Can you get NAD+ from a compounding pharmacy?

Not as a compounded prescription medication. Section 503A of the Federal Food, Drug, and Cosmetic Act covers medications compounded for an identified individual patient, based on a valid prescription order. FDA’s guidance on the 503A prescription requirement states that section 503A does not provide for distributing a compounded drug before the pharmacy receives a valid prescription order for an identified individual patient.

So the order of events is fixed. A licensed provider reviews your health history and decides whether to prescribe. The prescription goes to the pharmacy. Only then does the pharmacy prepare the medication for you and dispense it. Read FDA’s guidance on the 503A prescription requirement.

Compounded medications are not FDA-approved. FDA does not review them for safety, effectiveness, or manufacturing quality before they are dispensed. See FDA’s compounding questions and answers.

Vivo’s dispensing pharmacy is VialsRX, a licensed U.S. 503A compounding pharmacy in Houston, TX. It prepares and dispenses each prescription. The dispensing pharmacy is identified on your prescription label.

A 503A pharmacy prepares a medication for one person, against one prescription. What it prepares is a compounded medication, not an FDA-approved drug product.

Section 503B covers a separate category, outsourcing facilities. Neither category produces FDA-approved drug products. For a longer comparison, see 503A vs 503B.

Some online sellers list NAD+ labeled “for research use only,” or sell it with no prescription. The difference this guide describes is process, not quality or effectiveness.

Vivo offers compounded NAD+ Nasal Spray, including a 300 mg/mL × 15 mL fill (also offered in 300 mg/mL × 30 mL and 150 mg/mL × 15 mL), and compounded NAD+ Injection. Both are prescription-only and subject to provider approval. Each product page lists its current pricing and product details.

For the companies involved and what each one does, see Vivo Health facts. For the injection steps, see How NAD+ injections are prescribed. For who decides, who dispenses, and how refills work, see Provider-prescribed NAD+ therapy, explained.