# NAD+ Cost: How Pricing Works at TelosRX

**By TelosRX Editorial Team** · 2026-09-19

**NAD+ nasal spray through [TelosRX](https://telosrx.com) starts as low as $116 per month, and that price covers far more than a vial. Provider review, quarterly labs, unlimited messaging with your care team, and free 2-day shipping are built into the plan. The sticker price is close to the real price.**

The short answer

**NAD+ nasal spray is priced as low as $116 a month.** That figure includes the compounded medication itself, provider oversight, quarterly labs, dose adjustments, and shipping. There is no separate consultation fee, and if a provider declines your intake, you pay nothing.

[Start your intake →](https://start.telosrx.com/start-online-visit/nad)

## What the monthly price actually includes

A common assumption about compounded medication is that the quoted price is just for the product, with everything else billed separately. That is not how the [NAD+ nasal spray](https://www.telosrx.com/pages/nad-nasal-spray) plan at TelosRX works. The as low as $116 a month figure is the plan price, and it bundles the parts of ongoing care that other clinics often itemize.

Provider review is part of the plan, not a line item. So is unlimited messaging with your care team between scheduled check-ins, which matters if a question comes up between labs. Quarterly labs are included as well, at no added charge, so monitoring does not become something you skip to save money.

Shipping is free and arrives within two days under standard plan terms. Dose adjustments, when your provider determines one is appropriate, are also part of the plan rather than a new charge each time.

## Why the price is not fixed at exactly $116

The as low as framing exists because dose and supply cadence affect the final number. A provider reviews your intake and history, and the plan they recommend reflects what they think is appropriate for you, not a single one size fits all tier.

People sometimes ask why a friend on the same product pays a different amount. The answer is almost always dose or shipment frequency, not a hidden fee. If your quoted price looks different from a figure you have seen elsewhere, ask your care team to walk through what is driving it before assuming something is wrong.

Compounded NAD+ is not FDA-approved, and any dosing decision that affects your price is subject to medical approval by a licensed provider rather than a menu you pick from yourself.

**Key takeaway:** The as low as $116 a month price already includes provider review, quarterly labs, messaging, and shipping. Ask what is driving your specific quote rather than comparing it to a number you saw somewhere else.

## How the intake step affects your final quote

Intake with TelosRX is asynchronous, meaning you complete a short questionnaire on your own schedule rather than booking a call. A licensed provider then reviews it, often within hours, and decides whether NAD+ nasal spray is appropriate and at what starting point.

That review is where your actual price gets set. Two people can start the same intake and land on different plans because their health history and goals are different. This is normal and is the reason a flat, universal price is not how compounded medication works.

If your intake is declined, you are not charged anything. That protects you from paying for a plan you never actually receive, which is a meaningful difference from services that charge a consultation fee up front regardless of outcome.

## Comparing the cost to other ways people get NAD+

NAD+ is also available through IV infusion clinics and in-person injection services. Pricing there is typically per visit rather than a monthly plan.

A single infusion visit can be a meaningful expense on its own, and repeating that regularly adds up quickly without the bundled monitoring a telehealth plan includes. Driving to a clinic, scheduling around its hours, and paying a facility fee each time are all part of that model, even when the sticker price on one visit looks reasonable.

A nasal spray format is self-administered at home, so you are not paying for clinic time, staffing, or a facility each time you use it. That structural difference is a large part of why an ongoing monthly plan can be more predictable than paying per session somewhere else. The same monthly number covers every use rather than a new charge each visit.

This is a description of how the delivery models differ, not a claim that either format works better for outcomes. A provider can help you decide whether nasal spray, and the plan structure behind it, fits your situation and your budget. [Compare your options with a provider](https://start.telosrx.com/start-online-visit/nad) before assuming one path is automatically cheaper overall, since your specific dose and frequency change the math.

Some people also weigh convenience heavily. A monthly supply that arrives at your door removes the recurring task of booking and traveling to an appointment. For a busy schedule that convenience can be worth something beyond the dollar figure on an invoice.

## What is not included, and what could add cost later

The base plan has a few boundaries worth knowing up front.

It does not include unrelated lab panels a provider might recommend for a separate concern. It also does not include additional peptides you decide to add on, such as [sermorelin](https://www.telosrx.com/pages/sermorelin), [BPC-157](https://www.telosrx.com/pages/bpc-157), or [PT-141](https://www.telosrx.com/pages/pt-141), if your provider suggests combining protocols for a broader plan. Those are separate decisions with their own pricing, discussed with your provider individually.

Shipping delays, address changes, or a request to expedite outside the standard two-day window are the kinds of things worth asking your care team about directly rather than assuming a flat answer. Messaging the care team about a billing question costs nothing extra, since unlimited messaging is part of every plan regardless of what you are asking about.

There is also no cancellation fee. You can cancel anytime without penalty, which matters if your circumstances change or you simply decide the plan is not for you. There is no long-term contract locking you into a set number of months.

## FSA and HSA eligibility

NAD+ nasal spray through TelosRX is FSA and HSA eligible, which can meaningfully offset the out of pocket cost if you have either account. Whether a specific expense qualifies under your plan's rules is worth confirming with your account administrator, since coverage details vary by employer and plan design.

Keeping your invoice from TelosRX on hand makes reimbursement or direct payment through those accounts more straightforward. If you are unsure how to submit it, your care team can point you toward the documentation TelosRX provides.

Many people forget these accounts exist for a recurring wellness plan and only think of them for one-time medical bills. A monthly NAD+ plan is exactly the kind of predictable, recurring expense an FSA or HSA is designed to help with. It is worth checking your balance before assuming the full cost has to come from your regular budget, especially near the end of a plan year when unused funds can expire.

## What tends to drive the price up or down

A few factors show up again and again when people ask why their quote looks different from another person's. Starting dose is the biggest one. A provider who recommends a lower starting dose based on your intake will often quote a lower opening price than one who recommends a higher dose from the outset.

Shipment frequency is the second factor. Some plans ship monthly, and others ship on a different cadence depending on supply and dose. A different cadence changes how the total cost is spread across each shipment, even if the underlying monthly rate is similar.

Your health history also plays a role indirectly. A provider factors in your intake responses when deciding what plan to recommend, and that clinical judgment is what ultimately sets your price, not a menu of add-ons you choose yourself. This is one reason quotes are individual rather than published as a single fixed number for everyone.

Finally, whether you are new to NAD+ nasal spray or [continuing an existing plan](https://www.telosrx.com/pages/nad-nasal-spray) can matter. A returning patient with established labs sometimes has a more straightforward path than someone starting fresh, simply because there is more information for a provider to work from.

## Getting an accurate quote for your situation

The only way to know your actual monthly price is to complete the intake. General pricing pages describe a starting point, but your provider's assessment of your history and goals is what sets the real number.

The process is asynchronous and takes about five minutes to complete on your end. There is no obligation once you submit it, and if you decide the plan is not right for you after seeing your quote, you can simply not proceed. [Start your intake](https://start.telosrx.com/start-online-visit/nad) to see what your plan would actually cost.

[Start your treatment →](https://start.telosrx.com/start-online-visit/nad)

## Frequently Asked Questions

### Is $116 a month the final price everyone pays?

No. That figure is a starting point. Your actual monthly price depends on the dose and supply cadence a provider recommends after reviewing your intake, so it can be higher or lower depending on your individual plan.

### Does the price include lab work?

Yes. Quarterly labs are included in the plan at no additional charge, along with provider review, unlimited care team messaging, dose adjustments, and free 2-day shipping.

### What happens if my provider declines my intake?

You pay nothing. TelosRX only charges for a plan that a licensed provider actually approves, so a declined intake does not result in a charge.

### Can I use FSA or HSA funds for NAD+ nasal spray?

NAD+ nasal spray through TelosRX is FSA and HSA eligible. Confirm the specific reimbursement rules with your account administrator, since coverage details can vary by plan.

### Is there a fee to cancel my plan?

No. You can cancel anytime with no fee. There is also no long-term contract requiring you to continue past a billing cycle you no longer want.

### Why might my quote differ from a price I saw elsewhere?

Pricing differences usually come down to dose or shipment frequency, both of which a provider sets based on your intake. Ask your care team to explain your specific quote rather than comparing it to an unrelated figure.

_TelosRX is LegitScript-certified. Compounded medication is not FDA-approved and is prepared by partner compounding pharmacies under federal compounding regulations. This article is general information, not medical advice, and does not replace guidance from your own provider. Approval is subject to evaluation by a licensed provider, and approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service._

Questions about pricing? [Message the TelosRX care team](https://start.telosrx.com/start-online-visit/nad) or start your evaluation at [TelosRX](https://telosrx.com). For background on how compounded medication is regulated, see the [FDA overview of drug compounding](https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers). For general information on healthy aging, see the [NIH National Institute on Aging overview](https://www.nia.nih.gov/health/healthy-aging).

**Tags:** longevity, NAD+, pricing

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> Source: [Telos RX](https://www.telosrx.com/blogs/glp1/nad-cost-and-how-pricing-works)