— Pricing Guide · 2026
How Much Does NAD+ 500 mg Cost?
The 500 mg NAD+ vial is the half-size version of our standard NAD+ injection — the same compounded NAD+ at a lower entry price for patients on a lower dose or trying NAD+ for the first time. At Pepti, NAD+ 500 mg is $229 per monthly fill, all-in: the compounded medication from an FDA-registered US pharmacy, physician review and ongoing care, shipping, and unlimited messaging. There is no membership fee, no consult fee, and no visit fee on top. It ships as a multi-dose vial with sterile syringes and alcohol prep pads included. Half the NAD+ per vial, so a lower monthly price. Patients who move up in dose step to the standard vial.
— Insurance
Paying for NAD+ 500 mg.
Compounded NAD+ 500 mg is a cash-pay prescription and is not covered by insurance or Medicare. HSA and FSA funds can usually be applied.
— Common questions
NAD+ 500 mg pricing,
answered.
NAD+ 500 mg costs $229 per month at Pepti. That price is all-in — it includes the compounded medication, the licensed physician who reviews your assessment and manages your care, shipping to your door, and unlimited messaging with your care team. Refills are the same price each month; there is no separate membership, consult, or visit fee.
The compounded NAD+ 500 mg from an FDA-registered 503A pharmacy, the vial with sterile syringes and alcohol prep pads, cold-chain shipping, the physician review of your assessment, ongoing physician care and dose adjustments, and unlimited messaging. If the physician does not approve you, the medication charge is refunded.
Yes. NAD+ 500 mg is prescription-only. At Pepti you complete a free online assessment, a licensed US physician reviews it, and if it is appropriate for you the prescription is sent to a partner pharmacy that compounds it and ships it to you. Compounded NAD+ 500 mg is not FDA-approved; it is prepared to a physician's prescription by a state-licensed, FDA-registered pharmacy.
No. Compounded NAD+ 500 mg is a cash-pay prescription and is not covered by insurance or Medicare. Most patients can use HSA or FSA funds, since it is a physician-prescribed medication. Pepti does not bill insurance, which is part of why there are no consult or visit fees.
Research-use-only peptides are sold without a prescription, without a physician, and without a pharmacy. They are labeled "not for human use" for a reason: no one is verifying the identity, purity, sterility, or dose of what is in the vial. Pepti's $229 covers a licensed physician, a state-licensed FDA-registered compounding pharmacy, and independent batch testing for identity, purity, potency, sterility, and endotoxins. You are paying for the medication to be what the label says it is.
Yes. Adding a second medication to the same plan takes 5% off every item, three takes 8% off, and four or more takes 10% off — on every refill, not just the first. A two-medication plan with NAD+ 500 mg brings it to $218 per month.
Once per fill. One vial is your monthly supply, and a fresh one ships about every 28 days depending on the dose your physician prescribes, billed at the same $229 each time. It renews until you cancel, and you can cancel anytime from your account. There is no contract and no cancellation fee.
Most peptide clinics price NAD+ 500 mg as a medication fee plus an initial consult, a membership or program fee, and follow-up visit fees, and many require in-person visits. Pepti charges one monthly price of $229 that already includes the physician and shipping, with no consult, membership, or visit fees. Some clinics also dispense research-use-only peptides; Pepti dispenses only physician-prescribed, pharmacy-compounded medication.
— More questions26 more questions about Pepti, answered.
A smaller 500 mg NAD+ vial — the same cellular-energy and DNA-repair support as our standard NAD+, at a lower entry price. Compounded; not FDA-approved. NAD+ Injection (500 mg) is prescription-only at Pepti: a licensed physician reviews your assessment and, if appropriate, prescribes it to be compounded by a state-licensed, FDA-registered pharmacy.
NAD+ Injection (500 mg) is $229 per month at Pepti. That is all-in: medication, physician review and ongoing care, shipping, and messaging. No membership, consult, or visit fees, and the price is the same in every state.
NAD+ Injection (500 mg) is commonly prescribed for: Adults who want a higher-dose NAD+ vial; Patients already comfortable with NAD+ injections. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. NAD+ Injection (500 mg) is prescription-only. The free online assessment takes about five minutes, a physician licensed in your state reviews it within 24 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
No. NAD+ Injection (500 mg) can be prescribed from the assessment alone. Bloodwork is required only for the GLP-1s and growth-hormone secretagogues, and the intake tells you if a medication on your order needs it.
NAD+ Injection (500 mg) is a subcutaneous injection into the abdomen or thigh with a small insulin syringe. Your kit ships with sterile syringes and alcohol prep pads, and the exact dose and schedule are printed on the pharmacy label. Dosing videos are in your account.
One vial is your monthly supply at the dose your physician prescribes. A fresh vial ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs, refrigerated.
Once per fill, $229 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded NAD+ Injection (500 mg) with sterile syringes and alcohol prep pads, free tracked shipping in an unbranded box with insulated packaging, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Like any prescription medication, NAD+ Injection (500 mg) can have side effects, and the physician screens your history, current medications, and allergies for anything that would make it inappropriate before prescribing. The medication-specific consent lists the known risks, and you can message your physician about anything you notice. Seek emergency care for severe symptoms.
Response varies by person, goal, and dose, and NAD+ Injection (500 mg) is prescribed for ongoing use rather than a short trial. Your physician sets expectations at approval, tracks how you respond through your account, and adjusts the dose without an appointment.
Any dose change is made by your physician from the chart, without an appointment. Message them through your account if you think your dose should change.
Yes. Add NAD+ Injection (500 mg) to a plan with another treatment and every medication is 5% off, three are 8% off, and four or more are 10% off, on every refill. The physician reviews the combination and can adjust it.
No. Compounded NAD+ Injection (500 mg) is not FDA-approved. It is prepared to your physician's prescription by a state-licensed, FDA-registered 503A pharmacy and every batch is independently tested before release.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in every state it serves. Research-use-only NAD+ Injection (500 mg) sold without a prescription is labeled not for human use and is a different product.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme at the center of cellular energy metabolism — required for converting food to ATP, and consumed by sirtuins and PARP enzymes involved in DNA repair and cellular stress responses. At Pepti it is prescribed to support dna repair, cellular energy, lower-cost entry vial, anti-aging. Individual response varies, and your physician sets expectations at approval.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme at the center of cellular energy metabolism — required for converting food to ATP, and consumed by sirtuins and PARP enzymes involved in DNA repair and cellular stress responses. NAD+ levels decline substantially with age; injection delivers the coenzyme directly rather than relying on oral precursors. Compounded NAD+ Injection (500 mg) is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
NAD+ Injection (500 mg) is prescribed for dna repair, cellular energy, lower-cost entry vial, anti-aging. It is commonly requested by adults who want a higher-dose NAD+ vial; patients already comfortable with NAD+ injections. Whether it is appropriate for you is the reviewing physician's decision.
NAD+ Injection (500 mg) is studied for dna repair, cellular energy, lower-cost entry vial, anti-aging. Those are the goals it is prescribed to support at Pepti; results vary by person, dose, and consistency, and no outcome is guaranteed. Your physician tracks how you respond through your account.
Human studies show oral NAD+ precursors (nicotinamide riboside, NMN) reliably raise blood NAD+ levels, and small pharmacokinetic studies have characterized intravenous NAD+ administration. Direct clinical-outcome trials of injectable NAD+ remain limited — most of the aging and metabolism evidence comes from preclinical work and precursor studies, so treatment is physician-directed and investigational. References are listed on this page.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 24 hours, and if appropriate NAD+ Injection (500 mg) is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $229 per month, all-in. Not prescribed means refunded.
Injectable vial: 5 mL at 100 mg/mL, containing 500 mg NAD+. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Not currently. NAD+ Injection (500 mg) ships as a multi-dose vial with sterile syringes and prep pads. The pepti Pen is available for 10 other treatments.
$229 per month covers the compounded NAD+ Injection (500 mg), the physician review, ongoing physician care including dose adjustments and refill review, unlimited messaging, and free tracked shipping. There is no membership, consult, visit, or refill fee; the only separate charges are optional at-home lab panels and a physician-approved dose increase billed at pharmacy cost.
Yes. NAD+ Injection (500 mg) is on Pepti's live catalog, which lists only treatments a partner pharmacy can compound and ship today. If a physician prescribes it, it ships; if it ever cannot be dispensed, the charge is refunded.
NAD+ Injection (500 mg) ships to all 50 states and Washington, D.C, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
— More in Anti-Aging
Other Anti-Aging treatments,
and what they cost.
Ready to start with NAD+ 500 mg?
Free intake review by a licensed physician. Medication refunded if not approved.
Start free assessment