Woman exercising in gym representing vitality and cellular energy from NAD+ therapy

Buy NAD+ Injections Online: Physician-Prescribed NAD+ Therapy

NAD+ Therapy for Cellular Energy, Mental Clarity, and Longevity

$139.99 first month, then $149/mo — everything included. Prescribed by board-certified doctors. No subscriptions.

Transparent Pricing

NAD+ Injection Cost: $139.99 First Month, $149/mo After

$139.99 your first month, then $149/mo — covers your NAD+ prescription, physician oversight, and free shipping. No dose-based price hikes, no hidden fees, no lock-in.

Typical IV Clinic / Wellness Center
$500 /session
Average per-session cost at IV infusion clinics
  • In-person clinic visits required
  • Per-session pricing adds up fast
  • No ongoing physician oversight
  • Packages lock you in upfront
  • No included wellness plan
Best Value
Precision Telemed — Flat Rate
$139.99 /first mo
1,000mg Vial
$149/mo from month 2 — cancel anytime.
Hundreds less vs. typical IV clinics
  • NAD+ subcutaneous injections
  • Everything Included — No Hidden Fees
  • White Glove Pharmacy Service
  • Board-certified physician oversight
  • Ships in 48 Hours
  • No subscription — cancel anytime
  • Everything Included
Check My Eligibility — Free  

$139.99 first month, then $149/mo — no lock-in, cancel anytime.

Our Physicians

NAD+ Therapy Online: Board-Certified Physicians, All 50 States

Every patient is matched with a physician specializing in cellular longevity and peptide therapy — not a one-size-fits-all algorithm.

What to Expect

NAD Therapy Benefits: What 5,000+ Patients Report

NAD+ works at the cellular level — results build progressively as your body’s energy systems are restored. Here’s what most patients experience:

Days 1–7
Energy Boost

Many patients notice a meaningful lift in energy within the first week as NAD+ fuels mitochondrial ATP production at the cellular level.1

Week 2–3
Mental Clarity

Brain fog clears as NAD+ supports neuronal repair and sirtuin activation — sharper focus, improved memory recall, and faster cognitive processing.2

Week 3–5
Deeper Sleep

NAD+ regulates circadian rhythm genes. Patients report falling asleep faster, staying asleep longer, and waking genuinely restored.3

Month 2–3
Cellular Repair

PARP enzymes and sirtuins — NAD+-dependent repair proteins — accelerate DNA repair, reduce inflammation, and slow cellular aging markers.4

1 Yoshino J, et al. NAD+ Intermediates: The Biology and Therapeutic Potential of NMN and NR. Cell Metabolism, 2018. PubMed

2 Gomes AP, et al. Declining NAD+ Induces a Pseudohypoxic State Disrupting Nuclear-Mitochondrial Communication. Cell, 2013. PubMed

3 Peek CB, et al. Circadian Clock NAD+ Cycle Drives Mitochondrial Oxidative Metabolism. Science, 2013. PubMed

4 Verdin E. NAD+ in aging, metabolism, and neurodegeneration. Science, 2015. PubMed

NAD+ molecular visualization inside human cell
NAD+ Declines ~50% by Age 60
Directly linked to fatigue, brain fog, and accelerated aging
The Science

What Is NAD+ Therapy? The Science Behind Cellular Rejuvenation

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme present in every cell of your body — it’s the master regulator of cellular energy, DNA repair, and aging. By your 40s, NAD+ levels have dropped by nearly half, directly causing the energy crashes, brain fog, and slower recovery you feel every day.

Patients reporting increased energy~85%
Patients reporting improved mental clarity~78%
Patients reporting better sleep quality~70%
Mitochondrial Energy

NAD+ is essential for ATP production — the currency of cellular energy that powers every function in your body.

DNA Repair Activation

PARP enzymes use NAD+ to detect and repair DNA strand breaks — slowing the cellular aging process.

Sirtuin Longevity Genes

Sirtuins — the “longevity proteins” — are NAD+-dependent and regulate inflammation, metabolism, and cellular stress.

Neuroprotection

NAD+ supports neuronal health, axonal protection, and cognitive function — counteracting age-related mental decline.

Real Results
Thousands Have Already
Transformed

“Back to Feeling Like Myself Again”

I hit 52 and my energy just fell off a cliff. I was dragging through the afternoons and relying on coffee just to function. Six weeks into NAD+ therapy with Precision Telemed and the difference is night and day. I wake up without an alarm, stay sharp all afternoon, and I’m back in the gym four days a week. I wish I had started this years ago.

Robert T.
Verified Patient · Age 52
Energy Restored

“My Productivity at Work Has Completely Changed”

I’m a 45-year-old attorney and the mental demands of my job are relentless. For the past few years I’d been pushing through a fog that just wouldn’t lift no matter how much sleep I got. Two weeks after starting NAD+ I noticed my focus sharpen noticeably: better recall, faster thinking, less mental fatigue by end of day. The consultation was easy and the doctor actually listened.

James W.
Verified Patient · Age 45
Mental Clarity

“My Recovery Times Have Been Cut in Half”

At 49 I still train seriously (cycling and CrossFit) but my recovery had become my biggest limitation. A friend who’s a sports medicine physician suggested NAD+. I’ve been on it for eight weeks and the change in how fast I bounce back is remarkable. Less soreness, deeper sleep, and my endurance during training has genuinely improved. The whole experience with Precision Telemed was seamless.

Marcus C.
Verified Patient · Age 49
Peak Performance

“Seven Hours of Uninterrupted Sleep, Every Night”

I’d been a light, restless sleeper for most of my adult life. I tried melatonin, magnesium, sleep hygiene. Nothing worked consistently. My functional medicine doctor suggested NAD+ as part of a broader protocol. Within about three weeks I started sleeping through the night. It’s been four months now and it’s held. I feel rested in a way I genuinely haven’t in years.

Patricia H.
Verified Patient · Age 50
Deep Sleep

“The Anti-Aging Protocol I’ve Been Looking For”

I’ve been interested in longevity medicine for a while and tried several supplements with mixed results. NAD+ through Precision Telemed has been the most noticeable single change I’ve made. More energy, better skin tone, faster thinking. The improvements have been consistent over four months. The doctor took my health history seriously and the whole process was straightforward from day one.

Nathan B.
Verified Patient · Age 47
Cellular Reset

“More Energy Than I Had in My Thirties”

After going through menopause I felt like my vitality had just vanished. Low energy, low mood, zero motivation to do the things I used to love. My physician suggested NAD+ as part of a wellness protocol and I’m genuinely floored by how much better I feel. My energy is back, my mood has stabilized, and I’m hiking and cooking and socializing again. My family keeps asking what I’ve changed.

Carol W.
Verified Patient · Age 55
Mood & Vitality
Who It’s For
NAD+ Decline Affects
More Than You Think.

NAD+ levels drop roughly 50% between ages 40 and 60 — directly affecting your energy, cognition, sleep quality, and how fast your cells age. These are the four most common symptoms of NAD+ decline:

Chronic Fatigue

Without sufficient NAD+, your mitochondria can’t produce adequate ATP — leaving you running on empty regardless of how much you sleep.

Brain Fog & Memory

NAD+ is critical for neuronal repair and neurotransmitter function. Declining levels directly impair focus, memory, and mental processing speed.

Disrupted Sleep

NAD+ regulates SIRT1 — a key circadian clock gene. Low levels throw off your sleep-wake cycle, causing poor sleep quality and night waking.

Accelerated Aging

PARP1 and sirtuins — the body’s primary DNA repair and longevity proteins — depend entirely on NAD+. Without it, cellular aging accelerates.

Honest Transparency
Who NAD+ Is Not For

We believe in clinical honesty. NAD+ therapy is not the right fit for everyone — and your safety always comes first.

Under Age 30

Your NAD+ levels are still naturally high. Therapy is designed for adults experiencing age-related cellular decline, typically accelerating after age 35–40.

Active Cancer or Malignancy

NAD+ promotes cellular energy and repair — which could theoretically support cancer cell proliferation. Your physician will screen carefully before prescribing.

Pregnancy or Breastfeeding

NAD+ therapy has not been studied in pregnancy or lactation. Safety in these populations has not been established.

Looking for Overnight Results

NAD+ works at the cellular level — results build progressively over weeks and months. If you want an instant fix, this program isn’t for you.

Severe Kidney or Liver Disease

Patients with significant hepatic or renal impairment may need dose adjustments or may not be candidates. Your physician will evaluate your full history.

Unwilling to Self-Inject

NAD+ is administered via a small subcutaneous injection. If self-injection is a hard no, we’d recommend exploring our other oral-friendly programs instead.

Not sure if you qualify? Our board-certified physicians will evaluate your full health history during your free consultation.

Check My Eligibility — Free  
Simple Process

How to Buy NAD+ Injections Online in 3 Steps

No office visits. No long waits. We’ve built the fastest, most streamlined path to starting NAD+ therapy.

Takes 5 min
Complete Your Assessment

Answer a brief online health questionnaire. We’ll review your symptoms and eligibility instantly — no office visit required.

Often same day
Consult a Board-Certified Doctor

Meet your physician via secure telehealth. They’ll review your cellular health and build your personalized NAD+ dosing protocol.

Expedited Shipping
Receive & Begin Treatment

Your NAD+ ships from our licensed 503A pharmacy, discreetly packaged, with clear self-injection instructions and ongoing physician support.

Rush Pharmacy
Rush PharmacyCompounding Pharmacy Partner
503A Licensed NABP Accredited FDA Registered HIPAA Compliant
Ask About our Quality Testing!
Our Pharmacy Partner

Dispensed by
the Best in the Business.

Every vial of NAD+ dispensed through Precision Telemed is compounded and fulfilled exclusively by Rush Pharmacy — a nationally recognized 503A licensed compounding pharmacy held to the highest standards of quality, safety, and purity.

  • 503A Licensed Compounding Pharmacy — fully compliant with all state and federal regulations
  • Pharmaceutical-Grade NAD+ Only — never research-grade or unverified compounded sources
  • Rigorous Quality Testing — every batch tested for potency, sterility, and purity
  • Cold-Chain Shipping — temperature-controlled delivery to preserve NAD+ efficacy
Also Want to Optimize Growth Hormone?
Many patients stack NAD+ with our Sermorelin growth hormone therapy.

NAD+ restores cellular energy and DNA repair at the foundation. Sermorelin rebuilds lean muscle and restores your body’s natural growth hormone. Together, they’re one of the most comprehensive longevity protocols available through telehealth.

Explore Sermorelin  
From $149.99/mo
Common Questions

Frequently Asked Questions

Yes, with appropriate context. The strongest clinical evidence is for energy restoration, mitochondrial function, and DNA repair signaling. Published research in Cell Metabolism (Yoshino et al., 2018) and Science (Verdin, 2015) confirms NAD+’s role in these pathways. Our patient data shows 85% report improved energy, 78% improved mental clarity, and 70% better sleep within 2–3 months of consistent use.

NAD+ has an excellent safety profile. It is a naturally occurring molecule in the body. Common mild side effects can include minor injection site redness, temporary flushing, or mild nausea, especially early in treatment. These typically resolve within days. Your Precision Telemed physician will review your full health history before prescribing to confirm NAD+ is appropriate for you.

NAD+ and glutathione target different pathways. NAD+ primarily works on cellular energy production, DNA repair, and sirtuin activation: addressing the root causes of cellular aging. Glutathione is the body’s master antioxidant, primarily reducing oxidative stress and supporting liver detoxification. If your goals are energy, mental clarity, and longevity, NAD+ is the more targeted choice. If your goals are detoxification, skin health, or immune support, glutathione may complement or substitute.

Your first month is $139.99 — everything included: your NAD+ prescription, monthly supply, board-certified physician oversight, and free expedited shipping. Month two onwards is $149/mo. Traditional IV clinics charge $400–$600+ per session because of facility overhead, nursing staff, and per-visit fees. By operating fully via telehealth and using a subcutaneous protocol dispensed by our licensed 503A pharmacy, we eliminate those costs. Same pharmaceutical-grade NAD+. Same board-certified oversight. A fraction of the price — and consistent daily dosing that outperforms monthly IV sessions.

NAD+ therapy for longevity and wellness optimization is generally not covered by insurance. However, at $139.99 your first month and $149/mo thereafter — under $5/day — our cost is dramatically lower than traditional IV clinic alternatives. We accept all major credit and debit cards. Many patients also use HSA or FSA accounts for eligible wellness expenses. There are no surprise bills — you always know exactly what you’ll pay.

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It serves as a critical cofactor in hundreds of metabolic reactions, most importantly in the electron transport chain that powers mitochondrial ATP production — your cells’ primary energy currency. NAD+ also activates sirtuins (longevity-regulating proteins), fuels PARP enzymes responsible for DNA repair, and regulates circadian rhythm genes. By your 50s, NAD+ levels have typically dropped 40–50% from youthful levels, directly causing the fatigue, cognitive decline, poor sleep, and slower cellular repair that feel inevitable with aging — but aren’t.

NAD+ has an excellent safety profile. It is a naturally occurring molecule in the body, and subcutaneous supplementation is well-tolerated by the vast majority of patients. Common mild side effects can include minor injection site redness, temporary flushing, or mild GI discomfort — especially early in treatment. These typically resolve within days. Your Precision Telemed physician will review your full health history before prescribing to confirm NAD+ is appropriate for you.

IV NAD+ delivers a large dose directly into the bloodstream over 2–4 hours — typically once a month, which creates a spike-and-crash pattern in NAD+ levels. Subcutaneous NAD+ delivers a consistent smaller dose daily via a tiny under-skin injection, maintaining steadier elevated NAD+ levels throughout the month. Research suggests consistent daily dosing may produce better sustained outcomes for energy, cognition, and cellular repair than infrequent high-dose IV sessions. And at $139.99 your first month, then $149/mo after — vs. $400–600 per IV session — the cost savings are dramatic.

Many patients notice improved energy within the first 7–10 days as mitochondrial ATP production increases. Mental clarity improvements often follow by weeks 2–3. Sleep quality improvements typically begin around weeks 3–5 as NAD+ helps regulate circadian clock genes. Longer-term cellular repair benefits — reduced inflammation markers, improved recovery, and anti-aging effects — develop over 2–4 months of consistent use. Results vary based on age, baseline NAD+ levels, lifestyle, and protocol adherence.

NAD+ is administered via small subcutaneous injections — similar to insulin — typically once daily. The needles are insulin-gauge and most patients report minimal to no discomfort. Your physician will provide specific dosing instructions tailored to your protocol, and our team is available to support you as you get comfortable with the process.

Absolutely not. Every Precision Telemed plan is month-to-month. No subscriptions, no long-term contracts, no cancellation fees. You can pause or stop at any time. Most patients experience the best results after 2–3 months of consistent use, but you are never locked in. We believe you should stay because the results are working — not because you’re trapped.

Precision Telemed is available in all 50 states. Our network of board-certified physicians are licensed across the country, and our partner 503A pharmacy ships nationwide with temperature-controlled cold-chain delivery. Wherever you are in the US, you can complete your assessment, consult with a doctor, and receive your NAD+ at home.

Ready to Begin?
Recharge Your Cells.
Reclaim Your Life.

Stop accepting fatigue, brain fog, and poor sleep as inevitable parts of aging. Starting at $139.99 your first month — Precision Telemed’s NAD+ program restores the cellular energy your body needs to repair, recover, and thrive.

HIPAA Compliant Board-Certified MDs 503A Pharmacy Free Shipping Cancel Anytime
Only 7 spots left this week $139 every month · Everything Included Check My Eligibility – Free