Educational guide · Prescribing process
How NAD+ injections are prescribed through Vivo, step by step
Published
To get NAD+ injections through Vivo, you complete an online intake, a licensed provider reviews it, and the provider decides whether a prescription is appropriate. If prescribed, VialsRX, a state-licensed 503A compounding pharmacy, prepares it and ships it with syringes and alcohol pads. Compounded medications are not FDA-approved.
This guide explains the process only: who decides, who prepares the medication, what arrives, what it costs, and how to cancel. It isn’t dosing advice, and it doesn’t make claims about results. Your provider’s directions set how, and how often, you use it.
| NAD+ Injection | |
|---|---|
| Form | Compounded solution for injection |
| Route | Injection, self-administered at home as directed by your provider |
| Strength and vial size | As directed by your provider |
| Prescription | Required, after licensed provider review |
| Prepared by | VialsRX, a state-licensed U.S. 503A compounding pharmacy |
| Included supplies | Syringes and alcohol pads |
| Directions for use | Written by your prescribing provider |
| Storage | Follow your prescription label and pharmacy instructions |
| Shipping | Free discreet 2-day shipping |
Compounded medications are prepared for one individual prescription and are not FDA-approved drug products. FDA does not review them for safety, effectiveness, or manufacturing quality before they are dispensed.
How getting NAD+ injections prescribed works
- Online intake. You complete a health-history form online at vivoclinic.org/start.
- 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.
- Prescription, if appropriate. Your provider decides whether a prescription for NAD+ Injection 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.
- 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.
- 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.
What arrives with your order
If prescribed, your order includes:
- Your compounded prescription, labeled by the dispensing pharmacy
- Syringes and alcohol pads
- Directions for use, as written by your prescribing provider
Follow the directions and storage instructions on your label. If you have questions about how to use your prescription, message your care team.
Refills and ongoing review
Refills require an active prescription and continuing provider review. A refill may require an updated health assessment. Any change to your prescription is your provider’s decision. If your provider decides continued use isn’t appropriate, your subscription is paused or ended.
What NAD+ Injection costs at Vivo
As of October 17, 2026, the NAD+ Injection page displays first month $149, then $199/month, or $133/month with quarterly plan. That price includes provider review, a prescription if appropriate, the compounded medication, syringes and alcohol pads, shipping, and ongoing care messaging. There’s no minimum term, and you can cancel anytime.
Pricing may change, so check /nad-injection and your checkout disclosure for the current price.
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.
Canceling
You can cancel anytime from your account dashboard or by emailing care@vivoclinic.org. 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. Once an order has been transmitted to the pharmacy, or compounding has begun, it can’t be canceled or refunded.
Frequently asked questions
How do I get NAD+ injections prescribed through Vivo?
Complete an online intake at vivoclinic.org/start. A licensed provider reviews it and decides whether a prescription is appropriate. If prescribed, VialsRX, a state-licensed 503A compounding pharmacy, prepares your medication, and it ships with syringes and alcohol pads.
Do I need a video visit?
Review is asynchronous by default. Some states require a synchronous visit, and a video visit may be required if clinically indicated.
What comes with an NAD+ injection order?
Your compounded prescription labeled by the dispensing pharmacy, syringes and alcohol pads, and directions for use written by your prescribing provider.
How do I know how to use it?
Follow the directions your provider writes on your prescription label and the pharmacy’s instructions. Your care team can answer questions by message.
Is compounded NAD+ injection 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.
How much do NAD+ injections cost at Vivo?
As of October 17, 2026, NAD+ Injection is $149 for the first month, then $199/month, or $133/month with quarterly plan. There’s no minimum term, and you can cancel anytime.
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.
Prescription required. Subject to provider approval. Compounded medications are not FDA-approved. This guide is educational and isn’t medical advice.
Sources
- Compounding and the FDA: Questions and Answers — U.S. Food and Drug Administration
- Terms of Service — Vivo Health LLC