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NAD+ injections: cost and where to get them

There is no FDA-approved NAD+ injection: NAD and NADH sit on FDA's list of bulk substances still under evaluation for compounding, which under FDA's interim policy lets 503A pharmacies compound them while that review continues [1]. We could not confirm typical clinic or online prices for NAD+ injections or IV therapy for this page.

Updated Oct 17, 2026By the Wellchosen Health editorial team

Medical review: pending. A licensed clinician has not yet reviewed this page.

NAD+ (nicotinamide adenine dinucleotide) is a molecule the body uses in energy metabolism; NAD+ injections and IV drips sold by clinics are compounded products, not FDA-approved drugs.

FDA-approved NAD+ injection
None [1]
Compounding status
NAD and NADH on 503A Category 1, under evaluation, as of May 2026 [1]
Price
Not confirmed for this page
Evidence
We could not review the 2026 studies listed on PubMed for this page

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What NAD+ injections cost

We could not confirm typical prices for NAD+ shots or IV drips from clinics or online programs for this page, so we do not list a range. Some GLP-1 telehealth companies list compounded NAD+ among their products, but the pages we read did not publish a NAD+ price. When you get a quote, ask for the total cost of a course, not one visit, and whether the clinic fee, supplies and any lab work are included.

FDA status and compounding rules

FDA keeps lists of bulk substances that pharmacies have asked to use in compounding. As of May 14 2026:

  • NAD and NADH are on Category 1, substances still under evaluation. Under FDA's interim policy, 503A pharmacies may compound them while the review continues [1].
  • A separate nomination for beta-NAD disodium salt trihydrate is on Category 3 [1].
  • Category 2, substances with significant safety concerns, had only six entries, and NAD was not one of them [1].

Compounded, not approved

Compounded drugs are not FDA-approved. FDA does not review them for safety, effectiveness or quality before they are sold. Being under evaluation is not a finding that NAD+ injections are safe or effective [1].

What the evidence shows

Our research found that a 2026 systematic review and a 2026 pilot comparing IV NAD+ with oral nicotinamide riboside were listed on PubMed, but we could not read the abstracts, so we cannot summarize what they found. We make no claim that NAD+ injections improve energy, aging or any condition.

Where people get NAD+ injections

  • IV and wellness clinics. Prices and pharmacy sources vary and were not confirmed for this page.
  • GLP-1 telehealth companies. OrderlyMeds lists compounded NAD+ for current GLP-1 patients only; it received an FDA warning letter about its GLP-1 marketing on June 8 2026 [2]. See our OrderlyMeds review.
  • Eden lists NAD+ among its products. Its June 8 2026 FDA warning letter cited Eden branding on compounded GLP-1 labels; image descriptions on its site still showed Eden logos on other compounded vials, including NAD+, on Oct 17 2026 [3] [4]. See our Eden review.

We do not link to sellers of products labeled for research use only. FDA has rejected that label as a defense in warning letters to peptide sellers [5].

Questions to ask before you pay

  1. Which pharmacy compounds it, and is it a state-licensed 503A pharmacy?
  2. Who prescribes it, and did they review your medicines and health history?
  3. What is the total price for the course, including visit and supply fees?
  4. Can I take it with my other medicines, such as a GLP-1? Ask your prescriber; our research has no data on that combination.

When to get help

Signs of an allergic reaction, such as swelling of the face or throat, trouble breathing or a fast heartbeat, need emergency care. Call 911.

Insurance

NAD+ injections are not FDA-approved drugs [1], so they are generally sold as cash-pay wellness services. Ask your HSA administrator before using HSA funds.

Related: wellness injections, B12 injections, sermorelin, compounded tirzepatide, and the FDA warning letter tracker.

Questions people ask

How much do NAD+ injections cost?

We could not confirm typical clinic or online prices as of Oct 17 2026. NAD+ injections are compounded products; there is no FDA-approved NAD+ injection [1]. Ask for the total course price in writing.

Are NAD+ injections FDA-approved?

No. NAD and NADH are on FDA's 503A Category 1 list of bulk substances under evaluation as of May 14 2026, which lets 503A pharmacies compound them under FDA's interim policy while the review continues [1].

Are NAD+ injections legal?

A 503A pharmacy may compound NAD or NADH for a patient-specific prescription under FDA's interim policy for Category 1 substances [1]. That is not FDA approval, and FDA does not review compounded products for safety or effectiveness.

Do NAD+ injections work?

We could not confirm the findings of the 2026 studies on NAD+, and we make no claims about benefits. NAD+ injections have no FDA approval for any use [1].

Can I get NAD+ injections online?

Some GLP-1 telehealth companies list compounded NAD+. OrderlyMeds offers it to current GLP-1 patients and received an FDA warning letter about its GLP-1 marketing on June 8 2026 [2].

Can I take NAD+ with tirzepatide?

Our research has no data on combining compounded NAD+ with tirzepatide. Ask your prescriber and pharmacist. Neither compounded NAD+ nor compounded tirzepatide is FDA-approved [1].

Sources

5 cited
  1. Bulk drug substances nominated for use in compounding under section 503A (category lists). US Food and Drug Administration, May 14, 2026.
  2. Warning letter: OrderlyMeds LLC. US Food and Drug Administration, Jun 8, 2026.
  3. Warning letter: Eden Health International dba Eden. US Food and Drug Administration, Jun 8, 2026.
  4. Eden home page. Eden, accessed 2026-10-17.
  5. Warning letter: Peptide Partners LLC. US Food and Drug Administration, Aug 24, 2026.

This page is general information, not medical advice. Talk with a licensed clinician about your own care.

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