How Much NAD+ Injections Cost, and What the Monthly Price Covers

Included:

• Clinician oversight of the prescription, including the review point where you and your clinician decide honestly whether to continue.
• The medication itself. There is no separate pharmacy bill for NAD+.
• Dispensing by a licensed pharmacy and delivery to your door. Shipping and taxes, where they apply, are shown before you pay.

Not included:

• Lab work. A comprehensive lab panel is $199, billed on its own; your clinician decides at the eligibility review whether you need one before starting. The lab testing cost page breaks it down.
• Other injectables. Glutathione and B12 are priced on their own pages.
• In-person care. ACT 2 is a telehealth practice and does not run infusion rooms.

NAD IV therapy cost and NAD injection cost compare two business models, not two molecules. Both routes deliver NAD+ directly rather than as a precursor, as the injection versus supplement comparison sets out. What differs is what you are paying for around the medication.

An IV infusion is billed by the session. Each visit is its own charge, and the bill carries more than the medication:

• Chair time. NAD+ is infused slowly. A published pharmacokinetic study ran its infusion for six hours [2], and a 2026 real-world tolerability study reported that the side effects of NAD+ infusions make slow, prolonged infusions necessary [3]. A room, a chair and an IV pole are occupied for that whole time.
• Staff. Someone places the line, watches the drip and adjusts the rate, and a reputable service has a licensed medical director overseeing it [4]. That labor is priced into every session.
• Per-session pricing. IV drips are generally sold per session, with specialty drips costing more than a basic one [4]. A course multiplies that price, and travel and time off work never appear on the invoice.

An at-home injection is billed as a monthly supply. The medication is prepared by a pharmacy and shipped to you. A subcutaneous injection goes into the fatty tissue just under the skin and is a route people routinely use to give themselves medicines at home [5]. There is no chair to rent and no nurse's hour to pay for; the prescription and the review happen by telehealth.

How to compare them honestly. We do not quote any clinic's prices; they vary by city and change often. Instead, ask an IV provider for four numbers: the all-in price of one session (including any consultation or add-on fee), how many sessions they recommend in a month, whether a package changes the per-session price, and how many hours each session takes. Multiply the first two and set the result beside $199 a month. Then weigh the hours.

When an IV is the better choice. If you want a supervised setting, or do not want to handle a needle yourself, an infusion is the route that meets that. ACT 2 does not offer infusions, so a local IV service is where to go.

$2,388 for twelve months, assuming a monthly supply every month for a full year, no lab panels, and no welcome discount.

Most people should not budget for twelve months on day one. NAD+ comes with a defined review point at which you and your clinician decide whether it is doing anything worth continuing, and a genuine willingness to stop. Three months of supply before that conversation costs $597, assuming a monthly supply for each of the three months and no lab panel.

If you add one comprehensive baseline panel, a full first year is $2,587, assuming twelve monthly supplies and a single panel at the start.

New patients receive 10% off their first order, which applies to an NAD+ order but not to lab panels. Get the code at the welcome offer page; the figures above do not include it.

Generally, no, and at ACT 2 the question does not arise: ACT 2 is direct-pay and does not bill insurance, Medicare or Medicare Advantage for any treatment or lab panel.

The reasons are structural. NAD+ injections are a compounded medication, and compounded drugs are not FDA-approved [1]; the site's page on whether NAD+ is FDA-approved explains the status. Medicare's drug benefit does not treat a compounded product as a whole as a covered Part D drug, and bulk ingredients used for compounding are not covered at all [6]. NAD+ is also used here for energy and healthspan, a general-wellness purpose rather than treatment of a diagnosed illness.

HSA and FSA money is a separate question. The IRS excludes expenses that are merely beneficial to general health [7], and whether a given purchase qualifies is decided by your plan administrator, not by ACT 2. The pricing and insurance FAQ covers how to ask, and the year-end FSA and HSA guide covers timing.

The biggest variable is the review point: if NAD+ is not doing anything useful for you, the monthly cost ends there. After that come lab panels at $199 each, anything prescribed alongside NAD+, shipping and tax where they apply, and the one-time first-order discount.