# NAD+ > NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell and involved in energy metabolism. Increase Health offers it by prescription as a weekly injection or a nasal spray you use at home, starting with a low dose your provider sets and checks before every refill. - Category: Peptides - Generic name: nicotinamide adenine dinucleotide - Prescription required: Yes, after review by a licensed clinician - Last updated: 2026-10-08 - Canonical URL: https://increase.health/treatments/nad-plus - Start an assessment: https://start.increase.health/peptide-therapy/questionnaire ## Key facts - **Type:** Coenzyme - **Price:** $582 one-time for a 3-month supply - **Prescription:** Required, after clinician review - **FDA status:** Compounded; not FDA-approved NAD+ is a coenzyme your cells use in metabolism and in DNA repair processes. Your body makes it from forms of vitamin B3. Choose the form that suits you: a weekly injection under the skin, or a nasal spray. The injection starts with a low introductory dose and ramps up slowly, so you can settle in. Your provider reviews your plan before every refill, and your care team is a message away. No clinic visits and no IV chair: each order is compounded to your prescription and shipped to your door in stages. ## Frequently asked questions ### What is Increase Health? Increase Health is an online clinic and pharmacy for weight optimization, peptide therapy and prescription skin care. Licensed U.S. providers review your intake, prescribe when appropriate and adjust your protocol over time. ### Where are telehealth services available? Telehealth services may be available in all 50 states where clinically appropriate and permitted by applicable law. Clinical care is provided by licensed medical providers affiliated with an independent physician group. ### Is treatment guaranteed? No. Completing an intake form or selecting a program does not guarantee treatment. Prescription medications are only provided when a licensed medical provider determines they are clinically appropriate. ### Do I need to speak with a provider? Your intake is reviewed by a licensed medical provider. Depending on your health history, goals, treatment request, and applicable requirements, the provider may request additional information, lab work, or a consultation before making a treatment decision. ### Are compounded medications FDA-approved? No. Compounded medications are not FDA-approved. The FDA does not evaluate compounded medications for safety, effectiveness, or quality. ### Can I use Increase Health for emergency care? No. Increase Health is not for emergencies. If you are experiencing a medical emergency, call 911 or seek immediate medical attention. ### Who provides the clinical care? Licensed medical providers affiliated with an independent physician group. ### Who handles pharmacy and prescription fulfillment? Prescriptions are prepared and dispensed by state-licensed U.S. compounding pharmacies. ## Important safety information Flushing, a warm chest sensation or transient nausea can occur, usually when injecting too quickly. Slow the administration and contact your care team if symptoms persist. ## References 1. [Compounding and the FDA: Questions and Answers](https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers), U.S. Food and Drug Administration --- Increase Health connects patients with independent, US-licensed clinicians. Compounded medications are not FDA-approved. This content is informational and not a substitute for medical advice.