How to get NAD injections: you need a prescription from a licensed provider, then a licensed US pharmacy fills it. At telos rx that starts with a 5-minute online visit, reviewed asynchronously, with the choice of a nasal spray or a subcutaneous injection.
Searching for NAD injections online turns up two very different things: prescription NAD+ from a licensed pharmacy, and "research only" vials sold with no prescriber involved. Only the first is a medical product meant for people.
This guide walks through how getting prescription NAD+ online works, step by step, and how to tell a safe provider from a risky one.
Short version: one online visit, a licensed provider review, and nothing to pay if you are not approved.
See if NAD+ is right for youFirst: NAD+ injections need a prescription
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell. It is not a peptide, a vitamin or a hormone. Your cells use it in energy metabolism and as fuel for enzymes involved in DNA repair, such as sirtuins and PARPs.
Injectable and nasal NAD+ in the US are compounded medications. That means:
- Compounded NAD+ is not FDA-approved. The FDA has not evaluated it for safety, effectiveness or quality.
- It must be prescribed for you by a licensed provider.
- It must be prepared by a licensed pharmacy against that prescription.
Any site that ships you an NAD+ shot with no health questions and no prescriber is skipping the steps that protect you. New to NAD+? Start with our NAD+ injection guide or read whether NAD+ is FDA-approved.
How to get NAD injections online in 5 steps
Here is exactly how it works at telos rx. The whole process is online-first and asynchronous, so there is no video call to schedule.
1. Complete a 5-minute online visit
You answer questions about your health history, current medications and goals. It takes about five minutes on your phone or laptop.
2. A licensed provider reviews it
A licensed provider reviews your answers without a scheduled appointment. Every prescription is subject to medical approval by a licensed provider. If NAD+ is not a fit for you, you are not approved and you pay nothing.
3. Choose nasal spray or injection with your provider
telos rx offers NAD+ as a needle-free nasal spray or a subcutaneous injection. Your provider helps you choose based on your history, preferences and comfort with needles. Dose and schedule are set by your provider, not picked from a chart. See how that works in our NAD+ injection dosage guide.
4. A licensed US pharmacy fills it
Your prescription is filled by a licensed US partner pharmacy and shipped free with 2-day delivery in discreet packaging.
5. Ongoing care, not a one-off sale
You get unlimited messaging with your care team, dose adjustments when needed and quarterly labs. You can cancel anytime.
Prescription NAD+ is as low as $116 per month and is FSA/HSA eligible.
Start your online visitNAD nasal spray vs NAD shot: quick comparison
Both formats are prescription NAD+. The difference is how it gets into your body and what fits your routine.
| NAD+ nasal spray | NAD+ subcutaneous injection | |
|---|---|---|
| Route | Sprayed into the nose | Short, fine needle into the fat just under the skin |
| Needles | None | Yes, plus sharps disposal |
| Common sites | Nostrils | Abdomen or thigh, rotated |
| Reported reactions | Limited route-specific data; ask your provider | Redness, soreness or swelling at the site, flushing, nausea |
| Human evidence | Limited | Limited |
| Who decides | Your provider, based on your history and preference | |
Be wary of anyone who claims one route is proven better. Most published human NAD+ data come from IV infusions or oral precursor studies, not nasal or subcutaneous use. If you prefer to skip needles, the nasal spray starter guide covers that path. If you are leaning toward a shot, read subcutaneous NAD+ injections explained. Both options are on the telos rx NAD+ page.
What the research says (and does not)
A 2021 review in Nature Reviews Molecular Cell Biology describes how tissue NAD+ levels decline with age in rodents and in some human studies (Covarrubias et al., 2021). That decline is why NAD+ is studied for healthy aging.
Direct human data on delivering NAD+ itself are small. In a 2019 pilot study, 8 men received a slow 6-hour IV infusion. Plasma NAD+ did not rise for at least the first 2 hours, suggesting rapid clearance, and no adverse events were observed (Grant et al., 2019).
Oral NAD+ is a different story again: it is largely broken down in the gut before it can be absorbed intact, which is why most supplements sell precursors such as NR or NMN instead. There is no published evidence that tells you how a nasal spray or shot will make you feel, or by when. A good provider will say so plainly.
How to spot a safe online NAD+ provider
Use this checklist before you hand over a card number:
- A licensed prescriber. A real provider reviews your health history before anything ships.
- A licensed US pharmacy. The pharmacy filling it should be named and licensed, not anonymous.
- No research-grade vials. "Not for human use" or "research only" labels mean the product was never meant to be injected.
- Transparent pricing. You should see the monthly price and what it includes before you commit.
- LegitScript certification. LegitScript reviews telehealth and pharmacy businesses for compliance. telos rx is LegitScript-certified.
- Honest claims. Promised results or timelines are a red flag.
For a full breakdown of plan costs, see how NAD+ pricing works.
What to have ready before your visit
The online visit is short, but accurate answers make the review faster and safer. Have these on hand:
- A list of your current prescriptions, supplements and doses
- Any diagnosed conditions, past surgeries and allergies
- Recent lab results if you have them, though they are not required to start
- What you are hoping NAD+ supports, such as energy or healthy aging goals
- Whether you prefer a nasal spray, an injection or are unsure
Honest answers matter more than perfect ones. If something is unclear, your provider can follow up by message before deciding.
What happens after you are approved
Once your provider approves a plan, the pharmacy prepares your NAD+ and ships it in discreet packaging. For storage, technique and sharps disposal, follow the pharmacy label and your provider's directions, not a video or forum post.
From there, your care team stays with you. You can message them about reactions, schedule questions or switching formats. Quarterly labs give your provider a fuller picture over time, and your plan can be adjusted or cancelled whenever it stops fitting.
Who should talk to a provider first
Your provider will ask about pregnancy or breastfeeding, cancer history, and liver, kidney or heart conditions, plus any medications you take. Commonly reported reactions to NAD+ injections include redness, soreness or swelling at the injection site, flushing, nausea, headache, fatigue or lightheadedness. Tell your care team about anything that does not settle.
Frequently asked questions
Do you need a prescription for NAD injections?
Yes. Compounded NAD+ injections and nasal sprays need a prescription from a licensed provider and must be filled by a licensed pharmacy. At telos rx, every prescription is subject to medical approval by a licensed provider after a short online visit.
How much do NAD+ injections cost online?
Prescription NAD+ at telos rx is as low as $116 per month and is FSA/HSA eligible. You pay nothing if you are not approved, shipping is free, and you can cancel anytime.
Is a NAD shot or nasal spray better?
Neither has been proven better in humans, since evidence for both routes is limited. The nasal spray avoids needles, while the injection goes under the skin. Your provider helps you choose based on your history and preference.
Do I need a video appointment?
No. telos rx is asynchronous telehealth. You complete a 5-minute online visit and a licensed provider reviews it without a scheduled appointment. You can message your care team anytime after.
Are research-grade NAD+ vials safe to inject?
Vials labeled for research use only are not prescribed, not intended for people and skip pharmacy oversight. Prescription NAD+ is filled by a licensed pharmacy for you specifically. Compounded NAD+ is still not FDA-approved.
Ready to see if prescription NAD+ fits you? Choose nasal spray or injection with your provider.
Start your online visittelos rx is LegitScript-certified and operates as an online-first, asynchronous telehealth service. Compounded NAD+ is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness or quality. All prescriptions are subject to medical approval by a licensed provider; approval is not guaranteed. Individual results vary. This article is for education and is not medical advice.