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NAD+ Injection vs. Nasal Spray: Which Is Cheaper? (2026)

Side-by-side pricing for prescription NAD+ by delivery form, injection vs. nasal spray, across telehealth programs, each figure first-party sourced and dated.

Not every NAD+ telehealth program discloses a price for both delivery forms, we show each program’s cheapest verified form (injection or nasal spray), labeled, so you can see which format wins on price, brand by brand. Two programs in our registry (bmiMD and Luvo Health) publish a real price for both forms on the same site; their pick-by-pick detail below lists both.

Who this list is for

Shoppers deciding between an NAD+ injection and a nasal-spray option, who want to see which form is cheaper at each telehealth program that offers a real, verifiable price for either.

Ranked programs: 7 verified, prices monitored daily, last change detected August 10, 2026

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NAD+ Injection vs. Nasal Spray: Which Is Cheaper? (2026), each figure read from the provider’s own pricing page and dated individually, latest check August 10, 2026
ProviderPriceLast verifiedPrice source
$89/mo12-month plan ($1,068 total, $89/mo) · injection
See pricing →
$89/mo12-month plan ($1,068 total, $89/mo) · injectionbmimd.comSee pricing →
$99/moadvertised starting price · injection
See pricing →
$99/moadvertised starting price · injectionwellmedr.comSee pricing →
$116/momonthly subscription, discounted from a stated $249 list price · nasal spray
See pricing →
$116/momonthly subscription, discounted from a stated $249 list price · nasal spraytelosrx.comSee pricing →
$118/mo52-week (one-year) plan, $1,417 total published on Luvo's own /pricing page: about $118 per calendar month, computed by RY from that total. Luvo prices in WEEKS, not calendar months (52 weeks = 13 four-week cycles), and this rate requires the year-long commitment: the no-commitment 4-week term is $199. Full published ladder: $199 per 4 weeks, $507 per 12 weeks, $894 per 24 weeks, $1,417 per 52 weeks. · injection
See pricing →
$118/mo52-week (one-year) plan, $1,417 total published on Luvo's own /pricing page: about $118 per calendar month, computed by RY from that total. Luvo prices in WEEKS, not calendar months (52 weeks = 13 four-week cycles), and this rate requires the year-long commitment: the no-commitment 4-week term is $199. Full published ladder: $199 per 4 weeks, $507 per 12 weeks, $894 per 24 weeks, $1,417 per 52 weeks. · injectionluvohealth.comSee pricing →
$169/mo12-month plan, billed every 48 weeks ($169/mo headline rate); shorter 1/3/6-month tiers run $179-$199/mo · injection
See pricing →
$169/mo12-month plan, billed every 48 weeks ($169/mo headline rate); shorter 1/3/6-month tiers run $179-$199/mo · injectionenhance.mdSee pricing →
$215/mo1-month supply (single price tier disclosed in static HTML; no multi-month plan visible without the gated intake flow) · injection
See pricing →
$215/mo1-month supply (single price tier disclosed in static HTML; no multi-month plan visible without the gated intake flow) · injectiontryyucca.comSee pricing →
$249/morecurring price after a $199 first-month promo (4-week auto-renewing subscription), using the recurring rate per RY's promo-price-trap convention, not the first-month teaser · injection
See pricing →
$249/morecurring price after a $199 first-month promo (4-week auto-renewing subscription), using the recurring rate per RY's promo-price-trap convention, not the first-month teaser · injectionjoinsprouthealth.comSee pricing →

Prices verified against provider pages on ; see how we verify.

Why we ranked them this way

  • We rank on the cheaper of a program’s injection or nasal-spray price when it offers both, the form column states which one won.
  • Embody sells NAD+ described as available by injection and nasal spray on the same product page but does not publish a separate price per form, so it is excluded from this specific comparison (it still appears on our general cheapest-NAD+ list). We only compare forms where the price-to-form link is explicit on the provider’s own site.
  • Sublingual NAD+ is a third delivery form, offered by Enhance MD as a wafer and by Luvo Health as liquid drops. This page compares injection against nasal spray only, so a sublingual price never sets a program’s rank here, though it does appear in the pick-by-pick detail where a program sells one, see our general cheapest-NAD+ ranking to compare that form directly.
  • Price is the only axis ranked here, and for NAD+ it should not be read as a safety or legitimacy signal. The FDA’s January 20, 2026 warning letter to GenoGenix LLC (WL#718739) states NAD+ is not eligible for 503B compounding; we could not identify a clear 503A pathway either; and a Class I recall of an NAD+ injectable over endotoxin contamination is on the record. That is the regulatory backdrop for the category, not an allegation about any program below, and it is why the cheaper form is never presented as the better one.

The picks in detail

bmiMD

Best for: Low-cost compounded GLP-1 with a named 503A pharmacy and flat per-dose pricing.

Watchout: The lowest advertised rate ($119/mo semaglutide, $179/mo tirzepatide) is the 12-month commitment tier; month-to-month is $159/mo semaglutide and $249/mo tirzepatide (prices rose across the board, verified 2026-09-03). The semaglutide page still says 'Same price at every dose'; the tirzepatide page no longer carries that line..

Pricing: NAD+ Injection (injection): $89/mo, 12-month plan ($1,068 total, $89/mo); NAD+ Nasal Spray (nasal spray): $99/mo, 12-month plan ($1,188 total, $99/mo).

State restrictions: Site claims all-50-state availability; the Katalys payout panel lists 'B-12/Glutathione/NAD+ Injection: No AR, CA, LA, MS, SC', flagging the discrepancy rather than resolving it in either direction.

See bmiMD pricing →

WellMedr

Best for: Microdose-GLP-1 blend plans (tirzepatide combined with NAD+ or B12/MIC in one $199/mo subscription) and flat-priced prescription NAD+ ($99/mo advertised, same price every dose).

Watchout: WellMedr's own pages contradict each other on FDA status: a site-wide footer correctly states its compounded medications 'are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality,' while its FAQ answers 'Are these medications FDA approved? Yes.' and its microdosing page calls them 'FDA-approved compounds' and claims 'ZERO side effects' for most members, claims we do not repeat as fact. No dispensing pharmacy is named, no 503A/503B status is stated, no state list is published, and the main GLP-1 recurring price is only shown inside the intake funnel, confirm the real price, the pharmacy, and your state's eligibility before paying..

Pricing: Compounded NAD+ Injections (injection): $99/mo, advertised starting price.

State restrictions: WellMedr publishes no state list; its NAD+ page says to check whether your state is eligible and that coverage is expanding

See WellMedr pricing →

telos rx

Best for: One integrated care team across GLP-1, hormones/longevity, sexual health, and recovery (peptide-led telehealth) rather than a single-indication weight-loss pure-play.

Watchout: telos publishes only 'first month low as' intro figures (semaglutide $49, tirzepatide $99, oral tirzepatide $49, microdosed tirzepatide $69); the ongoing monthly rate is not shown on the public site and is confirmed inside the intake flow, confirm the real recurring price at enrollment. State availability is not published, no dispensing pharmacy is named, and shipped compounded medication is non-refundable..

Pricing: NAD+ Nasal Spray (nasal spray): $116/mo, monthly subscription, discounted from a stated $249 list price.

State restrictions: Page states one of telos rx's two compounding-pharmacy partners cannot dispense to CA, NV, NJ, NC, TX, MA, MS, NH, WV, or DE due to sterile-compounding license limits, alongside a general 'all 50 states' marketing claim.

See telos rx pricing →

Luvo Health

Best for: Shoppers who want an openly published, no-intake-required price ladder for peptide/longevity therapy (sermorelin, NAD+) with named dispensing pharmacies.

Watchout: Every ranked Luvo rate on this site is the 52-week (one-year) plan rate, expressed per calendar month; Luvo itself publishes plan-TERM totals in weeks, not monthly prices, and 52 weeks is 13 four-week cycles rather than 12. Buying without that year-long commitment costs materially more: the no-commitment 4-week term is $199 for sermorelin or NAD+ and $249 for compounded semaglutide. Luvo names four dispensing compounding pharmacies but states no 503A/503B status for any of them, makes no third-party testing or potency claim, and says its own evaluation does not include lab testing. Geographic availability is a qualified all-50-states claim: Luvo's Terms say some services may not be available in all states, and Luvo's affiliate program says a confirmed restricted-state list is still forthcoming from its clinical team..

Pricing: NAD+ Injection (injection): $118/mo, 52-week (one-year) plan, $1,417 total published on Luvo's own /pricing page: about $118 per calendar month, computed by RY from that total. Luvo prices in WEEKS, not calendar months (52 weeks = 13 four-week cycles), and this rate requires the year-long commitment: the no-commitment 4-week term is $199. Full published ladder: $199 per 4 weeks, $507 per 12 weeks, $894 per 24 weeks, $1,417 per 52 weeks.; NAD+ Drops (sublingual): $118/mo, 52-week (one-year) plan, $1,417 total published on Luvo's own /pricing page: about $118 per calendar month, computed by RY from that total. Luvo prices in WEEKS, not calendar months (52 weeks = 13 four-week cycles), and this rate requires the year-long commitment: the no-commitment 4-week term is $199. Full published ladder: $199 per 4 weeks, $507 per 12 weeks, $894 per 24 weeks, $1,417 per 52 weeks.; NAD+ Spray (nasal spray): $118/mo, 52-week (one-year) plan, $1,417 total published on Luvo's own /pricing page: about $118 per calendar month, computed by RY from that total. Luvo prices in WEEKS, not calendar months (52 weeks = 13 four-week cycles), and this rate requires the year-long commitment: the no-commitment 4-week term is $199. Full published ladder: $199 per 4 weeks, $507 per 12 weeks, $894 per 24 weeks, $1,417 per 52 weeks..

See Luvo Health pricing →

Enhance MD

Best for: Shoppers who want GLP-1 inside a fuller metabolic/NAD+ coaching program rather than medication-only.

Watchout: The $212–$322/mo figures are the BUNDLED program price, verified first-party to include '4 Weeks of Medication', 'Ongoing Provider Care & Support', and 'Metabolic Lab Testing Every 6 Months', NOT the cost of the GLP-1 medication alone. A first-month discount applies (e.g. $112 first month on GLP-1 Core)..

Pricing: NAD+ Therapy (Injection) (injection): $169/mo, 12-month plan, billed every 48 weeks ($169/mo headline rate); shorter 1/3/6-month tiers run $179-$199/mo; NAD+ Wafers (sublingual): $84/mo, 12-month plan, billed every 48 weeks ($84/mo headline rate); shorter 1/3/6-month tiers run $89-$99/mo.

See Enhance MD pricing →

Yucca Health

Best for: Low advertised entry price on compounded GLP-1 with plain FDA disclosures and all-50-state provider coverage.

Watchout: The $125/mo figure is the 6-month-commitment semaglutide rate ($750 total); month-to-month is $146/mo. Dose-level pricing is still shared only after intake ('Pricing is shared after intake once eligibility is confirmed'), so confirm your dose's rate. Confirm your dose's ongoing rate at intake. Pharmacies are not named..

Pricing: NAD+ Longevity Injections (injection): $215/mo, 1-month supply (single price tier disclosed in static HTML; no multi-month plan visible without the gated intake flow).

See Yucca Health pricing →

Sprout Health

Best for: Balance of price and clinical support.

Watchout: The $149 (semaglutide) / $199 (tirzepatide) figures are Sprout's advertised homepage 'starting at' entry-dose prices, verified on the homepage 2026-07-16. The signup funnel personalizes the final rate; higher doses and brand-name options (Wegovy ~$1,799/mo, Zepbound ~$1,999/mo) cost more, confirm your dose's rate at enrollment.

Pricing: NAD+ Therapy (injection): $249/mo, recurring price after a $199 first-month promo (4-week auto-renewing subscription), using the recurring rate per RY's promo-price-trap convention, not the first-month teaser.

State restrictions: Sprout's own NAD+ page states it ships nationwide except Arkansas, Kansas, and New Mexico. The Katalys affiliate payout panel separately lists 'NAD+ Injection prohibited: CA' as a commission-eligibility restriction, that California restriction does not appear anywhere on Sprout's public site (homepage, footer, or NAD+ landing pages checked 2026-07-27); flagging the discrepancy rather than asserting either source is wrong.

See Sprout Health pricing →

Frequently asked questions

Is NAD+ nasal spray cheaper than NAD+ injection?

It depends on the program, there is no universal answer. In our current verified data the cheapest single option overall is an injection, and the nasal-spray rates we could verify sit in the middle of the range, above the cheapest injection and below the most expensive ones. Where one program prices both forms, the answer still splits: bmiMD’s injection is cheaper than its nasal spray, while Luvo Health charges the identical rate for either. Check the ranked table above for the current picture; it is dated and updated as prices are re-verified.

Is NAD+ nasal spray as effective as injection?

We don’t make efficacy claims for either form, this page compares price and access only. Ask a prescribing clinician about absorption and dosing differences between delivery routes for your situation.

Why don’t all NAD+ programs offer both forms?

Product menus vary by provider and by which compounding pharmacy they use. Some programs offer only one delivery form; at least one program in our registry markets both injection and nasal spray without pricing them separately, which is why it’s excluded from this specific comparison.

Alert me when this gets cheaper

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RangeYourself is reader-supported. We may earn a commission when you click on certain links, at no extra cost to you. Editorial recommendations are made independently. Each price carries its own verification date; the most recent on this page is August 10, 2026.