HSA | FSA CARDS ARE NOW ACCEPTED

NAD+ injection vial with a pink cap and label on a white background
Bottle of NAD+ Flex Dose Tablets with a blue circular background
NAD+ Nasal Spray bottle with 'Longevity & Wellness' label on a white background
Infographic showing 3 easy steps to order medication online with a doctor on a phone screen.

NAD+

Compounded NAD+ via licensed providers. Three formulations, three commitment tiers, your provider in your corner.

Care from a licensed provider in your corner — async intake, no waiting room

Compounded NAD+ shipped discreetly to your door — injection, nasal spray, or tablet

Ongoing monthly care across three commitment tiers — your provider adjusts as your response develops

Optional genetics layer to refine your protocol — 17 Longevity insights including FOXO3, $99 post-enrollment

One price covers provider, prescription, medication, and shipping. No membership.

Starting at
$179/mo — All-Inclusive
Your monthly price doesn't change as your dose changes. Same price every dose level.
Coming Soon

This protocol is launching soon. Check back shortly.

THE BENEFITS

What NAD+ actually does for you.

WHAT CHANGES

Your cells run on NAD+. We help refill the tank.

As you age, your NAD+ levels drop. Lower NAD+ means tired cells, slower repair, foggy days. We help bring it back up.

WHAT YOU'LL FEEL

Show up to your day differently

Steadier energy by mid-afternoon. Clearer focus through long days. A body that bounces back between hard things.

HOW LONG IT TAKES

Real results take real time

NAD+ builds over weeks, not days. Most people feel steadier energy by week four to six. Your provider checks in every month and adjusts your plan as you go.

WHY IT WORKS FOR YOU

Built around your biology, not someone else's average

NAD+ response varies by genetics. The optional Precision Peptide Genetic Test analyzes 17 Longevity insights including FOXO3 so your protocol gets shaped around your body.

PEER-REVIEWED RESEARCH

500+

NAD+ is required for over 500 enzymatic reactions across human cellular metabolism — DNA repair, mitochondrial function, and circadian regulation. Source: Amjad et al., Nutrients, 2023.

Compounded medications are not FDA-approved or evaluated for safety, effectiveness, or quality. PlexusDx coordinates care; licensed providers evaluate and prescribe when clinically appropriate; partner pharmacies dispense and label medications.

READY?

Feel the difference your provider designs around you.

Coming Soon

This protocol is launching soon. Check back shortly.

Overview

Compounded NAD+ is a coenzyme therapy prescribed by licensed providers across three formulations. Provider-selected delivery at provider-determined dosing. One monthly price covers your provider visit, prescription, medication, and shipping — $179 to $199 per month, all-inclusive, depending on commitment tier. No membership fee. Eligible adults across all 50 states.

  • Three provider-selected formulations — injection, nasal spray, Flex Dose Tablet — at provider-determined dosing
  • NAD+ coenzyme mechanism — cellular energy production, mitochondrial function, DNA repair support
  • $179 to $199 per month all-inclusive across 3 commitment tiers — covers consult, prescription, compounded medication, shipping
  • Real medical authority — licensed providers in your state, no AI prescriptions
  • 17 Longevity genetic insights including FOXO3 — optional Precision Peptide Genetic Test, $99 as an add-on after your first month

The optional Precision Peptide Genetic Test analyzes 17 Longevity insights including FOXO3 — the most-studied longevity gene, linked to centenarian populations and cellular repair capacity — with crossover into Energy Metabolism, Tissue Repair, and Cognition pathways. Drawn from a 150+ insight panel across 14 pathways. Available for $99 as an add-on after your first month of treatment.

Why trust PlexusDx

Compliance

503A pharmacy-grade medication

Your compounded NAD+ is prepared by a licensed 503A compounding pharmacy for your prescription — not mass-manufactured.

Coverage

Licensed providers in all 50 states

Available in all 50 states. Five states require a scheduled video consultation — your provider advises.

Privacy

HIPAA-compliant platform

Protected under HIPAA. Never sold or shared without your consent. Results delivered securely through the PlexusDx Results Portal.

Pricing

One transparent price

All-inclusive. Your dose may need to go up. Your price won't.

Telehealth across the US — see state availability below

Pricing

What you pay

Your formulation may change. Your price won't.

Starts at $179 /mo

All-inclusive. No membership. Cancel anytime.

Choose your commitment tier

Month-to-month

$199/mo

3-month

$189/mo
Best value

6-month

$179/mo

Provider-selected formulation, no price impact

Injection
Nasal Spray
Flex Dose Tablet
Async provider intake Rx issuance Compounded NAD+ Direct shipping

Provider-determined dosing

Your provider reviews your intake and selects your starting protocol — formulation, dose, and tier guidance. Available in 45 states async. Five states require a scheduled live consultation. The Nasal Spray formulation is not available in Arkansas — your provider will recommend an alternative formulation if you live there.

WHAT HAPPENS NEXT

After you order

What happens once your intake is in.

Same day

LICENSED REVIEW

Provider review & prescription

A licensed US provider reviews your intake, selects the compound, and writes your prescription.

3–5 business days

503A COMPOUNDING

Pharmacy ships your medication

Your compounded NAD+ ships from a US 503A pharmacy in your provider-selected formulation. A 503A pharmacy is a state-licensed compounding facility regulated by FDA and state boards of pharmacy that prepares medications individually for a specific patient based on a valid prescription. Dosing instructions included.

Every month

CARE THAT CONTINUES

Ongoing provider care

Unlimited provider messaging, dose adjustments, and clinical check-ins.

Anytime

FLEXIBILITY

Cancel anytime, no fees

Cancel anytime — no fees, no contracts. Your provider reviews each refill.

OUR COMMITMENT

Nothing is charged until your provider approves your prescription. Cancel anytime, no fees.

EVERYTHING INCLUDED

What's included

Your provider, your pharmacy, your direct-to-door shipping — everything in your monthly NAD+ protocol.

PROVIDER

Licensed, async

Licensed providers in all 50 states. Most patients reviewed within one business day.

PHARMACY

503A compounded

Pharmacy-grade NAD+ prepared for your provider-selected formulation.

SHIPPING

Direct-to-door

Discreet packaging. Ships from U.S. partner pharmacy.

ALL-INCLUSIVE

One all-inclusive price

Provider, prescription, medication, and shipping — in one monthly charge. No membership.

WHAT YOU WON'T PAY
Membership fee
Consult charge
Hidden fees
REFILLS

Provider-reviewed

Each refill re-authorized by your provider. Not auto-shipped.

MONITORING

Monthly check-ins

Provider check-ins to assess response and adjust formulation as needed.

FLEXIBILITY

Cancel anytime

No long-term contract. Pause or stop between refills.

Optional add-on
Available post-enrollment

The optional Precision Peptide Genetic Test analyzes 17 Longevity insights including FOXO3 — the most-studied longevity gene, linked to centenarian populations and cellular repair capacity — drawn from a 150+ insight panel across 14 pathways. Available for $99 as an add-on after your first month of treatment.

17
Pathway insights
150+
Total panel
14
Pathways
$99
Add-on
Featured SNP
FOXO3
the most-studied longevity gene, linked to centenarian populations and cellular repair capacity
Explore the Genetic Test → $99 · one-time · available after your first month of treatment

CLINICAL FIT CHECK

Is this protocol right for you?

We lead with safety considerations first. If any exclusion applies to you, stop here and speak with your primary care provider before starting intake.

SAFETY EXCLUSIONS

Skip this protocol if…

MALIGNANCY HISTORY

Active or recent cancer diagnosis

PREGNANCY STATUS

Pregnant, breastfeeding, or planning pregnancy

ORGAN DISEASE

Severe hepatic, renal, or cardiovascular disease

KNOWN ALLERGY

Hypersensitivity to NAD+ or compounded ingredients

ELIGIBLE

You're a fit if…

AGE & SYMPTOMS

Adults 30+ with fatigue, brain fog, or recovery concerns

CLINICAL OVERSIGHT

Want licensed provider oversight across all 50 states

PRICING TRANSPARENCY

Want one all-inclusive price with no hidden fees

DATA-GUIDED CARE

You prefer clinical decisions informed by your personal health data

PROVIDER VERDICT

Your licensed provider confirms final eligibility during intake review. No medication ships without their sign-off.

Built differently

What makes PlexusDx different

Five things every shopper deserves before they sign up.

THE DIFFERENTIATOR

Genetics-informed care from a complete precision health platform

17 Longevity insights via the Precision Peptide Genetic Test — across 14 pathways, 49 peptides. The only telehealth peptide protocol with a genetic testing layer.

TRANSPARENCY

Radically transparent

Every dose level and every price published.

PRICING

All-inclusive

One price for intake, Rx, medication, shipping.

CLINICAL

Async clinical oversight

No in-person visits. Available in all 50 states.

NO GATE

No membership gate

Your first dollar goes toward care, not a subscription.

Clinical details

Clinical details

How this compound works and what lab work is involved.

Compound spec

Class

Coenzyme / NAD precursor

cellular metabolism cofactor

Route

Multi-route

injection · nasal spray · oral tablet

Half-life

Provider-set

cadence depends on formulation

Compounded by

503A pharmacy

licensed US partner

How it works

About this compound

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every cell, central to energy production, DNA repair, and sirtuin pathway activation. NAD+ levels decline with age, and exogenous NAD+ administration is intended to support cellular metabolic resilience.

Your provider determines your NAD+ formulation (injection, nasal spray, or Flex Dose Tablet) and dose during intake review. Pricing is structured in three commitment tiers from $179 to $199 per month, all clinically supervised.

See how PlexusDx customers describe their precision health journey — read Customer Stories.

Why it matters

Aging response varies by genetics. The optional Precision Peptide Genetic Test analyzes 17 Longevity insights including FOXO3 — the most-studied longevity gene, linked to centenarian populations and cellular repair capacity. Available for $99 as an add-on after your first month of treatment.

Lab requirements
No blood work required at intake. Blood testing is available at patient election and may be recommended by your provider based on your individual health history. At-home blood collection is available through Red Drop Dx — no clinic visit required.
NOT REQUIRED
Compare Compounds

How this compound compares

Compound
Mechanism
Route
Starts at
You're viewingNAD+
Coenzyme / cellular energy
Multi-route
$179/mo
Sermorelin
GHRH analog
Injection / oral
$155/mo
MIC B12
Lipotropic cofactor
Injection
$129/mo
Glutathione
Endogenous antioxidant
Multi-route
$129/mo
Methylene Blue
Mitochondrial cofactor
Capsule
$149/mo
GHK-Cu Rx
Copper-binding tripeptide
Topical cream
$169/mo
Lipo C
Lipotropic + antioxidant injection
Injection
$199/mo
PT-141
Melanocortin receptor agonist
Injection
$219/mo

If your provider determines a different compound is the better clinical fit, they'll initiate the switch — no fees, no resubscription, billing adjusts automatically.

NAD+ — FAQ

Answers before you start

Straight answers on pricing, formulation, and what's included — pulled from the questions Longevity patients ask most.

PRICING

How does NAD+ pricing work across commitment tiers?

NAD+ is priced by commitment tier, not by formulation. Month-to-month is $199/mo, 3-month is $189/mo, and 6-month is $179/mo (best value) — all three tiers include async provider consultation, prescription, compounded NAD+ in your selected formulation, and shipping. No membership fee, no per-formulation surcharge.

INCLUSIONS

What's included in every monthly charge, regardless of formulation?

Every monthly charge includes async provider consultation and intake review, your prescription written by a licensed provider in your state, compounded NAD+ medication in the formulation your provider selected, and free discreet shipping in all 50 states. Refills are provider-reviewed and authorized through your portal — no separate re-intake required unless your formulation or tier changes.

FORMULATION

How does my provider choose between injection, nasal spray, and Flex Dose Tablet?

Your provider selects your NAD+ formulation during intake review based on your clinical goals, tolerance, and preference. All three formulations — injection, nasal spray, and Flex Dose Tablet — deliver the same coenzyme to the same pathways. Injection is the most direct delivery route; nasal spray and Flex Dose Tablet are non-injectable alternatives. Switching formulations later is possible with provider approval.

MECHANISM

What is NAD+ and how does it support cellular longevity?

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every cell, central to energy production, DNA repair, and sirtuin pathway activation. NAD+ levels decline with age. Exogenous NAD+ administration is intended to support cellular metabolic resilience and oxidative stress response — a core mechanism in clinical longevity protocols.

GENETICS

Do I need my Precision Peptide Genetic Test before starting?

No — the Precision Peptide Genetic Test is optional and available as a $99 add-on after your first month of treatment. Your provider can prescribe NAD+ based on standard intake without genetic data. The test analyzes 14 pathways, 49 peptides, and 150+ genetic insights — including 17 Longevity-Aging insights with FOXO3 — providing additional context that may inform formulation choice or long-term protocol adjustments.

FLEXIBILITY

What if I need a different formulation, tier, or compound?

You can switch NAD+ formulations with provider approval — for example, moving from injection to nasal spray for travel convenience. Tier upgrades adjust your billing automatically. If your provider recommends a different longevity compound (Sermorelin, MIC B12, or others), they can switch your prescription and your billing updates to reflect the new compound. No fees to switch.

─── READY TO START

Start your NAD+ protocol today

Three reasons to start your longevity protocol with PlexusDx.

ENROLL TODAY
Ready to start your NAD+ protocol?

Order your NAD+ protocol today. Gain access to 17 Longevity-Aging genetic insights post-enrollment, including FOXO3 and SIRT1. Make informed decisions supported by clinical oversight and your unique biology.

Coming Soon
~60 second intake · $0 until Rx approved
TRANSPARENCY
Every formulation, every price
Published before you enroll. No intake required to see prices.
Radically transparent
ALL-INCLUSIVE
One price, all-in
Intake, Rx, medication, and shipping — one monthly price.
No surprise billing
GENETICS-INFORMED
Your biology, your care
150+ insights across 14 pathways, available post-enrollment for $99.
The only telehealth layer
Important Information
Compounded medications are not approved by the FDA or reviewed for quality, safety, or efficacy.

Novo Nordisk, Inc. is the only United States company with FDA-approved products containing semaglutide, identified under the trade names Rybelsus®, Ozempic®, and Wegovy®.

Lilly USA LLC is the only United States company with FDA-approved products containing tirzepatide, identified under the trade names Zepbound® and Mounjaro®.

The Precision Peptide Genetic Test analyzes how your genes influence peptide-related biological pathways. It does not recommend, prescribe, or determine which peptides you should use. Consult a qualified healthcare provider before beginning any peptide protocol.