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Educational guide · Pricing & process transparency

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

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If you’re comparing telehealth programs for prescription NAD+ 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 NAD+ nasal spray via telehealth usually costs, what’s typically included versus billed separately, and how to work out your real first-bill total before you enroll. It also identifies what Vivo offers today: NAD+ Nasal Spray, 300 mg/mL × 15 mL, a compounded medication 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 during your visit. It also isn’t a ranking. We’re not telling you which program to choose — we’re showing you how to read the price.

What prescription NAD+ nasal spray via telehealth usually costs

There’s no reliable national average for this, so we won’t invent one. What we can show you is what several programs publish, according to third-party comparison pages, with the date each was checked:

  • System Labs (nasal): $119/mo continuing, $69 intro month — PeptidePrices (prices reviewed 2026-08-02; page checked 2026-10-05) and HealingMaps (checked 2026-10-05).
  • Shed (nasal): $144/mo with a 2-month minimum — Clearhead Lab (updated 2026-08-28) and Policy Lab (updated 2026-09-09).
  • Embody (injection or nasal): $99/mo, month-to-month — HealingMaps (prices checked 2026-08-16; fetched 2026-10-05).
  • Telos Rx (nasal): $249 published, with a longer plan “as low as $116” — HealingMaps (prices checked 2026-08-16; fetched 2026-10-05).
  • MadeMed (nasal): $269/mo continuing — PeptidePrices (prices reviewed 2026-08-02).
  • Some programs show price only after intake (for example, Telos RX and Wellorithm on PeptidePrices; Care Bare Rx “from $199/mo” with detail after intake on HealingMaps).

These are snapshots, not live quotes. Prices change, and your final price depends on provider approval, plan length, and whether fees are bundled. Always confirm at the program’s own checkout.

How to read “monthly” prices

A “$/mo” figure can mean three quite different things:

  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. HealingMaps lists Lttl at $199/mo month-to-month ($149 first month), or $129/mo on a 12-month plan. That $129 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 the provider reviews your information.

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

What’s typically bundled vs billed separately

Across telehealth programs, here 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

PeptidePrices notes that medication and care fees may be billed separately at some programs. If a price doesn’t say what it covers, ask before you pay.

What Vivo’s /nad page lists as included

As of 2026-10-05, Vivo’s NAD+ Nasal Spray page lists the following as included:

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

That’s the full list. We don’t publish anything beyond it, so don’t assume extras (such as labs or coaching) are part of the price.

Vivo site display pricing

As of 2026-10-05 PT, the NAD+ Nasal Spray page displays Standard $129 and first month $89. Pricing may change, so please check /nad for the current display — 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, our NAD+ Injection page displayed Standard $199 / first month $149 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.

Worked competitor pattern (identification only)

Here’s how a minimum changes the math. Shed’s nasal program is listed at $144/mo with a 2-month minimum, according to Clearhead Lab (updated 2026-08-28) and Policy Lab. That makes the shortest commitment $144 × 2 = $288 before you can cancel. Prepay ladders work the same way: a 12-month plan with a lower monthly figure is a single larger payment up front. Compare total committed outlay, not the headline price.

What Vivo’s terms say today

Here’s what our FAQ, Refund Policy, and Terms of Service say, plus one ops confirmation:

  • No minimum term and no early-cancel fee. Confirmed for this page: you can cancel anytime. (Live cancel language on /nad, /faq, and Terms already says you may cancel at any time; there is no published multi-month minimum.)
  • 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.

The first-month price shown at checkout is what you’re authorizing for that billing period (snapshot: $89 on 2026-10-05; check /nad for current display).

Prescription required? Cash-pay? HSA/FSA?

Yes, a prescription is required. Every Vivo protocol is prescription-only: a licensed provider reviews your intake and writes a prescription only if treatment is 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.

HSA/FSA cards at checkout

Vivo checkout accepts HSA and FSA cards. Accepting the card is not the same as eligibility — whether your plan reimburses this expense is up to your plan administrator, not Vivo. The IRS explains how it treats these expenses in its FAQ on medical expenses related to nutrition, wellness, and general health. Your plan may ask for an itemized receipt or prescription documentation, so keep those records. If you’re unsure, check with your administrator before you pay.

How the paid process works

Here’s the process, step by step. You can read more on How it works.

  1. Start your visit. Complete your online intake at /start. It takes about 10–15 minutes, and there’s nothing to schedule.
  2. Provider review. A licensed provider reviews your intake. Review is asynchronous by default; a live visit happens only if your state or your clinical situation requires one.
  3. Prescription, if appropriate. If the provider determines treatment is appropriate, they write the prescription. A charge is captured only after a provider approves the prescription.
  4. Compounding. VialsRX, a licensed U.S. pharmacy, prepares your medication for your individual prescription.
  5. Shipping. Your order ships with free, discreet 2-day shipping.
  6. Ongoing care. You can message your care team, and refills continue under provider oversight until you cancel.

Frequently asked questions

What does prescription NAD+ nasal spray via telehealth usually cost?

It varies by program and plan length. Third-party pages list examples such as System Labs at $119/mo continuing ($69 intro; PeptidePrices, reviewed 2026-08-02) and Shed at $144/mo with a 2-month minimum (Clearhead Lab, 2026-08-28). Vivo’s /nad page displayed Standard $129 / first month $89 on 2026-10-05; pricing may change, so check /nad for the current display.

What’s included in a typical telehealth NAD+ nasal program — and what might be separate?

Programs often bundle provider review, the compounded medication if prescribed, shipping, and ongoing messaging. Labs, membership fees, supplies, and multi-month prepay terms are sometimes separate. Vivo’s /nad page lists provider review, prescription if appropriate, compounded medication, shipping, ongoing care messaging, free discreet 2-day shipping, and fulfillment by VialsRX.

Is the advertised monthly price the same as my first bill?

Not always. Check whether the first month is an intro rate, whether the monthly figure requires prepaying several months, and whether there’s a minimum term. For example, a $144/mo plan with a 2-month minimum is $288 before you can cancel (Shed, per Clearhead Lab 2026-08-28).

Does Vivo require a minimum commitment? How do I cancel?

No. Vivo has no minimum term and no early-cancel fee — 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 is transmitted or compounding has begun, that order can’t be canceled or refunded. See our Refund Policy.

Do I need a prescription for NAD+ nasal spray?

Yes. Vivo’s protocols are prescription-only. A licensed provider reviews your intake and writes a prescription only if it’s appropriate; the compounded medication is then prepared by a licensed pharmacy and shipped to you.

Can I pay with an HSA or FSA?

Vivo checkout accepts HSA and FSA cards, but that doesn’t mean your plan will reimburse the expense. Your plan administrator decides — see the IRS FAQ on medical expenses related to nutrition, wellness, and general health. Keep your itemized receipt and prescription documentation in case your plan asks.

Are compounded NAD+ nasal sprays 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 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.

Ready to start?

If you’ve checked the numbers and want a licensed provider to review whether a prescription is right for you, the visit takes about 10–15 minutes online.

Start your visit

See NAD+ Nasal Spray and current pricing

Want more background first? Read 7 things to know before trying NAD+ nasal spray, our telehealth NAD+ guide, how provider-prescribed NAD+ therapy works, or our peptide therapy cost breakdown. Billing and cancel details are in our FAQ, Refund Policy, and Terms of Service.

Prescription required. Subject to provider approval. Compounded medications are not FDA-approved. Prices shown are a site-display snapshot from October 5, 2026 and may change; see /nad for current pricing.

Sources

  1. Compare NAD+ nasal spray prices — PeptidePrices
  2. How Much Does NAD+ Therapy Cost in 2026? Verified Prices — HealingMaps
  3. Shed NAD+ Review: The $144 You Cannot Buy for One Month — Clearhead Lab
  4. The Best Online NAD+ Injection Providers — Policy Lab
  5. Frequently asked questions about medical expenses related to nutrition, wellness and general health — Internal Revenue Service
  6. Compounding and the FDA: Questions and Answers — U.S. Food and Drug Administration
  7. Terms of Service — Vivo Health LLC