Subcutaneous injection
At-home care without an IV appointment. A small injection under the skin, with the dose, schedule and technique explained by your care team.
NAD+ injections
A cellular approach to wellness.
NAD+ injections are a compounded, prescription-required preparation of NAD+, a coenzyme your cells use to make energy. They are not FDA-approved. REMEVi offers three forms: injection, nasal spray and oral dropper. From $149 per 4 weeks on the 52-week plan ($1,937 for 13 fills) · $179 on 12 weeks ($537) · $229 month-to-month. A licensed provider decides if it fits you.
$149per 4 weeks on the 52-week plan ($1,937 for 13 fills)
$179 on 12 weeks ($537) · $229 month-to-month · Evaluation, prescribed NAD+ and shipping included
Opens the NAD+ application on OpenLoop, in English. Our care team can help in English or Spanish.
Why REMEVi for NAD+
- One price at every doseFrom $149 per 4 weeks on the 52-week plan. Your dose can change; your plan price does not.
- Prescribed by a licensed providerA licensed provider reviews your health history online and decides whether NAD+ fits you.
- Three formsInjection, nasal spray or oral dropper, at the same plan prices.
- Ships to your doorPrepared by a licensed pharmacy. Median 3.6 days from payment to shipment.
- Care in English or SpanishOur care team answers in your language, before and after you start.
Three forms.
Made for your routine.
Prefer an injection, a needle-free spray or a liquid? Explore three ways to fit NAD+ care into your day, without an IV appointment. Your provider helps choose an available preparation and sets your individual instructions.
Nasal spray
A needle-free option administered through the nose. Discuss whether a nasal preparation fits your needs and daily routine with your provider.
Oral dropper
A liquid option for people who prefer to avoid injections. Your provider explains how to use your prescribed preparation at home.
| Form | How it’s used | How often | Who it may suit | Price |
|---|---|---|---|---|
| Subcutaneous injection | A small injection under the skin at home, with technique explained by your care team or pharmacy. | As prescribed; your provider sets the dose and frequency. | People comfortable with a small needle who want to avoid infusion appointments. | $149 per 4 weeks on 52 weeks · $229 month-to-month |
| Nasal spray | Sprayed into the nose following your pharmacy’s instructions. | As prescribed; your provider sets the dose and frequency. | People who prefer a needle-free option. | $149 per 4 weeks on 52 weeks · $229 month-to-month |
| Oral dropper | A liquid taken by mouth with the measured dropper. | As prescribed; your provider sets the dose and frequency. | People who prefer to avoid injections and sprays. | $149 per 4 weeks on 52 weeks · $229 month-to-month |
Energy starts
inside your cells.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme your cells use to turn food into usable energy. It also helps enzymes carry out DNA repair and regulate cellular responses to stress. These essential roles make NAD+ a focus of research into energy metabolism and healthy aging.
Energy, repair and healthy aging
NAD+ helps mitochondria—the energy-producing structures in your cells—make ATP, the fuel cells use to function. It also supports enzymes involved in DNA repair and cellular maintenance. Human studies have linked NAD levels with brain energy metabolism and observed lower levels with age in some tissues, helping explain the interest in NAD+ and healthy aging.
Read the human brain-energy studyNAD+ and aging in human tissue · IV NAD+ pilot study
What people choose NAD+ for
People choose NAD+ care for energy, mental clarity and healthy aging. The research observes that NAD+ is central to how cells make energy and that NAD levels are lower with age in some tissues; the benefits of at-home NAD+ are still being studied. Your provider helps you set realistic goals and decide whether a trial of care makes sense for you.
Your plan.
Your care team.
Every NAD+ plan includes the essentials: a clinical evaluation, your prescribed NAD+ if approved, supplies and shipping, and bilingual care coordination. Choose how you pay; the price is the same at every dose and every renewal of your plan. Here is how to get started.
Tell us your goals
Complete the online NAD+ application with your health history and what you hope to get from care. Our team can help in English or Spanish.
Build your plan with a provider
Talk through your health history, medications and wellness priorities. Your provider evaluates whether NAD+ fits, helps select a preparation and explains your dose and schedule.
Continue care at home
If prescribed, your NAD+ ships to your door. Follow the pharmacy’s instructions and stay in touch with your care team about your experience and next steps.
Is NAD+
right for you?
An evaluation may suit adults exploring cellular wellness and healthy aging who want professional guidance and the convenience of care at home. It is a chance to discuss NAD+ alongside your existing wellness routine, especially if you prefer an at-home option over recurring IV appointments.
Bring your goals and health history to the conversation. If low energy or brain fog is new or persistent, start by evaluating the cause with a clinician. NAD+ should complement the basics—sleep, nutrition and movement—with a plan to review your experience and whether continuing is worthwhile.
Explore NAD+ benefits and researchIs NAD+ like Ozempic?
No. NAD+ is a coenzyme your cells use to make energy; Ozempic® contains semaglutide, a GLP-1 medication. NAD+ is not a GLP-1 and is not a weight-management treatment, and REMEVi does not prescribe it for that purpose. If weight management is your goal, see how GLP-1 care works instead.
Ozempic® is a registered trademark of Novo Nordisk. REMEVi is not affiliated with Novo Nordisk.
Do you need a prescription for NAD+ injections?
Yes, at REMEVi. Injectable NAD+ is compounded by a licensed pharmacy for one patient, under a prescription from a licensed provider who first reviews your health history. Oral NAD+ precursors such as NR and NMN are sold as supplements without a prescription, but they are different products from prescribed NAD+.
How much do NAD+ injections cost?
From $149 per 4 weeks on the 52-week plan ($1,937 for 13 fills) · $179 on 12 weeks ($537) · $229 month-to-month. The price is the same at every dose and every renewal of your plan, and it covers the clinical evaluation, the prescribed preparation if approved, supplies and shipping.
How long does a NAD+ shot last, and how often is it taken?
There is no fixed answer. Your cells use up and remake NAD+ continuously, and published protocols vary in dose and frequency. Your licensed provider decides how often you take NAD+ and may adjust the schedule over time. Our dosage guide shows the published ranges and explains how to inject at home.
What are the side effects of NAD+ injections?
Reported effects include redness or irritation where you inject, flushing, nausea, headache and tiredness, often linked to dose or speed. FDA has also received reports of severe chills, shaking, vomiting and fatigue after injectable NAD+, tied to ingredient-quality concerns. Tell your care team about any reaction, and seek urgent care for a severe one.
Are NAD+ injections safe and FDA-approved?
Compounded NAD+ is not FDA-approved, and the FDA does not review compounded preparations for safety, effectiveness or quality before they are sold. Risk depends on where the ingredient comes from, sterile compounding and clinical oversight. A licensed provider reviews your health history before deciding whether to prescribe it.
Is NAD+ a peptide?
No. NAD+ (nicotinamide adenine dinucleotide) is a coenzyme your body makes largely from forms of vitamin B3; it is not a chain of amino acids the way a peptide is. It is often offered alongside peptide therapies, which is why the two terms get mixed up in searches and on clinic menus.
What is the downside of taking NAD+?
The main downsides are cost, the injections themselves, possible side effects such as injection-site irritation, flushing or nausea, and limited human research on outcomes. Studies explain what NAD+ does inside cells, but they have not shown that NAD+ used at home changes how people feel or how they age.
Is NAD+ like Adderall?
No. NAD+ is not a stimulant and not a controlled substance. Adderall® is a prescription stimulant (amphetamine salts) regulated as a Schedule II drug. NAD+ is a coenzyme involved in cellular energy metabolism; it does not act the way a stimulant does, and it is not prescribed for ADHD.
Adderall® is a registered trademark of its owner. REMEVi is not affiliated.
Is NAD+ worth it?
It depends on your goals and budget. Human research shows NAD+ is central to how cells make energy and that levels fall with age in some tissues, but it has not shown that NAD+ treatment changes how people feel or age. A licensed provider can help you decide whether trying it makes sense for you.
NAD+ questions,
made simple.
What is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme your cells use to turn food into usable energy. It also helps enzymes carry out DNA repair and regulate cellular responses to stress. These essential roles make NAD+ a focus of research into energy metabolism and healthy aging.
Can I get an NAD+ prescription online?
Yes. Start your NAD+ application online, share your health history and wellness goals, and connect with a licensed provider. If prescribed, your preparation ships to your home, with bilingual care coordination available along the way. Your provider confirms eligibility and availability in your state.
What is the difference between injections, IV therapy and supplements?
Subcutaneous NAD+ is injected under the skin at home on your prescribed schedule, avoiding a clinic visit for an IV infusion. IV therapy delivers NAD+ into a vein. Supplements such as NR and NMN supply precursors the body can use to make NAD+. These are different approaches; results from a supplement or IV study do not establish the benefits of at-home NAD+ injections.
How are NAD+ injections taken?
NAD+ injections go into the fatty tissue just under the skin. Your clinician sets the dose and schedule, and your care team or pharmacist explains technique, storage and supplies. Follow your own prescription and contact the team about missed doses or side effects.
Is NAD+ FDA-approved?
Compounded NAD+ is not FDA-approved. The FDA does not review compounded preparations for safety, effectiveness or quality before marketing. Your provider reviews the potential benefits, uncertainties and risks with you before deciding whether to prescribe.
What side effects should I discuss?
Discuss injection-site irritation, other possible reactions and your personal risks with the clinician. FDA has received reports of severe chills, shaking, vomiting and fatigue after NAD+ injectable drugs, some requiring medical treatment. FDA’s alert addresses ingredient quality and endotoxin concerns; it is not a report about REMEVi specifically. Seek medical attention for a severe reaction.
Is the NAD+ application available in Spanish?
Opens the NAD+ application on OpenLoop, in English. Our care team can help in English or Spanish.
Make wellness personal.
Explore your NAD+ plan.
Start with your goals. Get a provider’s guidance, an at-home option that fits your routine and support in English or Spanish—all in one plan.
Find my NAD+ planOpens the NAD+ application on OpenLoop, in English. Our care team can help in English or Spanish.
Not prescribed? Full refund.Medically reviewed by Linda West-Conforti, RN · CA RN #389453 ·