Licensed physicians in all 50 states · Free, discreet shipping · Compounded in a US-licensed pharmacy

Medication

NAD+

Written by the Verra clinical team · Medical review pending · Last updated Oct 4, 2026

Quick answer

NAD+ is a coenzyme found in every cell that is involved in energy metabolism. It is offered as injections and nasal sprays in wellness programs, though clinical evidence for benefits in healthy people is limited. Compounded NAD+ is not FDA-approved.

Key takeaways

  • Involved in cellular energy.
  • Evidence in healthy adults is limited.
  • Injections can cause flushing or discomfort.

What it is

Nicotinamide adenine dinucleotide.

How it works

It supports enzymes used in energy production and DNA repair.

Forms and doses we offer

Injection and nasal spray.

Common side effects

Flushing, nausea, injection discomfort or nasal irritation.

Who should not take it

Pregnancy or active cancer; discuss with your provider.

Interactions to discuss

Tell your provider about all supplements.

Verra treatments containing nad+

A licensed provider decides whether a treatment is appropriate after your visit.

Questions

What is NAD+, and what does it do in the body?

NAD+ is a coenzyme, a helper molecule found in every cell. It helps cells use energy and supports normal cell processes. Some wellness programs offer NAD+ injections or nasal sprays. Evidence that these treatments improve health in healthy people is limited. Results vary. Compounded NAD+ is not FDA-approved.

Can NAD+ improve energy, focus, or signs of aging?

There is not enough strong clinical evidence to say NAD+ injections or nasal sprays reliably improve energy, focus, or signs of aging in healthy people. Results vary. NAD+ has important roles inside cells, but that does not establish a benefit from treatment. Persistent symptoms deserve a medical review.

Is compounded NAD+ FDA-approved?

No. Compounded NAD+ is not FDA-approved. Compounded medications are prepared by a licensed pharmacy for one patient. The FDA does not review them for safety, effectiveness, or quality before marketing. A prescription does not mean the product has FDA approval or that its wellness benefits have been proven.

How do NAD+ injections and nasal sprays differ?

NAD+ injections and nasal sprays use different delivery methods and need different instructions. An injection uses a needle, while a nasal spray is applied inside the nose. Neither method has well-established wellness benefits in healthy people. Results vary. Do not switch forms or convert doses without your prescribing physician's guidance.

Who should talk with a physician before using NAD+?

Anyone considering NAD+ should have a medical review first. A licensed physician in your state decides whether it is appropriate. Share all health conditions, medicines, supplements, and allergies. Be sure to mention pregnancy, breastfeeding, or plans for pregnancy, since safety information for NAD+ wellness treatments in these situations is limited.

What side effects or safety risks should I know about NAD+?

Safety data for NAD+ wellness treatments are limited, so the full range and frequency of side effects are not known. Injections can cause local pain, bruising, or infection. Nasal sprays may irritate the nose. Seek emergency care for trouble breathing, fainting, or swelling of the face, lips, or tongue.

Can NAD+ interact with medicines or supplements?

Interactions with NAD+ injections and nasal sprays are not well studied. A lack of reported interactions does not prove that a combination is safe. Give your physician and pharmacist a full list of medicines and supplements, including other NAD-related products. Do not stop or change prescribed medicines on your own.

How should I take NAD+, and what if I miss a dose?

Use NAD+ only at the dose, route, and schedule on your prescription. There is no established wellness dose that fits everyone. If you miss a dose, follow the pharmacy's written instructions or ask your pharmacist. Do not double a dose, change the route, or increase the amount on your own.

How should I store and handle compounded NAD+?

Store compounded NAD+ exactly as the dispensing pharmacy directs. Temperature, light protection, and the usable time after opening can differ by product. Check the beyond-use date and keep it away from children and pets. If a shipment arrives damaged or outside its stated storage conditions, ask the pharmacy before using it.

What does NAD+ treatment through Verra cost, and can I use insurance?

The current NAD+ medication price is shown on the treatment page. Verra does not bill insurance. The online visit fee is $99; it is non-refundable but credited toward your first medication order within 30 days. Medication is charged only after physician approval. HSA/FSA eligibility depends on your plan.

Related reading

Not sure what fits? Take the treatment finder

Sources

This page is general information, not medical advice. Results vary. Compounded medications are not FDA-approved. Our editorial policy

Your visit pays for itself.

Five minutes online. A physician reviews it within 24 hours, and your $99 visit fee is credited in full toward your first order.

Start your visit

Verra letters

Plain-English health guides, about once a month.

New treatments, honest answers and notes on member pricing. Unsubscribe anytime.