Compounded nasal spray
NAD+ Nasal Spray
Compounded nasal spray. Available by prescription only.
First month
Standard price$129First month price$89first month
Monthly supply (300mg/mL × 15mL)
Includes provider review, compounded medication, and shipping.
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.
Formula
Nicotinamide adenine dinucleotide (NAD+)
- Active ingredient
- Nicotinamide adenine dinucleotide (NAD+)
- Strength
- 300 mg/mL
- Dosage form
- Nasal spray solution
- Route of administration
- Intranasal
- Volume
- 15 mL
- Storage
- Refrigerated; cold-chain shipped
- Availability
- Prescription only, following provider review
In your shipment
- Your compounded prescription, labeled by the dispensing pharmacy
- Directions for use, as written by your prescribing provider
- Insulated cold-chain packaging
Shipped discreetly. Refrigerate on arrival, and check the beyond-use date on the pharmacy label.
Quality & testing
A compounded medication is prepared per prescription rather than manufactured in retail batches, which makes verification of each batch the thing worth asking about. Here is what we can tell you about yours.
Each batch is compounded and tested by the licensed US 503A pharmacy that prepares it, and a certificate of analysis is issued for that batch. To request the certificate covering your fill, ask your prescribing provider or contact the dispensing pharmacy identified on your prescription label.
- Compounded by a licensed US 503A pharmacy
- Cold-chain shipped
- Certificate of analysis issued per batch
Safety information
Standard safety information for a compounded prescription medication. Your prescribing provider and the dispensing pharmacy are the authority on your specific prescription — this does not replace either.
This is a compounded medication
This is a compounded medication prepared by a licensed pharmacy for an individual prescription. Compounded medications are not FDA-approved drug products.
FDA does not review compounded preparations for safety, effectiveness, or manufacturing quality before they are dispensed. We state this plainly because you should know it before you decide.
Prescription only
This medication may be used only by the person for whom it was prescribed, exactly as directed by the prescribing provider. Do not share it, and do not use a prescription written for someone else.
Before your visit, tell your provider about
- All medical conditions you have or have had
- Every medication and supplement you take
- Any allergies
- Whether you are pregnant, planning to become pregnant, or breastfeeding
Possible side effects
The side effects associated with your prescription are reviewed with you by your prescribing provider, and the dispensing pharmacy supplies the labeling that accompanies your medication. Ask your provider before you start, and contact them if you notice anything unexpected after you do.
Do not use if
Whether this medication is appropriate for you is a clinical determination your provider makes from your history, your current medications, and your circumstances — which is why the visit exists. Tell your provider everything listed above before a prescription is issued, and do not use a medication prescribed for someone else.
Storage and beyond-use date
Refrigerate on arrival. Keep the bottle closed and upright. Do not use past the beyond-use date printed on the pharmacy label.
Reporting a problem
Questions about your medication go to your prescribing provider or the dispensing pharmacy. Report a suspected adverse reaction to your provider. You may also report it to FDA MedWatch at 1-800-FDA-1088.
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
FAQ
Frequently asked questions
Do I need a prescription? How does that work?
Yes. Every Vivo protocol is prescription-only. When you complete your intake, a licensed US provider in your state reviews your medical history and, if appropriate, writes the prescription. The compounded medication is then shipped directly to your door.
Provider information
Arora Health & Aesthetics, LLC provides the clinical care for this program. Its licensed providers serve patients across the United States in accordance with applicable state licensure requirements and telehealth regulations.
For provider-related questions, contact medicalcompliance@arorahealthgroup.com.
Arora Health & Aesthetics, LLC300 Lenora Street, Seattle, WA 98121Website: www.arora-health.com
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.
Partner pharmacy information
Vivo works with the following independent, state-licensed 503A compounding pharmacy:
VialsRX — 6220 Westpark Drive, Suite 111, Houston, TX 77057 — vials.ai
Services are available across all 50 U.S. states through affiliated providers and our pharmacy partner operating in accordance with applicable state licensure requirements.
Please note that medication availability, formulations, and fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.
How do 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't be canceled or refunded — it's being prepared specifically for you. Full details are in our Refund Policy.
How long does the visit take?
About 10–15 minutes, online, whenever suits you. There's no appointment and nothing to schedule.
Where does Vivo Clinic serve?
Vivo Clinic serves patients across all 50 U.S. states through our affiliated medical provider, Arora Health & Aesthetics, LLC. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions.
Related guides
Prescription NAD+ therapy through Vivo, explained
Who makes the prescribing decision, which pharmacy dispenses, what happens after intake, what refills require, and how payment works.
NAD+ Nasal Spray vs. IV Drips: How the Two Formats Differ in Practice
How intranasal and intravenous NAD+ differ in route, setting, administration, and logistics, and what the comparison cannot tell you.
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
