— Pricing Guide · 2026
How Much Does NAD+ Nasal Spray Cost?
NAD+ nasal spray delivers the same coenzyme as our NAD+ injection as a metered nasal mist — no needles, no IV. It is prescribed for cellular-energy and healthy-aging protocols for patients who prefer a needle-free route. At Pepti, NAD+ Nasal Spray is $269 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 metered nasal spray, so there are no needles or syringes to buy. Nasal formulations cost the pharmacy more per dose than a vial, which is why the sprays sit slightly above the injectable line.
— Insurance
Paying for NAD+ Nasal Spray.
Compounded NAD+ Nasal Spray is a cash-pay prescription and is not covered by insurance or Medicare. HSA and FSA funds can usually be applied.
— Common questions
NAD+ Nasal Spray pricing,
answered.
NAD+ Nasal Spray costs $269 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+ Nasal Spray from an FDA-registered 503A pharmacy, the metered spray bottle, 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+ Nasal Spray 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+ Nasal Spray is not FDA-approved; it is prepared to a physician's prescription by a state-licensed, FDA-registered pharmacy.
No. Compounded NAD+ Nasal Spray 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 $269 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+ Nasal Spray brings it to $256 per month.
Once per fill. One bottle is your monthly supply, and a fresh one ships about every 28 days depending on the dose your physician prescribes, billed at the same $269 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+ Nasal Spray 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 $269 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 questions25 more questions about Pepti, answered.
NAD+ delivered as a fine nasal mist — the longevity and cellular-energy molecule without an IV or injection. Supports DNA repair, metabolism, and healthy aging. NAD+ Nasal Spray 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+ Nasal Spray is $269 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+ Nasal Spray is commonly prescribed for: Adults who want NAD+ without injections; Patients focused on daily energy and focus. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. NAD+ Nasal Spray 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+ Nasal Spray 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+ Nasal Spray is a metered nasal spray, so there are no needles. You use the number of sprays your physician prescribes, on the schedule printed on the pharmacy label.
One bottle is your monthly supply at the dose your physician prescribes. A fresh bottle ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs.
The compounded NAD+ Nasal Spray, free tracked shipping in an unbranded box, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Like any prescription medication, NAD+ Nasal Spray 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+ Nasal Spray 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+ Nasal Spray 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+ Nasal Spray 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+ Nasal Spray sold without a prescription is labeled not for human use and is a different product.
Delivers NAD+ — the coenzyme central to cellular energy production and the sirtuin/PARP enzyme systems — through the nasal mucosa, a route chosen for convenience and rapid absorption without injections. At Pepti it is prescribed to support needle-free nad+, cellular energy & repair, daily nasal mist, physician-reviewed. Individual response varies, and your physician sets expectations at approval.
Delivers NAD+ — the coenzyme central to cellular energy production and the sirtuin/PARP enzyme systems — through the nasal mucosa, a route chosen for convenience and rapid absorption without injections. NAD+ levels decline substantially with age. Compounded NAD+ Nasal Spray is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
NAD+ Nasal Spray is prescribed for needle-free nad+, cellular energy & repair, daily nasal mist, physician-reviewed. It is commonly requested by adults who want NAD+ without injections; patients focused on daily energy and focus. Whether it is appropriate for you is the reviewing physician's decision.
NAD+ Nasal Spray is studied for needle-free nad+, cellular energy & repair, daily nasal mist, physician-reviewed. 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.
The evidence base for NAD+ biology comes mainly from human studies of oral precursors (nicotinamide riboside, NMN), which reliably raise blood NAD+ levels, plus extensive preclinical aging research. Published human data specific to the intranasal route is minimal, so nasal NAD+ is prescribed as an investigational option at physician discretion. 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+ Nasal Spray is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $269 per month, all-in. Not prescribed means refunded.
Nasal spray: 25 mL at 300 mg/mL, containing 7,500 mg NAD+. One bottle is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
NAD+ Nasal Spray is a nasal spray, so no pen or syringe is involved.
$269 per month covers the compounded NAD+ Nasal Spray, 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+ Nasal Spray 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+ Nasal Spray 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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