A nasal option, with a provider's review.
NAD+ is a coenzyme found in all living cells. Compounded NAD+ nasal spray is prescribed online only if a licensed provider decides it is right for you, and is prepared by a state-licensed compounding pharmacy.
$219/month
$219 billed every month
Plan lengths
$219 billed every monthOne-month supply
Start my online visitPrescription only. A licensed provider decides.
Your cells rely on NAD+ for energy and everyday maintenance. With provider-guided therapy, NAD+ may help support:
Involved in how your cells turn food into energy (ATP).
May support focus and mental clarity.
May support a healthy metabolism.
Involved in the processes cells use to maintain and repair themselves.
Individual results vary. Benefits are not guaranteed and depend on your provider's evaluation and your plan.
Not FDA-approved for any use. No NAD+ product, by any route, has been approved by the FDA. A licensed provider reviews your health history, current medicines and goals, explains what is and is not known about NAD+ nasal spray, and decides whether it may be appropriate for you.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in all living cells, where it takes part in many basic chemical reactions. This compounded form is a spray used in the nose. Evidence for the nasal route is limited: the published studies of nasal NAD+ that we found were done in animals or in cells, not in people, so how much NAD+ is absorbed through the lining of the nose has not been established. Your provider explains what this means for you.
A provider may consider NAD+ nasal spray for some adults after reviewing their health history, current medicines and goals. It is not for anyone allergic to NAD+ or any ingredient in the spray, and its safety during pregnancy and breastfeeding has not been established. Your provider decides.
Answer questions about your health history, medications and goals. Submitting a visit does not guarantee a prescription.
A provider licensed in your state decides whether treatment is appropriate for you, or recommends a different path.
A licensed pharmacy dispenses your medication and ships it to your door. Follow-up continues through the patient portal.
Prices in US dollars. Self-pay; insurance is not required.
| Plan length | Per month | Billed at checkout | Supply |
|---|---|---|---|
| Single order | $219 once | $219 single payment, no renewal | One-month supply |
| Monthly | $219/mo | $219 billed every month | One-month supply |
Planned prices; the final amount is always shown at checkout before you pay. See the Terms of Service and Refund Policy.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in all living cells. It helps many of the body's basic chemical reactions take place, and the body makes and recycles it through several pathways. Compounded NAD+ nasal spray is prepared for an individual patient by a state-licensed pharmacy and is prescribed only if a licensed provider decides it is appropriate.
No. NAD+ nasal spray is not FDA-approved for any use, and no NAD+ product has been approved by the FDA. It is compounded, which means it is prepared by a state-licensed pharmacy for one patient under a prescription. The FDA does not review compounded drugs for safety, effectiveness or quality, and compounded NAD+ is not a generic version of, or equivalent to, any branded medication.
Evidence is limited. The published studies of NAD+ given in the nose that we found were done in animals or in cells, and results in animals do not show what happens in people. How much NAD+ is absorbed through the lining of the nose has not been established. A 2026 systematic review of NAD+ studies covered compounds taken by mouth or by injection, not nasal sprays, and found effectiveness for wellness outcomes inconclusive.
The side effects of NAD+ used as a nasal spray have not been established in studies in people, and the FDA has not reviewed its safety. Tell your provider about any irritation in your nose, or any new or unusual symptom. You can report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In an emergency, call 911.
Compounded NAD+ nasal spray is sprayed into the nose. If a provider prescribes it, your provider sets the dose and how often to use it, and the pharmacy label gives your directions, including how to use and store the spray. This page does not give dosing information. Do not share your spray with anyone, and ask the pharmacy if you have questions about the ingredients.
No. Completing an online visit or paying does not mean a prescription will be issued. A licensed provider reviews your health history, medicines and goals and decides whether NAD+ nasal spray, another option or no treatment is right for you. If it is not appropriate, you will be told why. Not everyone qualifies.
Compounded NAD+ nasal spray is prepared for an individual patient by a state-licensed pharmacy under a prescription from a licensed provider. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Compounded NAD+ is not a generic version of, or equivalent to, any branded medication. Prescription required. Not everyone qualifies. Individual results vary.
Not FDA-approved for any use. No NAD+ product, by any route, has been approved by the FDA. A licensed provider reviews your health history, current medicines and goals, explains what is and is not known about NAD+ nasal spray, and decides whether it may be appropriate for you.
Common side effects: the side effects of NAD+ used as a nasal spray have not been established in studies in people, and the FDA has not reviewed its safety. Tell your provider about any irritation in your nose, or any new symptom.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
There is no FDA-reviewed information on NAD+ nasal spray during pregnancy or breastfeeding. Tell your provider if you are pregnant, plan to become pregnant or are breastfeeding.
Evidence for the nasal route is limited. How much NAD+ is absorbed through the lining of the nose in people has not been established.
Prescription only. NAD+ Nasal Spray is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information. Not medical advice. Results may vary.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
About ten minutes. A licensed provider reviews your information and decides whether treatment is right for you.
Have a question before you start? Call our support team:
Prescription required. Eligibility is determined by a licensed provider. Not medical advice. Results may vary.
