Where can I get compounded NAD+ nasal spray?
4 telehealth providers in the Telehealth Ledger registry prescribe and ship compounded NAD+ nasal spray online and publish a price. Prices start at $119 a month continuing with medication included, the lowest continuing rate on this page, checked 28 August 2026. The process is the same everywhere: an online intake questionnaire, review by a licensed clinician, a prescription sent to the provider's partner pharmacy if the clinician approves, and delivery to your door.
Where to get compounded NAD+ nasal spray
| Provider | Price basis | Medication included | States served | Pharmacy named | Ships in | Visit provider |
|---|---|---|---|---|---|---|
| Telos RXNAD+ nasal | $116a month on a longer plan | Included | All 50 states | VialsRX | FREE 48 hour shipping | Visit |
| System LabsNAD+ Nasal Spray | $119a month after a first month at $69 | Included | All 50 states | The Pharmacy Hub | Free 2-day shipping | Visit |
| Pallas HealthNAD+ nasal spray | $189a month after a first month at $79 | Included | All 50 states | Pallas pharmacy network | Pallas describes free discreet delivery, commonly about one week after approval | Visit |
| MadeMedNAD+ Nasal Spray | $269a month, continuing | Included | Not verified | AbsoluteRx | Not stated | Visit |
Rows are ordered by continuing price, cheapest first, exactly as on the NAD+ nasal spray comparison. Nobody pays for placement. Pharmacy and shipping facts come from each provider’s own published pages; “not stated” means Telehealth Ledger has not recorded one.
How getting compounded NAD+ nasal spray online works, step by step
- Pick a provider from the table above and open its site. Each one sells compounded NAD+ nasal spray through an online visit rather than an in-person appointment.
- Complete the intake questionnaire. It asks about your health history, current medication, and goals; some providers also ask for identification or a photo, and some jurisdictions require a live video visit.
- A licensed clinician on the provider's platform reviews the intake and decides whether to prescribe. 4 of the 4 providers here state clinician review before prescribing on their own pages, and 2 state a refund when a clinician does not approve.
- Pay for the plan. The table shows whether the price includes the medication or covers the visit only, and 3 of these providers publish how the consultation is billed; those statements are under "What compounded NAD+ nasal spray costs online" below.
- If approved, the prescription goes to the provider's partner pharmacy, which prepares and ships the order.
- Delivery follows the pharmacy's own timing. 3 of the 4 providers publish a processing or shipping time; each one is in the "Ships in" column and in the last question below.
Do you need a prescription for compounded NAD+ nasal spray?
Yes. Compounded NAD+ nasal spray is prescription-only, and every provider on this page routes you through a clinician before anything ships. The clinician decides whether to prescribe, at what dose, and whether you are eligible at all.
4 of the 4 providers state on their own pages that they use US-licensed clinicians. Telehealth Ledger records those statements and does not audit them. Telehealth Ledger does not prescribe, dispense, or decide whether a treatment suits you.
Can you get compounded NAD+ nasal spray without insurance?
Yes. Every price on this page is a self-pay price published by the provider; that is how these programs work, and no figure in the table is an insurance rate. 4 of the 4 priced plans include the medication in the price.
Compounded medication is prepared by a pharmacy to a prescriber's order. It is not an FDA-approved drug product, and it is not the same as a brand-name product, which is part of why the self-pay price of compounded NAD+ nasal spray is what providers publish rather than an insurance rate.
Which states can you get compounded NAD+ nasal spray in?
Listed for all 50 states
State coverage not verified by Telehealth Ledger
State lists come from each provider’s own pages as last checked by Telehealth Ledger. State rules change, so confirm your state during intake.
Where is compounded NAD+ nasal spray filled and shipped from?
- Telos RX: VialsRX
- System Labs: The Pharmacy Hub
- Pallas Health: Pallas pharmacy network
- MadeMed: AbsoluteRx
4 of the 4 providers name the pharmacy that fills the order on their own pages. Assignment can vary by state and medication, and a named pharmacy is the provider’s statement rather than an audit.
What compounded NAD+ nasal spray costs online
Published continuing prices run from $119 to $269 a month. A clinician sets the dose after intake, and a dose change can change the charge.
Prepaid effective rates
- Pallas Health: $189 a month paying $567 for 3 months
Consultation fees where stated
- Telos RX: “you are responsible for payment of the cost of the Diagnosis Online Visit and any laboratory testing” (checked 10 September 2026)
- Pallas Health: “One price, provider care included — no separate membership fee” (checked 10 September 2026)
- MadeMed: “Medical consultation fees are non-refundable after the consultation has been completed” (checked 10 September 2026)
Questions people ask about getting compounded NAD+ nasal spray
- Where can I get compounded NAD+ nasal spray online?
- 4 telehealth providers in the Telehealth Ledger registry publish a price for compounded NAD+ nasal spray: Telos RX, System Labs, Pallas Health and MadeMed. The lowest medication-included continuing price is $119 a month at System Labs, checked 28 August 2026. The table on this page shows each one's price basis, whether medication is included, states served, the pharmacy it names, and its published shipping time.
- How do I get compounded NAD+ nasal spray prescribed online?
- Choose a provider, complete its online intake questionnaire, and wait for a licensed clinician to review it. If the clinician prescribes, the order goes to the provider's partner pharmacy and ships to you. The clinician decides whether to prescribe and at what dose; Telehealth Ledger does not prescribe or dispense medication.
- Can I get compounded NAD+ nasal spray shipped to me?
- Yes, where the provider operates in your state. Telos RX, System Labs and Pallas Health list service in all 50 states. 4 priced plans on this page ship from a pharmacy after clinician approval.
- Is it legal to buy compounded NAD+ nasal spray online?
- Compounded NAD+ nasal spray is prepared by a pharmacy to a prescriber's order. It is not an FDA-approved drug product, and it is not equivalent to a brand-name product. A prescription from a licensed clinician is required, and the providers on this page do not sell compounded NAD+ nasal spray without one. State rules differ, which is why several providers exclude specific states; check the states column before you sign up. 4 of the 4 providers state that a state-licensed pharmacy fills the order. Telehealth Ledger records what each provider publishes and does not audit it, and this is not legal advice.
- How long does it take to get compounded NAD+ nasal spray after signing up?
- It depends on clinician review time plus the pharmacy's processing and transit. Telos RX publishes "FREE 48 hour shipping" (checked 10 September 2026), System Labs publishes "Free 2-day shipping" (checked 10 September 2026) and Pallas Health: Pallas describes free discreet delivery, commonly about one week after approval (checked 22 August 2026). These are the providers' own statements, not delivery guarantees.
What this page is
Telehealth Ledger compares what telehealth companies publish. It does not prescribe or dispense medication, does not rate providers, and does not decide whether a treatment suits you. Every figure above comes from the provider’s own public pages on the date shown; see the NAD+ nasal spray comparison for source links, or other treatments you can get online.