NAD+ nasal spray: what it is, how it works and what it costs

General information, not medical advice. Updated September 2026.

People often ask whether NAD+ means sitting in a clinic with an IV. It doesn't. A prescription NAD+ nasal spray lets you take it at home in a few seconds, with a licensed provider guiding the plan. Here's what it is, how it works and what it costs.

What NAD+ is

NAD+ is a coenzyme your cells use in energy metabolism. It's found throughout the body, and your body makes its own supply from building blocks in food, including forms of vitamin B3. NAD+ therapy gives it as a prescription medication, prepared by a licensed pharmacy.

Why a nasal spray

NAD+ has traditionally been given by IV, which means booking a session, sitting through an infusion and paying per visit. A nasal spray changes that:

• No needles. A metered spray, nothing to inject.
• At home, on your schedule. A few sprays on the schedule your provider sets, instead of appointments.
• One bottle a month, shipped to you. $129 first month, then $149/mo from month 2, if prescribed.

Some people prefer injections instead; we offer those too (NAD+ injections). Many start with the spray because it's the simplest way to begin.

How it works at Everlon

1. A short health review online. You answer questions about your health, medications and goals.
2. A licensed provider decides. An independent, licensed U.S. provider reviews your answers and decides whether NAD+ is appropriate for you. You're only charged if it's prescribed.
3. A licensed pharmacy ships it. Your spray is prepared by a licensed partner pharmacy and shipped to you.
4. Check-ins with your provider. Your provider checks in on how it's going and adjusts the plan as needed. Questions go to your care team at care@everlon.health.
5. Pause or cancel in your account. No phone calls. Pausing a month means no charge and no shipment that month.

Your provider will talk through what's known before a plan starts.

What it costs

At Everlon, NAD+ nasal spray is $129 first month, then $149/mo from month 2, if prescribed. That price includes the medication, your provider check-ins and shipping. There's no membership fee, and you're only charged if a provider prescribes it.

Is it safe?

Side effects are usually mild (nasal irritation, headache, nausea). It isn't for everyone, including people who are pregnant or breastfeeding, being treated for cancer, or living with chronic sinus problems. A licensed provider reviews your health history and decides whether NAD+ is appropriate for you. Compounded medications are not FDA-approved.

Is it available where I live?

NAD+ nasal spray is available in most of the states we serve. See where we offer each treatment.

If you'd like a provider to review whether NAD+ fits your routine, start your health review. You're only charged if it's prescribed.

This article is general information, not medical advice. NAD+, as offered here, is a compounded medication; compounded medications are not FDA-approved. Individual results vary. Talk with a licensed provider about whether any treatment is right for you.