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Educational guide · Pricing & process transparency

Glutathione nasal spray telehealth cost: what’s included, and what the first bill really is

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At Vivo, prescription Glutathione Nasal Spray (30 mL) is $145 for the first month, then $149/month, or $130/month with the quarterly plan. That price includes provider review, a prescription if appropriate, the compounded medication, shipping, and ongoing care messaging. There’s no minimum term. Compounded medications are not FDA-approved.

If you’re comparing telehealth programs for prescription glutathione nasal spray, the advertised monthly number is only part of the picture. What you actually pay depends on what’s bundled into that price, whether the first month is discounted, whether you have to prepay or commit to several months, and when you’re allowed to cancel. This guide walks through each, so you can read any offer — including ours — clearly.

What this page answers (and what it doesn’t)

This page answers three practical questions: what prescription glutathione nasal spray via telehealth costs, what’s typically included versus billed separately, and how to work out your real first-bill total before you enroll. It identifies what Vivo offers today: Glutathione Nasal Spray, a compounded nasal spray solution in a 30 mL bottle, available only by prescription after licensed provider review.

Compounded medications are not FDA-approved drug products. They are prepared by licensed pharmacies for individual prescriptions, and FDA does not review them for safety, effectiveness, or manufacturing quality before they are dispensed. This page does not give dosing advice, and it doesn’t make claims about results. Whether any prescription is appropriate for you is a decision your provider makes. It also isn’t a ranking.

How to read “monthly” prices

  1. Intro month vs. continuing rate. Many programs show a lower first month and a higher renewal price. The continuing rate is what you’ll pay from month two onward.
  2. Prepay ladders. A lower monthly number often requires paying for several months up front. For example, PlexusDx’s own glutathione page (checked 2026-10-16) lists its glutathione injection at $99 month to month, or $69/mo on a 12-month plan billed $828 up front. That $69 is a real figure, but it isn’t what a month-to-month patient pays.
  3. “From $X” after intake. A starting price before intake isn’t a quote. The real number appears after a provider reviews your information.

Compare continuing rate to continuing rate, month-to-month to month-to-month, and nasal spray to nasal spray.

What’s typically bundled vs billed separately

Across telehealth programs, these are the line items worth checking for each offer:

  • Provider review (sometimes a separate visit or consult fee)
  • Prescription, if the provider determines it’s appropriate
  • The compounded medication itself
  • Shipping
  • Ongoing messaging or follow-up with the care team
  • Supplies
  • Labs (some programs require or bill them separately)
  • Membership or platform fees

If a price doesn’t say what it covers, ask before you pay.

What Vivo’s /glutathione page lists as included

As of October 17, 2026, Vivo’s Glutathione Nasal Spray page lists the following as included:

  • Provider review
  • Prescription, if appropriate
  • Compounded medication
  • Shipping
  • Ongoing care messaging

That’s the full list. Don’t assume extras (such as labs or coaching) are part of the price.

Vivo site display pricing

As of October 17, 2026, the Glutathione Nasal Spray page displays first month $145, then $149/month, or $130/month with the quarterly plan. Pricing may change, so check /glutathione — that page, and the disclosure you see at checkout, are the source of truth.

When you enter payment information at checkout, you authorize your payment method — that does not capture a charge. A charge is captured only after a provider approves the prescription. If you’re not approved, no prescription is issued and you aren’t charged for medication.

If you’re looking at injections instead, the Glutathione Injection page displayed first month $99, then $149/month, or $86/month with the quarterly plan, on the same date. That’s a separate product page with its own pricing.

Minimum commitment, auto-renew, cancel, and real first-bill total

Before you enroll anywhere, check five things in the checkout and the terms:

  1. Minimum term. Is there a minimum number of months before you can cancel?
  2. Auto-renew interval. Does the plan renew monthly, every few months, or yearly?
  3. Cancel window. When must you cancel to avoid the next charge — and how does that relate to when your order goes to the pharmacy?
  4. Intro vs. renew rate. What will month two cost?
  5. Prepaid totals. Is the “$/mo” actually a multi-month total billed at once?

Your real minimum outlay is roughly: the first-month price, plus any required months at the continuing rate, plus anything billed separately.

What Vivo’s terms say today

Here’s what our FAQ, Refund Policy, and Terms of Service say:

  • No minimum term and no early-cancel fee. You can cancel anytime.
  • Auto-renew. Your subscription renews at the price and interval disclosed at checkout until you cancel.
  • How to cancel. Cancel from your account dashboard or by emailing care@vivoclinic.org.
  • When it takes effect. Cancellation takes effect at the end of your current billing period, provided we receive it before that period’s order is transmitted to the pharmacy.
  • What can’t be canceled. Once an order has been transmitted to the pharmacy, or compounding has begun, it can’t be canceled or refunded — it’s being prepared specifically for you.

Prescription required? Cash-pay? HSA/FSA?

Yes, a prescription is required. A licensed provider reviews your intake and writes a prescription only if it’s appropriate for you. Vivo is self-pay. We aren’t health insurance, and we don’t bill insurance or federal or state programs for these services.

Checkout accepts HSA and FSA cards. Accepting a card doesn’t mean your plan will treat the purchase as an eligible expense. Your plan administrator decides that.

How the paid process works

  1. Online intake. You complete a health-history form online at vivoclinic.org/start.
  2. Provider review. A licensed provider reviews your intake. Review is asynchronous by default. Some states require a synchronous visit, and a video visit may be required if clinically indicated.
  3. Prescription, if appropriate. Your provider decides whether a prescription for Glutathione Nasal Spray is appropriate for you. If it isn’t, no prescription is issued, and you are not charged for medication. Entering payment information at checkout authorizes your payment method — it does not capture a charge. A charge is captured only after a provider approves the prescription.
  4. Licensed compounding pharmacy. If prescribed, your medication is prepared and dispensed by VialsRX, a state-licensed U.S. 503A compounding pharmacy, with directions for use written by your provider.
  5. Shipping and ongoing care. Your prescription ships free with discreet 2-day shipping. You can message your care team after delivery. There’s no minimum term, and you can cancel anytime from your dashboard or by emailing care@vivoclinic.org.

Frequently asked questions

How much does prescription glutathione nasal spray cost through Vivo?

As of October 17, 2026, Vivo’s Glutathione Nasal Spray (30 mL) is $145 for the first month, then $149/month, or $130/month with the quarterly plan. There’s no minimum term, and you can cancel anytime. Check the /glutathione page and your checkout disclosure for the current price.

What’s included in Vivo’s glutathione nasal spray price?

The /glutathione page lists provider review, a prescription if appropriate, the compounded medication, shipping, and ongoing care messaging.

Is there a minimum commitment?

No. Vivo has no minimum term and no early-cancel fee. You can cancel from your account dashboard or by emailing care@vivoclinic.org. Cancellation takes effect at the end of your current billing period if received before that period’s order is transmitted to the pharmacy.

Do I need a prescription for glutathione nasal spray?

Yes. At Vivo, Glutathione Nasal Spray is a compounded prescription medication. A licensed provider reviews your intake and decides whether a prescription is appropriate before the pharmacy can prepare and dispense it.

Is compounded glutathione nasal spray FDA-approved?

No. Compounded medications are prepared by licensed pharmacies for individual prescriptions and are not FDA-approved drug products. FDA does not review them for safety, effectiveness, or manufacturing quality before they are dispensed.

What happens if I’m not approved?

No prescription is issued, and you are not charged for medication. Entering payment information at checkout authorizes your payment method — it does not capture a charge. A charge is captured only after a provider approves the prescription.

Can I use an HSA or FSA card?

Vivo’s checkout accepts HSA and FSA cards. Whether a purchase counts as an eligible expense is decided by your plan administrator, not by Vivo.

NAD+ nasal spray telehealth cost · Read the FAQ

Prescription required. Subject to provider approval. Compounded medications are not FDA-approved. This guide is educational and isn’t medical advice.

Sources

  1. Compounding and the FDA: Questions and Answers — U.S. Food and Drug Administration
  2. Terms of Service — Vivo Health LLC
  3. Glutathione Injections — PlexusDx