Where we ship
Vivo serves patients in all 50 US states.
NAD+ nasal spray, NAD+ injection, glutathione nasal spray, glutathione injection, sermorelin, and MIC+B12 can be prescribed online and shipped to your state when a licensed provider approves a prescription.
Vivo serves patients in all 50 US states through its affiliated medical group, Arora Health & Aesthetics, LLC.
Services are currently available in every US state, subject to state regulation. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions.
How a prescription gets to you
01
Online intake
The process starts with an online medical intake. You must be 18 or older, or the age of majority in your state if that age is higher, and physically located in a US state where services are available, both at intake and at each refill.
02
Licensed provider review
Vivo Health LLC operates the website, the intake, and billing. It does not prescribe. A licensed provider with Arora Health & Aesthetics, LLC reviews your intake and decides whether a prescription is appropriate. Review is asynchronous by default. Some states require a live video or phone visit before a provider can prescribe, and a provider may request one when it is clinically indicated.
03
Pharmacy fills and ships, if approved
If a prescription is approved, VialsRX, a licensed US 503A compounding pharmacy, prepares the medication for that individual prescription and ships it to you. Nothing ships without a prescription. If a provider does not approve treatment, no prescription is issued and no medication ships.
04
Cancel anytime
You can cancel a subscription at any time 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 no longer be canceled or refunded — it is being prepared specifically for you.
05
Cash-pay
No insurance is needed, because the program is cash-pay. Vivo does not bill insurance. The service is not health insurance and does not replace coverage you already have.
Medications in this program
Each medication below is compounded and available by prescription only. A licensed provider decides whether a prescription is appropriate.
Compounded medications are prepared by a licensed pharmacy for an individual prescription and 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.
All 50 states
Vivo serves patients in each state listed here. The list is the full coverage statement. There is not a separate page for each state.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Questions
Can I get NAD+ nasal spray, NAD+ injection, glutathione, sermorelin, or MIC+B12 prescribed online and shipped to my state?
Yes. Vivo serves patients in all 50 US states. You complete an online intake. A licensed provider reviews it. If a prescription is approved, a licensed pharmacy fills the medication and ships it to you. If a prescription is not approved, nothing ships.
Does Vivo serve every US state?
Vivo serves patients in all 50 US states through its affiliated medical group, Arora Health & Aesthetics, LLC. Services are currently available in every US state, subject to state regulation. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions. You must be physically located in a state where services are available, at intake and at each refill.
Do I need insurance?
No insurance is needed, because the program is cash-pay. Vivo does not bill insurance. The service is not health insurance and does not replace coverage you already have.
What happens if a provider does not approve a prescription?
No prescription is issued, and no medication ships. Entering payment information at checkout authorizes your payment method. A charge is captured only after a provider approves a prescription.
Can I cancel?
You can cancel a subscription at any time 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 no longer be canceled or refunded — it is being prepared specifically for you.
Ready to start?
Complete your visit in about 10–15 minutes. A licensed provider takes it from there.
- Provider-supervised
- Licensed U.S. pharmacy
