NAD+ injections are available at wellness clinics, medical spas, longevity centers, and through telemedicine services that ship self-injection kits to your door. The option you choose affects your cost, convenience, and the level of medical oversight you receive.
In-Clinic Options
The most common places offering NAD+ injections are wellness clinics, medical spas, IV lounges, and dedicated longevity or anti-aging centers. These facilities typically have a licensed provider on staff (a physician, nurse practitioner, or physician assistant) who evaluates you before treatment and administers the injection on-site. Some functional medicine practices and integrative health offices also offer NAD+ as part of broader vitality or longevity programs.
Pricing at in-clinic locations generally runs $95 to $200 per session, with practices in major metro areas trending toward the higher end. Geography is one of the biggest price drivers: the same injection that costs $100 in a midsize city may cost nearly double at a premium clinic in New York or Los Angeles. Most clinics offer package deals if you commit to multiple sessions.
Note that NAD+ injections (subcutaneous or intramuscular shots) are different from NAD+ IV infusions, which take two to four hours per session and cost significantly more. If a clinic advertises “NAD+ therapy,” confirm whether they mean a quick injection or a lengthy drip, because the time commitment and price are very different.
At-Home Telemedicine Services
A growing number of telehealth companies now prescribe NAD+ injections that you self-administer at home. The process is straightforward: you fill out an online intake form, complete a video or asynchronous consultation with a licensed provider, and if approved, receive your injections by mail. These are compounded at a pharmacy and shipped directly to you, usually with supplies like syringes and alcohol swabs included.
At-home programs typically start around $150 per month for a full month’s supply, which can make them cheaper per dose than repeated clinic visits. You also get ongoing virtual support from a medical team for questions about technique or side effects. The trade-off is that you’re responsible for preparing and injecting the medication yourself, though subcutaneous injections are relatively simple once you’ve been walked through the process.
How the Injections Are Given
Most NAD+ injections are subcutaneous, meaning a short needle goes just under the skin rather than deep into muscle. Common injection sites include the abdomen (rotating between quadrants), the back of the upper arm, and the front of the thigh. Providers typically start with a dose of 50 mg once weekly for the first four weeks, then increase to 100 mg weekly if you tolerate it well. The maximum standard dose is 100 mg per week.
The injection itself takes only a few seconds. Some people feel a mild sting or burning at the injection site. Unlike IV infusions, which require hours in a chair, a subcutaneous shot means you can be in and out of a clinic in under 30 minutes, or done at your kitchen table in a couple of minutes if you’re self-injecting at home.
What to Expect After Your First Dose
About 30 to 40 percent of people report feeling more energetic within hours of their first injection. The majority, roughly 60 to 70 percent, notice benefits within 24 to 48 hours, most commonly improved energy, better sleep, or a lift in mood. Some people don’t notice much after a single session and need several weeks of consistent dosing before feeling a difference.
Common side effects are mild: dull headaches, slight nausea, or dizziness. These typically resolve quickly on their own. At high oral doses of the precursor compound (multiple grams daily over weeks), research has flagged more serious concerns including reduced insulin sensitivity, liver stress, and drops in platelet counts. Standard injection doses are far lower, but this is one reason providers start conservatively and titrate up.
How to Vet a Provider
Whether you choose a brick-and-mortar clinic or a telemedicine service, a few things separate a trustworthy provider from a questionable one. First, any legitimate operation requires a medical evaluation before prescribing. If a company lets you buy NAD+ injections without any health screening, that’s a red flag. Second, ask where the product is compounded. Look for pharmacies that hold PCAB accreditation, which is the recognized benchmark for compounding quality in the United States. PCAB-accredited pharmacies follow United States Pharmacopeia standards for sterile preparations, meaning the product has been made under strict quality controls for consistency and sterility.
A reputable clinic or telehealth service should be transparent about dosing, willing to answer questions about their pharmacy source, and clear about what NAD+ injections can and cannot do. Be cautious of any provider promising dramatic anti-aging results or treating the therapy as a one-size-fits-all protocol. The best providers screen you, personalize your dose, and schedule follow-ups to monitor how you’re responding.
Cost Comparison at a Glance
- In-clinic injection: $95 to $200 per session, typically once weekly. Monthly cost ranges from roughly $380 to $800 depending on location and frequency.
- At-home telemedicine kit: Starting around $150 per month for a full supply, including the prescription, compounded medication, and shipping.
Insurance does not cover NAD+ injections in most cases, since they are considered elective wellness treatments rather than medically necessary therapies. Some clinics accept HSA or FSA cards, so check with your provider if that’s relevant to your situation.