— Pricing Guide · 2026
How Much Does NAD+ Injection Cost?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every cell, central to energy metabolism and DNA repair. Injectable NAD+ delivers the molecule directly and is prescribed for cellular-energy and healthy-aging protocols. At Pepti, NAD+ Injection is $249 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 is available as a standard vial for $249 or as a pre-filled pepti Pen for $319; the injector pen itself is included free with your first pen order. NAD+ injections replace the IV-clinic model. An NAD+ IV drip is typically priced per session at a clinic; a monthly vial for home injection covers the whole month.
NAD+ Injection
Multi-dose vial with sterile syringes and prep pads. One vial is your monthly supply.
— Insurance
Paying for NAD+ Injection.
Compounded NAD+ Injection is a cash-pay prescription and is not covered by insurance or Medicare. HSA and FSA funds can usually be applied.
— Common questions
NAD+ Injection pricing,
answered.
NAD+ Injection costs $249 per month at Pepti as a vial, or $319 as a pre-filled pepti Pen. 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+ Injection 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+ Injection 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+ Injection is not FDA-approved; it is prepared to a physician's prescription by a state-licensed, FDA-registered pharmacy.
No. Compounded NAD+ Injection 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 $249 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+ Injection brings it to $237 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 $249 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+ Injection 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 $249 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.
Direct NAD+ supplementation supports DNA repair, energy metabolism, and healthy aging. NAD+ Injection 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 is $249 per month at Pepti as a vial, or $319 as a pre-filled pepti Pen. 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 is commonly prescribed for: Adults focused on energy, mental clarity, and cellular repair; Patients who want injectable NAD+ rather than an IV visit. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. NAD+ Injection 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 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 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. It is also available as a pre-filled pepti Pen for $319.
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.
The compounded NAD+ Injection 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.
Reported side effects of NAD+ Injection are usually mild: flushing at injection site (common, harmless); mild headache (uncommon); slight chest pressure during injection (normal). The physician screens your history, medications, and allergies 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 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.
Yes. Request it from your account or the app; your physician approves or declines. If approved you pay for the additional medication at the pharmacy's cost and the new dose applies to your next shipment.
Yes. Add NAD+ Injection 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 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 sold without a prescription is labeled not for human use and is a different product.
NAD+ injections deliver nicotinamide adenine dinucleotide directly into circulation, bypassing oral bioavailability issues. At Pepti it is prescribed to support dna repair, cellular energy, brain function, anti-aging. Individual response varies, and your physician sets expectations at approval.
NAD+ injections deliver nicotinamide adenine dinucleotide directly into circulation, bypassing oral bioavailability issues. NAD+ is essential for sirtuin activation, DNA repair, and cellular energy metabolism — all of which decline with age. Compounded NAD+ Injection is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
NAD+ Injection is prescribed for dna repair, cellular energy, brain function, anti-aging. It is commonly requested by adults focused on energy, mental clarity, and cellular repair; patients who want injectable NAD+ rather than an IV visit. Whether it is appropriate for you is the reviewing physician's decision.
NAD+ Injection is studied for dna repair, cellular energy, brain function, 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.
NAD+ levels decline significantly with age, falling 50-70% by the seventh decade (Massudi et al., PLOS ONE 2012). This decline is implicated in mitochondrial dysfunction, impaired DNA repair, and accelerated cellular senescence. Yoshino et al. (Cell Metab 2018) demonstrated that NMN supplementation restored mitochondrial function in aged mice. Direct NAD+ injection achieves substantially higher peak serum levels than oral precursors (NR, NMN) and bypasses first-pass metabolism. Clinical studies are emerging, with ongoing trials in cardiovascular disease, neurodegeneration, and aging biomarkers. NAD+ replacement is now considered a foundational longevity-medicine intervention. References are listed on this page.
NAD+ Injection is generally not prescribed with: active cancer or history of cancer (unless approved by oncologist); pregnancy or breastfeeding; severe kidney or liver disease; known allergy to the peptide or excipients. The physician screens for these in your intake, and anything that rules NAD+ Injection out means it is not prescribed and is refunded.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 24 hours, and if appropriate NAD+ Injection is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $249 per month, all-in. Not prescribed means refunded.
Injectable vial: 10 mL at 100 mg/mL, containing 1,000 mg NAD+. Pepti Pen cartridge: 3 mL cartridge (300 units) at 250 mg/mL, containing 750 mg NAD+. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Yes. NAD+ Injection is available as a pre-filled pepti Pen cartridge for $319 per month, versus $249 as a vial. Same medication, same pharmacy; the reusable injector is free with your first pen order. Choose the format in the cart or ask your physician.
$249 per month covers the compounded NAD+ Injection, 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 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 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.
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Free intake review by a licensed physician. Medication refunded if not approved.
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