Prescription required. Treatment is available only if a licensed clinician determines it is medically appropriate. No prescription is guaranteed. Not everyone qualifies.
CoreScripts

Clinician-supervised NAD+ therapy

Medically guided
NAD+ treatment,
American made.

Complete a confidential medical intake. A clinician licensed in your state reviews it and, if NAD+ is appropriate for you, sets a dose and monitors how you respond. Everything is included in one monthly price — the visit, the medication, and shipping.

Takes about 6 minutes and costs nothing. $0 due today — you are charged only if a clinician reviews your intake and approves treatment.

  • U.S.-licensed clinicians
  • Licensed U.S. pharmacies
  • HIPAA-compliant platform
  • Cancel any time
Vial of compounded NAD+ injection, prescription only
  • NAD+Compounded · Rx only

Compounded medications are not FDA-approved. No FDA-approved injectable NAD+ product is marketed in the United States, and NAD+ is not a treatment for any disease. Shown for illustration.

HIPAA-compliantEncrypted intake and records
Board-certified cliniciansLicensed in all 50 states & D.C.
Licensed U.S. pharmaciesCold-chain, tracked shipping

Transparent pricing

One price. Nothing due today.

Everything is included in a single monthly charge — the clinical evaluation, the medication, and shipping. You are not charged unless a clinician reviews your intake and approves treatment.

How billing works

  1. Today — $0. You enter payment details and we place an authorization hold. No funds are taken.
  2. Clinician review. A licensed clinician reviews your intake, usually within one business day.
  3. If approved — $199. Your card is charged $199 and your first shipment is released. The same amount recurs every month on that date until you cancel.
  4. If not approved — nothing. The authorization is released and you are never charged.

Cancel any time. Cancel from your account, by email, or by phone. There is no fee and no minimum term. Canceling stops all future charges.

Medication already shipped cannot be refunded. Federal and state pharmacy law prohibits a pharmacy from accepting the return of a dispensed medication, so once a month’s supply has shipped, that month is not refundable. Cancel before your next renewal date to avoid the next charge and the next shipment.

Prices may change with at least 30 days’ advance written notice. Applicable sales tax is added where required. Full terms are in our Terms of Service and Refund & Cancellation Policy.

The process

Four steps, one clinical standard

Every CoreScripts patient is evaluated by a licensed clinician before any medication is prescribed. There is no way to skip that step.

1

Medical intake

A confidential health history covering your symptoms, conditions, medications, and allergies. About 6 minutes.

2

Clinician review

A clinician licensed in your state reviews your file, may request more information or laboratory testing, and may require a live visit before making any decision.

3

Plan & pharmacy

If treatment is appropriate, your prescription is sent to a licensed U.S. pharmacy of record and shipped in temperature-controlled packaging — included in your monthly price.

4

Ongoing care

Monthly check-ins, dose adjustment, side-effect management, and unlimited secure messaging with your care team.

What this is not. Completing the intake does not create a prescription, and CoreScripts does not sell prescription medication directly. A clinician may determine that NAD+ is not appropriate for you, may recommend a different treatment, or may decline to prescribe. NAD+ is not approved to treat any condition, and CoreScripts does not claim that it treats one. If no prescription is issued, you are not charged for medication.

The other half of the plan

The part that isn’t a prescription

NAD+ is a coenzyme your cells use to turn food into energy. The things that drain it — poor sleep, heavy drinking, an untreated medical problem — will outrun anything given by injection, which is why these come first, not last.

Two people sitting on outdoor steps talking after exercising
Models shown for illustration. Not actual patients, and not a depiction of treatment results.
  • Sleep Duration, consistency, and whether sleep apnea has been looked for and treated.
  • Exercise The most reliable way to improve how efficiently your cells make energy.
  • Protein Enough for your body weight and training load, spread across the day.
  • Alcohol A direct drain on cellular NAD+, and it wrecks deep sleep on top of that.
  • Thyroid, glucose, and anemia Fatigue has common medical causes worth ruling out first. Your clinician will ask, and may want testing, before assuming NAD+ is the answer.

Every member gets this guidance, whether or not a clinician prescribes anything. If your clinician decides medication is not right for you, this is the whole plan — and that is a legitimate result, not a consolation prize.

Start my medical intake

Takes about 6 minutes. $0 due today — you are charged only if a clinician approves treatment.

What we prescribe

One medication, and an honest account of it

CoreScripts works with a state-licensed compounding pharmacy to prepare patient-specific NAD+. Whether it is appropriate for you — if it is at all — is a clinical decision made by a licensed clinician after reviewing your intake.

Vial of compounded NAD+ injection, prescription only
Compounded · Rx only

Compounded NAD+

Nicotinamide adenine dinucleotide · subcutaneous injection · Rx only

NAD+ is a coenzyme found in every cell in your body. It carries electrons in the reactions that turn food into usable energy, and it is consumed by enzymes involved in DNA repair and cellular signalling. Levels measured in tissue decline with age.

  • Prescribed only where a licensed clinician determines it is appropriate for you
  • Dispensed only against a patient-specific prescription
  • Prepared by a pharmacy licensed in your state, with third-party potency and sterility testing
  • Dose and schedule set by your clinician, not selected at checkout
  • Injection supplies and instructions included

Read this before you decide

There is no FDA-approved injectable NAD+ product in the United States. What is prescribed here is a compounded preparation. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are dispensed, and does not evaluate their labeling.

NAD+ is not approved to prevent, treat, or cure any disease, and we do not offer it as a treatment for one. Human evidence is preliminary: most of what is known comes from laboratory and animal work, and from small studies of oral precursors rather than injections. Long-term safety has not been characterized.

What we will not tell you. That NAD+ reverses aging, repairs your DNA, cures fatigue, treats addiction, improves athletic performance, or extends life. None of that is established, and a clinic that says otherwise is selling ahead of the evidence. If you want the short version: some people report feeling better, the mechanism is plausible, and the proof is not in yet.

Product images are illustrative. All product and brand names are the trademarks of their respective owners. CoreScripts is not affiliated with, endorsed by, or sponsored by any pharmaceutical manufacturer, and reference to any medication does not imply it will be prescribed to you.

Important safety information

Read this before you start

Because compounded NAD+ has no FDA-approved labeling, there is no official prescribing information to summarize. What follows is drawn from what is reported clinically and from what is known about the molecule — and it is not complete.

The honest limitation

The long-term safety of injected NAD+ has not been established. It has not been through the trials that an approved drug goes through, and there is no body of data on what years of use does.

Anyone who tells you it is definitively safe is guessing, and so is anyone who tells you it is definitively harmful. Your clinician's job is to weigh that uncertainty with you rather than talk past it.

Do not use if you

  • Are pregnant, trying to conceive, or breastfeeding — there are no safety data
  • Have had a serious allergic reaction to NAD+ or any ingredient in the preparation
  • Have an active malignancy, unless your oncologist has cleared it
  • Are under 18 years of age

Tell your clinician if you

  • Have any history of cancer
  • Have kidney or liver disease
  • Have a heart rhythm problem or low blood pressure
  • Have unexplained fatigue that has not been medically worked up
  • Take any prescription medication — interactions are not well characterized

On cancer, plainly. NAD+ supports the metabolism of every cell, and tumor cells are not an exception. Whether supplementing it affects cancer risk or behavior is unresolved and actively debated. Because of that uncertainty we do not prescribe it during active malignancy, and a previous cancer diagnosis needs your oncologist's sign-off first.

Possible side effects

The most commonly reported effects are injection-site reactions — pain, redness, swelling, or itching — and, particularly if a dose is given too quickly, flushing, nausea, chest tightness, abdominal cramping, headache, lightheadedness, and a racing heartbeat. These are usually dose- and rate-dependent and settle when the dose is reduced or given more slowly.

Stop and seek medical attention for swelling of the face, lips, tongue, or throat, difficulty breathing, chest pain, fainting, or a severe rash.

Reporting a problem

Report side effects to your CoreScripts care team through secure messaging, or call 1-888-888-8888. You may also report adverse events to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088. If you are experiencing a medical emergency, call 911.

Read the complete Important Safety Information

Questions

Frequently asked

Am I guaranteed a prescription if I pay?

No, and you do not pay to find out. Completing the intake is free and nothing is charged today. A licensed clinician reviews your intake and decides whether NAD+ is appropriate for you. If they decline, the authorization on your card is released and you are never billed.

Is NAD+ a hormone or a steroid?

No — they are unrelated. NAD+ is a coenzyme involved in cellular energy metabolism. It is not a hormone, not a peptide, and not a growth factor.

Will this give me more energy, or slow aging?

We will prescribe it only if a clinician judges it appropriate and safe for you, and we will not promise you any of those outcomes. NAD+ is not approved to treat any condition, including fatigue, cognitive complaints, or aging. Some patients report feeling better; that is not the same as proof, and we will not pretend it is.

What bloodwork is required?

None is required to complete your intake. Your clinician may order testing — commonly thyroid function, a metabolic panel, iron studies, or B12 — if your symptoms suggest a cause worth ruling out first. Persistent fatigue deserves a real workup, and a clinician who never looks for one is doing you a disservice. Any testing is billed by the laboratory and is not included in your monthly price.

Who are the clinicians, and are they licensed in my state?

Care is delivered by clinicians employed by or contracted with CoreScripts Medical Group, P.A. and its affiliated physician-owned professional entities. You are matched only with a clinician holding an active, unrestricted license in the state where you are physically located at the time of your visit. Your clinician’s name, credentials, and license number appear in your patient portal.

How is it given?

NAD+ is given subcutaneously on a schedule your clinician sets, usually the same day each week. Some clinics offer it by IV infusion; we do not, because it requires supervision we cannot provide remotely and the infusion reactions are more pronounced.

Will my insurance cover this?

No. The $199 monthly price is paid out of pocket, and compounded medication is essentially never covered. If your clinician orders laboratory testing, that is billed separately by the laboratory and is often covered — ask for the order to use with your own insurer.

What does the medication actually cost?

It is included. The $199 monthly price covers the clinical evaluation, the medication itself, and temperature-controlled shipping — no separate pharmacy bill, no per-shipment surcharge, and the price does not change with your dose.

How do I cancel?

Cancel any time from Account → Plan in your portal, or email support@getCoreScripts.com or call 1-888-888-8888. There is no fee and no minimum term, and canceling stops all future charges and shipments. Medication that has already shipped cannot be returned or refunded, so cancel before your next renewal date to avoid both the charge and the shipment. See our Refund & Cancellation Policy.

Is my information private?

Your health information is protected under HIPAA and is used to deliver your care. We do not sell your personal health information. Details on collection, use, disclosure, and your rights are in our Privacy Policy and Notice of Privacy Practices.

Vial of compounded NAD+ injection, prescription only

Find out whether NAD+ is right for you

Six minutes, no charge, no obligation. $0 due today — you will not be billed unless a clinician reviews your file and approves treatment.

Start my medical intake

Must be 18 or older and physically located in the United States.