 injection and oral plans. At most providers that sell both, nasal costs the same as or slightly less than the injection.
Published strengths vary more than in any other format. bmiMD publishes 300 mg/mL, BetterMeRx publishes 900 mg and ReadyRx publishes a 4,500 mg spray. Because the range is so wide, compare the quantity column rather than the monthly price alone.
Injection is the more established route and is what most provider plans are built around; nasal spray is the needle-free alternative and is generally described as having somewhat lower absorption. Which is appropriate for you is a decision for the clinician who reviews your intake.
Telos is the only nasal-only provider we track. Every other provider offering a nasal spray also sells an injection, which means you can switch formats without changing provider.
Compounded NAD+ generally requires cold storage, and providers ship accordingly. Follow the storage instructions that come with your specific prescription rather than general guidance.
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.