NAD+ injection and nasal spray

In stock

CompoundedNAD+ InjectionA coenzyme found in every cell, prepared as an injection

From$189/mo^*

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* 3, 6 or 12 month plans. Prices may vary.

Compounded in the USAPay over time with Klarna

Prescribed after a physician review
Same-day physician review of your intake
Free expedited shipping, all 50 states
No hidden fees, no surprise charges

A coenzyme found in every cell, prepared as an injection

NAD+ (nicotinamide adenine dinucleotide), coenzyme

A 24/7 care team, day or night
Physician visits and follow-ups
Your physician reviews and adjusts treatment if needed
Help with side effects
Medication from a US pharmacy
Free expedited shipping, all 50 states

Cancel anytime, online in your account. No call, no form, no fee.

Canceling does not stop an order already sent to the pharmacy. If one is on its way, write to [email protected] and we will help.

The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. The FDA does not review or approve any compounded medications for safety or effectiveness.

Important Safety Information (opens in a new tab)

Explore peptide treatments

Growth hormone peptides and NAD+, reviewed and monitored by licensed physicians.

NAD+ InjectionA coenzyme found in every cell, prepared as an injectionFrom $189/mo

NAD+Important Safety Information (opens in a new tab)

NAD+ Nasal sprayNAD+ as a nasal spray, no needlesFrom $175/mo

NAD+Important Safety Information (opens in a new tab)

Injection or nasal spray

The same NAD+, two ways to take it. Your physician helps you choose.

Compounded

NAD+ InjectionFrom $189/mo

Best for: NAD+ as an injection, given under the skin.

ContainsNAD+

FormInjection, under the skin

Vial100 mg/mL, 10 mL

Get started

Compounded

NAD+ Nasal sprayFrom $175/mo

Best for: NAD+ with no needles.

ContainsNAD+

FormNasal spray

Bottle300 mg/mL, 25 mL

Get started

Personalized medicine,
in three simple steps

Get started Check eligibility

Submit your application
and meet with a doctor

Step1

Complete a quick form and meet a licensed provider 100% online. They'll see if a treatment plan is right for you.

Choosing what you are interested in on the Sipra intake

Get your medication
delivered at home

Step2

Once approved, your prescription ships directly to your door, fast and free.

Receive 24/7 support
and ongoing care

Step3

Regular check-ins and on-demand medical support to keep you on track.

Inside every cell

Your body makes NAD+ and uses it all day. Here is where it works.

A human cell in cross section, with its mitochondria

In every cellMitochondriaNucleus

Compounded peptides and NAD+ are not FDA-approved, and research in people is still early. Your physician decides whether either fits you.

More than a prescription

Most online programs ship a box. Sipra stays with you.

Sipra compared with a typical online program
		Typical online programs
No membership fee	No fee	Often a monthly fee
The Sipra PromisePay only if a physician approves.	$0 today	Often charged at checkout
Leave anytimeCancel online. No call, no form.	Anytime	Steps may vary
One price, shipping includedVisits and support too.	Included	Fees may vary
US-licensed pharmaciesURAC, ACHC and LegitScript accredited	Accredited	May vary
Tested before it shipsPotency, plus sterility for injections	Yes	Testing may vary
Dosing set by your physician	Included	Follow-up may be limited
Side effect support	Included	May vary
Care team messaging, day or night	Anytime	Hours may be limited

Start my visit

Nothing is charged until a physician approvesFSA and HSA eligible

The pharmacy behind your treatment

Get started Check eligibility

Licensed 503A pharmacy

Your treatment ships to all 50 states

Compounded in the USA

Made for you, never mass-produced

Tested before it ships

Sterility, endotoxin, and potency, under USP 795 and 797

Independently accredited

URAC, ACHC, and LegitScript

From your visit to your door

Exactly what happens after your visit, who handles it, and when you pay. Nothing is charged until a physician approves.

Start my visit

01Online visit
A few questions, no charge
02Physician review
A licensed US physician
03Approval
Charged only if approved
04Pharmacy
Prepared in the US
05Delivery
Expedited shipping included
06Ongoing care
Check-ins and dose changes

Start my visit

Care between visits

Message your physician from your account. Refills arrive before you run out.

Your care team9:52 AM

Your physician reviews it and messages you with next steps.

Today 9:41 AM Can I ask about a side effect here?9:41 AM · Delivered Yes, anytime. Tell me what you are noticing.Your physician reviews it and messages you with next steps.9:52 AM

Message your care team ...

Refills, on their own

Scheduled for youYour next box is set before your supply runs out.
A heads-up emailIt says a shipment is coming, never what is in it.
Ships in a plain boxNothing outside says what is inside.
Yours to changeSkip it, or move it up to 7 days. Pause up to three months.

Cancel online, anytime. No call needed.

NAD+ questions, answered

NAD+ is a coenzyme your body makes and uses in every cell, for energy and for upkeep. It is not a peptide. Your physician reviews your health and decides whether NAD+ is a fit.

Both contain NAD+. The injection goes under the skin, and the nasal spray needs no needles. Your physician helps you choose, based on your history and what you prefer.

No. A compounded medication is prepared by a licensed US pharmacy for one patient, on a physician's prescription. Compounded peptides and NAD+ are not FDA-approved, and they are not generic versions of any branded product. The FDA does not review compounded medications for safety or effectiveness.

With the injection, the most common are reactions where you inject. Some people notice flushing, nausea or a headache. The nasal spray can irritate the nose. Tell your care team about anything new, and your physician can adjust or stop treatment.

Research in people is still early, so no one can promise a result. Your physician reviews your health and decides whether NAD+ is a fit for you.

No. You answer health questions online, and a licensed US physician reviews every intake. A prescription is never guaranteed. If your physician needs more information, they will message you.