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From$119.17 /mo

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Subcutaneous InjectionAll

LegitScript CertifiedVerified Telehealth

503A CompoundingState-Licensed Pharmacies

HSA / FSA EligiblePre-Tax Spending

Longevity & Vitality • Cellular Biomarkers & Peptide Optimization

Physician-Prescribed•503A Pharmacy

NAD+ Injection

NAD+ 200 mg/mL

Doctor-prescribed customized protocol prepared by state-licensed 503A compounding pharmacies. Personalized based on an asynchronous clinical evaluation with licensed medical providers.

Select Your Care & Billing Plan✓ All doses included

Due today:$402

Effective rate:$134 / mo

Billing cycle:Billed $402 every 90 days

Fulfillment:1 shipment(s) per charge directly from dispensing pharmacy

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If not prescribed, medication charge is refunded in full (consultation fee applies).

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What arrives at your doorstep

Cold-chain fulfillment in unmarked packaging. No trips to the retail pharmacy and no surprise supply costs.

Cold-Chain Insulated ShippingDoorstep Delivery

NAD+ Injection

Compounded Formulation

Freshly prepared by accredited state-licensed compounding pharmacies. Active ingredients: NAD+ 200 mg/mL.

Sterile Injection Supplies

✓ Supplies Included

Full supply of ultra-fine sterile micro-syringes, individually wrapped alcohol antiseptic pads, and step-by-step administration visual guide.

Physician Access & Monitoring

24/7 Clinical Messaging

Direct secure portal communication with your clinical care team. Routine check-ins, dosage optimization, and ongoing physician guidance are included with every plan at $0 additional cost.

Evidence-Based Pharmacodynamics

Biochemical mechanisms engineered for physiologic balance

Custom compounded formulations focus on targeted biological pathways to support systemic vitality, hormone balance, and metabolic function.

Targeted Cellular Bioavailability

Active ingredients (NAD+ 200 mg/mL) are selected for optimal receptor affinity and physiologic assimilation, providing consistent biological activity.

Physician-Supervised Titration

Your licensed provider adjusts strength and pacing based on qualitative response and clinical tolerance, minimizing side effects while sustaining therapeutic momentum.

Personalized Protocol Journey

Gradual 3-step adaptation ramp: flat-rate pricing across all titration levels

✓ Zero Dose Surcharges

Every individual responds uniquely. Your medical provider customizes your dosing schedule throughout your treatment journey without unexpected bill increases as your protocol evolves.

PHASE 1 • WEEKS 1–4Initiation

Metabolic Introduction

Gentle introduction allowing target receptors and cellular pathways to adapt comfortably with minimal adjustment symptoms.

→ Focus: Tolerance & Adaptation

PHASE 2 • WEEKS 5–12Optimization

Therapeutic Titration

Gradual stepped dose advancement guided by clinical feedback to reach effective active concentration curves.

→ Focus: Active Response

PHASE 3 • MONTH 4+Target State

Sustained Equilibrium

Personalized ongoing maintenance dose preserving steady biomarker optimization and cellular benefits over time.

→ Focus: Long-Term Balance

503A Pharmacy Standards • Quality Assurance

Formulated to exacting compounding standards

Our partner pharmacies are licensed 503A facilities and compound under USP <795> and <797> standards, including potency, sterility, and endotoxin testing appropriate to each preparation.

PotencyUSP Protocol

Active Ingredient Assay

Analytical chromatography verifies active ingredient concentration aligns with prescription specifications and clinical tolerances.

USP Potency Standards

SterilityCleanroom Protocol

Sterility Testing

Membrane filtration and incubation testing in certified ISO cleanrooms evaluate sterile preparations for microbial contaminants.

USP <797> Cleanroom Standards

PurityScreening Protocol

Endotoxin Screening

Screening for bacterial endotoxins verifies preparations meet pharmacopeial limits to support physiologic safety and comfort.

USP <85> Bacterial Limits

StabilityFormulation Standard

Physiologically Buffered

Formulated to balance pH and physiological tolerance, supporting shelf stability and patient comfort upon administration.

Physiologic Buffer Standard

Vetted 503A State-Licensed Pharmacies: Prepared exclusively under Section 503A of the Federal Food, Drug, and Cosmetic Act pursuant to a patient-specific prescription.

USP 795 • USP 797 • USP 85 • cGMP

Longevity & Vitality • Care Model

Care designed around your vitality

100% online intake, licensed physician evaluation with safety screening, cold-chain doorstep delivery, and unlimited clinical care.

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Step 01 / Intake

Online health assessment

Answer clinical questions about your health history, goals, and lifestyle in a 5-minute HIPAA-compliant questionnaire.

• Zero waiting rooms

Step 02 / Evaluation

Board-certified physician review

A licensed physician in your state evaluates your chart to prescribe a personalized formulation tailored to your biology.

• 24-hr clinical turnaround

Step 03 / Compounding

State-licensed 503A pharmacy

Your medication is individually prepared in certified cleanroom facilities meeting USP analytical standards.

• USP-grade active ingredients

Step 04 / Fulfillment

Discreet doorstep delivery

Temperature-monitored cold-chain shipping with all necessary sterile supplies and end-to-end tracking.

• Free express shipping included

Transparent Pricing

Compare our care plans

No membership initiation fees, no pharmacy markups, and no insurance paperwork. Choose the timeline that fits your goals.

Plan Inclusions	Every 30 Days Flexible	Most Popular Every 90 Days Save $45	Best Value Every 360 Days Save $358
Effective Rate / Month	$149	$134	$119
Billing Charge Amount	$149 every 1 mo	$402 every 3 mos	$1,430 every 12 mos
Direct Savings	—	Save $45	Save $358
Fulfillment Schedule	1 shipment / charge	1 shipment / charge	4 shipments / charge
Medical Consultation Fee	$20 (async) / $30 (video visit)	$20 (async) / $30 (video visit)	$20 (async) / $30 (video visit)
Ongoing Clinician Messaging	✓ Unlimited	✓ Unlimited	✓ Unlimited
	Select (30 days)	Select (90 days)	Select (360 days)

Clinical Knowledge • Patient FAQs

Frequently asked questions

Everything you need to know about NAD+ Injection, clinical eligibility, and our care model.

A Comprehensive Metabolic Panel (CMP) checks your kidney and liver function to ensure NAD+ therapy is safe for you. This is standard practice for responsible prescribing and helps our physicians provide personalized care.

Yes. If you have recent lab results from the last 6 months, you can upload them during the consultation process. We accept results from any CLIA-certified lab including Quest, Labcorp, or your primary care physician.

You can visit any Labcorp or Quest Diagnostics location near you. We will provide you with the specific test to request after you complete your consultation. Most visits take less than 15 minutes, and results are typically available within 2-3 business days.

NAD+ (Nicotinamide Adenine Dinucleotide) is a vital coenzyme found in every cell of your body. It powers your mitochondria to produce energy, supports DNA repair, and regulates cellular aging. NAD+ levels naturally decline with age, leading to fatigue, brain fog, and slower recovery.

NAD+ injections deliver this essential coenzyme directly into your system via subcutaneous (under the skin) injection. This bypasses digestion, ensuring maximum absorption. Once in your bloodstream, NAD+ replenishes cellular energy stores, supports mitochondrial function, and activates sirtuins - proteins that regulate longevity and cellular health.

Most patients notice initial improvements like increased energy and mental clarity within 2-4 weeks. However, the full therapeutic benefits of NAD+ therapy require 8-12 weeks of consistent treatment. Your body needs time to restore cellular NAD+ levels (weeks 1-4), rebuild mitochondrial function (weeks 4-8), and sustain metabolic improvements (weeks 8-12+). This is why we recommend a minimum 3-month commitment.

NAD+ injections are simple subcutaneous injections (just under the skin), typically administered in the abdomen or thigh. We provide step-by-step video instructions and an injection guide. Most users find the process quick and painless after the first few times. No mixing is required - your NAD+ arrives ready to inject.

The 500mg dose is our starter option, perfect for first-time NAD+ users or those using it for maintenance. The 1000mg dose is our most popular option, providing optimal NAD+ replenishment for maximum energy, focus, and recovery benefits. Your physician will help determine the right dose for your goals.

Yes! Many customers start with 500mg and upgrade to 1000mg after their first quarter once they experience the benefits. Your physician can approve a dose increase during your quarterly check-in.

The typical protocol is 2 injections per week (e.g., Monday and Thursday). This provides consistent NAD+ replenishment throughout the week. Your physician will provide specific dosing instructions based on your chosen plan.

NAD+ is generally very well tolerated. Some users may experience mild injection site redness or temporary flushing. Rarely, some people report headaches or nausea, which typically resolve within a few days. Always follow your prescribed dosage and consult your provider if you have concerns.

NAD+ is generally safe to combine with most supplements. However, it's important to disclose all medications and supplements during your medical consultation. NAD+ should not be combined with certain blood thinners, MAO inhibitors, or blood pressure medications without physician approval.

Yes, NAD+ is often stacked with testosterone replacement therapy (TRT), sermorelin, and other longevity therapies. Many users find the combination enhances energy, recovery, and overall results. Be sure to mention all current therapies during your medical consultation.

NMN (Nicotinamide Mononucleotide) and NR (Nicotinamide Riboside) are NAD+ precursors - your body must convert them into NAD+. NAD+ injections deliver the active form directly, bypassing conversion and digestion for maximum bioavailability and faster results.

Yes, NAD+ must be stored in the refrigerator to maintain potency. We ship it in temperature-controlled packaging with ice packs. Store it immediately upon arrival and keep refrigerated until use.

If you miss a dose, simply take your next scheduled injection. Do not double up to make up for a missed dose. Consistency is important for optimal results, so try to maintain your regular injection schedule.

NAD+ therapy provides benefits as long as you're taking it. If you stop, your NAD+ levels will gradually return to your natural baseline over time. There are no withdrawal symptoms - your body simply reverts to its pre-treatment state.

NAD+ as a substance is recognized and well-studied. The NAD+ injections you receive from MadeMed are compounded by a licensed US pharmacy specifically for you based on your physician's prescription. Compounded medications are not FDA-approved but are legal and prescribed by physicians for individual patients.

Never. We notify you via email in advance of recurring renewal charges with easy options to pause, skip, or cancel. No surprises, no ambush billing. You're always in control of your subscription.

You can cancel your subscription at any time through your patient account or by reaching out to our support team. No phone calls required, no runarounds. We believe if you want to leave, you should be able to - easily. That said, we hope you'll stay because we've earned your trust, not because we've trapped you.

Prescription products require an online consultation with a licensed provider, who decides whether a prescription is appropriate for you. The consultation fee for this product is $20. If your provider determines a live video visit is needed instead, the fee is $30. The consultation fee is charged whether or not a prescription is issued; everything else is refunded if you are not prescribed.

Physician-Prescribed

$149 / mo

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Women’s Health

Men’s Health

NAD+ Injection

What arrives at your doorstep

NAD+ Injection

Sterile Injection Supplies

Physician Access & Monitoring

Biochemical mechanisms engineered for physiologic balance

Targeted Cellular Bioavailability

Physician-Supervised Titration

Gradual 3-step adaptation ramp: flat-rate pricing across all titration levels

Metabolic Introduction

Therapeutic Titration

Sustained Equilibrium

Formulated to exacting compounding standards

Active Ingredient Assay

Sterility Testing

Endotoxin Screening

Physiologically Buffered

Care designed around your vitality

Online health assessment

Board-certified physician review

State-licensed 503A pharmacy

Discreet doorstep delivery

Compare our care plans

Frequently asked questions