Medura NAD+ Injectable vial in premium metallic navy packaging

Product image is for illustrative purposes only. Actual medication, packaging, and labeling may vary depending on the dispensing pharmacy.

Longevity & Anti-Aging

NAD+ Injectable

NAD+ is a coenzyme every cell relies on to turn food into energy, and natural levels tend to decline with age. Many people pursue NAD+ therapy hoping to feel more energized, though human evidence for wellness or anti-aging benefits is still early. This compounded injection is supplied at 100 mg/mL, with supply options and dosing set by your provider.

  • Energy metabolism
  • Cellular repair
  • Healthy aging support

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Your Treatment. Everything Included.

Know what's included in your treatment, from your initial virtual consultation to prescription delivery.

  • Your Prescription MedicationYour prescribed medication is priced as listed on its treatment page, with no additional medication markup at checkout. Injectable treatments also include essential supplies at no extra cost: alcohol prep pads, gauze pads, syringes, drawing and injection needles, plus clear administration instructions.
  • Initial Virtual ConsultationYour required initial virtual consultation is included in the treatment price. Refills during its validity period are not charged that fee again.
  • Licensed Provider ReviewA licensed provider reviews your information to decide if treatment is appropriate. An assessment does not guarantee a prescription.
  • Unlimited Doctor AccessIncludes unlimited doctor access in-between subscriptions.
  • Free Expedited Prescription ShippingIncluded with eligible prescription orders, shipped in discreet, unbranded packaging.
  • Temperature-Controlled PackagingCold-pack packaging is included when your medication requires it.
  • One Transparent Price. Everything Included.The price displayed isn't just for your medication. It also covers the required initial consultation with a licensed doctor, eligible expedited shipping, supplies, and temperature-controlled packaging when needed. While each of these services carries its own cost, we've bundled them into one reasonable, upfront price.

How it works

  1. Submit your free assessment

    Step 1: Complete your medical assessment for review by a licensed medical provider. If appropriate, the provider will determine whether the treatment is right for you.

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  2. Get your plan and your order at home

    Step 2: Once approved, your provider sets a schedule that fits your routine. Your order ships in plain, unbranded packaging. Temperature-sensitive items ship with cold-chain protection.

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  3. Receive 24/7 Support and Ongoing Care

    Step 3: Access your patient portal to communicate with your care team, ask questions, and get support throughout your treatment journey.

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NAD+ Injectable

How NAD+ supports energy and recovery

NAD+ is a coenzyme your cells use to turn food into usable energy and to carry out everyday repair. Levels naturally decline with age, and NAD+ therapy is studied for its role in supporting that underlying machinery. NAD+ sits at the center of how your cells produce energy and maintain themselves. Injection delivers it under the skin, bypassing digestion. Here is what it is studied for and how it may support the way you feel day to day.

  • Energy metabolism

    NAD+ helps your cells convert food into the energy that powers everything you do. Supporting healthy NAD+ levels is studied for its role in steady, usable energy.

  • Cellular repair

    Your cells rely on NAD+ to run their repair and maintenance processes. NAD+ therapy is studied for how it may support this ongoing upkeep as you age.

  • Healthy aging support

    Because NAD+ levels decline over time, replenishing them is an active area of longevity research. NAD+ may support the cellular resilience that helps you keep doing what you love.

  • Provider-guided from start to finish

    A licensed provider reviews your health history, checks for contraindications, sets an appropriate starting plan, and monitors your progress over time.

  • How to use it

    Clear instructions show you where and how to inject, starting with your very first dose.

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Real Medical Professionals. Personalized Care. Transparent Pricing.

Your health deserves more than a one-size-fits-all approach.

Medura connects you with licensed medical professionals who take the time to review your health history, evaluate your individual needs, and determine which treatments may be right for you.

We believe quality healthcare should come with professional oversight, personalized attention, and honest, transparent medication pricing.

No unnecessary medication markups. No confusing treatment pricing. Just a more straightforward approach to getting the care you deserve.

  • Licensed Medical Professionals

    Your treatment is evaluated by qualified, licensed providers.

  • Personalized Medical Evaluations

    Recommendations are based on your individual health needs.

  • Provider-Approved Prescriptions

    Medication is prescribed only when clinically appropriate.

  • Transparent Medication Pricing

    Know the medication price before moving forward.

Start My Free Assessment

Connect with a licensed medical professional and discover whether treatment is right for you. Prescriptions require a medical evaluation and provider approval.

Every dose, made simple.

A few seconds, once you know how. We guide you through each NAD+ injection so it feels easy, familiar and fully in your control.

  • Step-by-step guidance

    Clear instructions show you where and how to inject, starting with your very first dose.

  • A dose that fits you

    Your provider sets your starting dose and adjusts it over time based on how you respond.

  • Support between doses

    Have a question along the way? The Medura care team is here to help you stay on track.

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NAD+ Injectable available now

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Quality and ingredient standards

Made in the U.S.A.

Some treatments are compounded by licensed U.S. pharmacies in facilities registered with the FDA. Registration does not mean a compounded medication is an FDA-approved finished medication.

  • USP <797>

    Sterile compounding standards.

    Documented handling.

    Every batch released to spec.

  • ISO Class 7

    Cleanroom-grade air.

    Filtered environments.

    Tighter contamination control.

Clean ingredients, careful delivery

  • No heavy metals
  • No added dyes
  • Licensed U.S. pharmacies
  • Provider-prescribed
  • Cold-chain protection
  • Plain, unbranded packaging
  • Serves all 50 states
  • HSA and FSA eligible

Medication guide

What to know about NAD+ Injectable

General education to help you prepare for a conversation with a licensed provider. It is not a prescription or personal medical advice.

Generic name
Nicotinamide adenine dinucleotide (NAD+)
Drug class
Coenzyme (vitamin B3-derived molecule)
Form
Injection under the skin
Regulatory status
Not FDA-approved for any use

NAD+ is not FDA-approved to treat or prevent any condition, in any form. Injectable NAD+ is a compounded preparation whose safety, effectiveness and quality have not been reviewed by FDA.

Compounded medications are not FDA-approved. FDA does not review them for safety, effectiveness or quality before they are dispensed. A compounded preparation can differ from approved products in strength, ingredients, dosage form and how it is absorbed, so it should not be assumed to work the same way as an approved medication. Compounding is meant for patients whose needs cannot be met by an FDA-approved drug.

Overview

NAD+ is offered by some providers as a wellness therapy. Claims about energy, aging or recovery are not supported by strong clinical evidence.

Who may be evaluated for it

  • Adults interested in NAD+ who understand that its benefits are unproven and want provider oversight.

Who may not be a good fit

  • People who are pregnant or breastfeeding (not studied).
  • People with active cancer should discuss first: NAD+ supports cell metabolism generally, and effects on tumors are not known.
  • Anyone expecting a treatment for a diagnosed condition.

How it works

NAD+ is a molecule every cell uses to turn food into energy and to repair DNA. Levels decline with age in animal and some human studies.

Raising NAD+ is thought to support these processes, but whether giving it by injection meaningfully raises levels inside cells is unclear.

What is still uncertain

How much injected NAD+ reaches cells intact, and whether raising it changes health outcomes in people, is not established.

Potential benefits and realistic timelines

No clinical benefit has been established in well-designed human trials for this use.

Early or limited research

  • Animal studies link higher NAD+ to better metabolic health. Small human studies of oral precursors (NR, NMN) show they raise blood NAD+ levels, with mixed effects on health measures.

Not established

  • Anti-aging effects or longer life in people.
  • Improved energy, focus, athletic performance or addiction recovery.
  • Benefits of injected NAD+ specifically.
  1. Not establishedThere is no reliable evidence on when, or whether, people notice benefits. Your provider will check in on how you feel and on side effects.

Results vary from person to person. Your provider decides whether and how long to continue.

How it’s used

  • Use exactly as written on your pharmacy label.
  • Injections can cause flushing or discomfort if given quickly; follow technique instructions.
  • Use a new sterile needle each time and rotate sites.

If you miss a dose

No official guidance exists. Resume your usual schedule; do not double up.

Storage and handling

Usually refrigerated; follow the label and beyond-use date.

Your prescription label and provider instructions always take priority over this general information. Do not change your dose or stop without talking to your provider.

Side effects and safety

More common, usually manageable

  • Flushing, warmth or chest tightness during or after injection
  • Nausea
  • Headache
  • Injection-site pain

Less common but serious

  • Infection from non-sterile injection technique
  • Allergic reaction

Get medical help right away

  • Chest pain or trouble breathing that does not pass quickly

Call 911 or go to the nearest emergency room for chest pain, trouble breathing, swelling of the face or throat, fainting, or signs of a stroke (sudden weakness, numbness, trouble speaking or seeing).

Pregnancy, breastfeeding and fertility

Not studied in pregnancy or breastfeeding; not recommended.

Interactions and combinations

Known interactions

  • No well-documented drug interactions. Tell your provider about supplements such as niacin, NR or NMN.

Related treatments and options

Listed for education, not as a recommendation to combine. Any combination needs your provider’s approval.

  • SermorelinEvidence insufficient

    Sometimes offered together; no evidence of combined benefit.

  • NR or NMN supplementsEvidence insufficient

    Overlapping purpose; no evidence for combining.

Monitoring and follow-up

  • Review of goals, other supplements and medical history.
  • Check-in on side effects and whether you perceive any benefit.

Lab tests and follow-up visits are not included in the medication price unless your plan says so. Your provider will tell you what is needed.

Alternatives to discuss

  • NAD+ Nasal Spray

    Needle-free compounded form; absorption is less predictable.

  • Sleep, exercise and nutrition

    Exercise in particular raises NAD+ in muscle and has strong evidence for healthy aging.

  • Glutathione

    Another wellness injection; also unproven.

Potency TestTested
Sterility TestTested
Endotoxin TestTested
pH TestTested

Lab tested medications for quality and potency.

Every medication ships from a licensed U.S. pharmacy in our network, delivered straight to your door.

  • Third party quality control testing

  • Compounded in U.S. pharmacies

Dosage, Schedule & Supply

Dosage
100 mg/mL concentration.
Schedule
Determined by your prescribing provider.
Supply
Available in different supply quantities.
Estimated Supply Duration
Varies based on the prescribed dose and injection schedule.

Supply duration is an estimate based on the prescribed treatment plan. Actual duration may vary depending on dosage, frequency of use, and medication expiration.

Treatment information is for educational purposes. Your licensed healthcare provider will determine the appropriate dosage and schedule. Always follow your prescription instructions.

Frequently Asked Questions

Do I need a prescription?

Yes. After your free consultation, a licensed provider reviews your intake and health history to decide whether this treatment is right for you.

What is in my NAD+ Injection supply?

NAD+ Injection is supplied at 100 mg/mL. Your provider confirms the dose and how long a supply lasts for your plan.

How is NAD+ Injection taken?

It is a small subcutaneous injection you give yourself at home on a schedule your provider outlines, often a few times per week. We show you where and how to inject, starting with your first dose.

How is this different from the NAD+ Nasal Spray?

Both deliver NAD+ and both require a prescription. The injection is given under the skin on a set schedule, while the nasal spray is needle-free and used as a simple daily routine. Your provider helps decide which format fits you.

How soon will I notice a difference?

NAD+ works gradually. Many patients focus on steady energy and recovery over the first weeks and months. Individual experiences vary.

What are the common side effects?

Effects are usually mild and brief, such as flushing or warmth after a dose, mild nausea, headache, or discomfort at the injection site. Your provider reviews the risks with you during your consultation.

What if a provider decides this isn't right for me?

Your consultation is free, and no payment is needed to complete the assessment. If a provider decides this treatment isn't appropriate for you, they will explain why and may suggest other options.

How much does it cost?

The consultation is free and you pay nothing to complete the assessment. If a provider approves treatment, you see the exact monthly price for your plan before you are charged. There are no surprise fees.

Can I use my HSA or FSA?

Yes. Medura accepts HSA and FSA cards at checkout, and we can provide documentation for reimbursement if you need it.

How is it shipped?

Your treatment arrives in plain, unbranded packaging with no pharmacy name on the outside. Temperature-sensitive items ship with cold-chain protection.

What happens after I request treatment through Medura?

You complete an online assessment about your health history, current medications and goals. A licensed provider reviews it and decides whether a prescription is appropriate. Completing the assessment does not guarantee a prescription. If one is written, a licensed pharmacy prepares and ships it, and your provider can adjust or stop treatment as needed. If lab work is needed, your provider will tell you; it may be ordered and billed separately.

What to expect and possible side effects

  1. 1

    Start with a consultation

    You complete a short intake and a licensed provider reviews your health history to decide whether NAD+ Injection is right for you.

  2. 2

    A simple at-home routine

    Once approved, your provider outlines a schedule you can keep at home, typically a set rhythm of subcutaneous injections.

  3. 3

    What to expect

    NAD+ works gradually. Many patients focus on steady energy and recovery over the first weeks and months. Individual experiences vary.

Common side effects:

  • Flushing or warmth after a dose (common, typically brief)
  • Mild nausea or stomach discomfort during or shortly after a dose
  • Headache or lightheadedness
  • Injection site discomfort
  • Fatigue immediately following a dose (uncommon, resolves within hours)

Important Safety Information

This treatment is prescription-only. Your eligibility will be determined during your free consultation with a provider based on your full medical history, current medications, and health goals. Nothing on this page guarantees approval.

Generally appropriate for

  • Adults seeking support for cellular energy, mental clarity, or healthy aging
  • Those experiencing fatigue, brain fog, or age-related decline in vitality
  • Patients interested in longevity-focused, provider-supervised care
  • Adults without contraindications to subcutaneous injection treatments

Generally not appropriate if

  • Patients with active cancer or currently undergoing chemotherapy without oncologist clearance
  • Those with known hypersensitivity to NAD+ or niacinamide-related compounds
  • Pregnant or breastfeeding individuals without medical supervision
  • Patients with severe kidney or liver impairment without prior provider evaluation

Common side effects

  • Flushing or warmth after a dose (common, typically brief)
  • Mild nausea or stomach discomfort during or shortly after a dose
  • Headache or lightheadedness
  • Injection site discomfort
  • Fatigue immediately following a dose (uncommon, resolves within hours)

Individual results vary. This is not a complete list of potential side effects. Your provider will review all risks during your consultation.

Questions to ask your provider

  1. 1.What evidence supports NAD+ for my goals?
  2. 2.Injection or nasal spray: what are the trade-offs?
  3. 3.How will we decide if it is worth continuing?
  4. 4.Are there risks given my health history?

References

Sources last checked October 17, 2026. This page is for general education and does not replace advice from a licensed provider. Treatment requires a clinical evaluation, and a prescription is written only if a provider decides it is appropriate. Individual results vary.

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This is a customer support session on Google Meet, not a medical consultation. You will not receive medical care, medical advice, or treatment recommendations, and you will not be speaking with a licensed physician. All medical evaluations and treatment decisions are handled separately by licensed healthcare providers.

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Educational only. Not medical advice.