
Compounded nasal spray
NAD+ Nasal Spray
Compounded nasal spray. Available by prescription only.
Founding member price
$339/quarterStandard price:$425
Includes provider review, compounded medication, and shipping.
Founding member pricing
$86 off standard pricing
Vivo is opening founding member pricing to its first 100 patients. Once 100 founding places are taken, this protocol returns to standard pricing.
This is a compounded medication prepared by a licensed pharmacy for an individual prescription. Compounded medications are not FDA-approved drug products.
Discuss your full medical history, current medications, and any questions about this medication with your prescribing provider. Do not use without a prescription.
Formats
Injection or nasal spray
Two common ways NAD+ is prescribed. Here is how the logistics differ.

| Category | Injections | Nasal sprayThis format |
|---|---|---|
| Administration | Needle-based dosing, typically in clinic or by self-injection | Needle-free spray used at home |
| Visit pattern | Often tied to scheduled treatment appointments | Daily use from home after the prescription ships |
| Cost structure | Can include visit or administration fees beyond the medication | Prescription shipped to you; fewer visit-related fees |
| Practical fit | Prefer clinician-administered or visit-based dosing | Prefer an at-home daily routine |
Administration
Nasal spray(this format)
Needle-free spray used at home
Injections
Needle-based dosing, typically in clinic or by self-injection
Visit pattern
Nasal spray(this format)
Daily use from home after the prescription ships
Injections
Often tied to scheduled treatment appointments
Cost structure
Nasal spray(this format)
Prescription shipped to you; fewer visit-related fees
Injections
Can include visit or administration fees beyond the medication
Practical fit
Nasal spray(this format)
Prefer an at-home daily routine
Injections
Prefer clinician-administered or visit-based dosing
The process
How to Obtain NAD+ Nasal Spray

Step 1 of 3: Start online, meet your provider
Complete a quick intake form, 100% online. A licensed provider reviews your health history and, if appropriate, prescribes. The review is asynchronous by default — some states require a synchronous visit, and a video visit may also be required if clinically indicated.

Step 2 of 3: Compounded and delivered
Your prescription is prepared by a licensed US compounding pharmacy and shipped discreetly to your door in insulated cold-chain packaging, with directions for use written by your provider.

Step 3 of 3: Ongoing care, on your schedule
Care continues after delivery. Message your care team any time, and check in with a licensed provider as your treatment continues — no appointments to chase, no waiting rooms.
Ready to do this the right way?
Start a provider-supervised visit for compounded NAD+ nasal spray, reviewed online and filled by a licensed US pharmacy.
- Real providers. Real oversight.
- Follow-up visits built into every plan
- Temperature-controlled delivery, arrives discreet

Compounded medications are prepared by a licensed pharmacy for an individual prescription and are not FDA-approved drug products. This page is for informational purposes and is not medical advice. Prescription only. Individual treatment decisions are made by a licensed provider.
Ready to start?
Complete your visit in about 10–15 minutes. A licensed provider takes it from there.
- Provider-supervised
- Licensed U.S. pharmacy
