Is $599 a monthly price?

No. It buys one 10 mL vial, which the shop listing describes as ten injections. AquaVita does not publish how often you should inject, so the vial could last five weeks or fifteen depending on what a provider decides. There is no monthly rate on the page, and we have not invented one.

How much NAD⁺ is in the vial?

The page does not say. You are told the volume — 10 mL — and an injection count, but not the concentration, so the total milligram content is unknown. Sellers who publish a concentration make their price arithmetic; this one leaves it a guess. If you buy, ask for the strength before the first dose, and ask again if a later vial comes from a different batch.

Injection or infusion?

The page says intramuscular injection. It is worth flagging that the side-effect list refers to fatigue during or after infusion and a rapid heartbeat during infusion, which describes an IV drip rather than a shot. That reads like text carried over from an IV product. The route you are buying is an injection.

Do I pay before I see a provider?

Yes. The stated order is intake, payment, then the consultation — which can be immediately after payment or scheduled within the published hours. AquaVita states that a licensed provider conducts a telehealth good faith exam to assess eligibility before any prescription is issued, and that not everyone will qualify.

Is this FDA-approved?

No, and AquaVita is unusually direct about it. Its description opens by stating the preparation is compounded, is not FDA-approved, and has not been reviewed by the FDA for safety, efficacy or quality, and it repeats that a compounded product may vary in strength, quality and purity. That is the correct framing, and most of this category does not manage it.

Is AquaVita NextGen expensive compared with other NAD⁺ injection providers providers?

AquaVita NextGen publishes a starting figure of $599/mo. Across the 116 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $175, which puts AquaVita NextGen above the median. The other 33 NAD⁺ injection providers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Updated September 2026

AquaVita NextGen review

Candid copy, opaque quantity

Unusually restrained safety language for this category, attached to a price you cannot compare with anything.

Our verdict

AquaVita writes about its own product with rare candor. The compounded disclosure is the first thing on the description. The benefits are labeled preliminary. The page says outright that long-term effects are not fully studied. Then it asks $599 for a vial described only as 10 mL and 10 injections. No milligram strength. No dosing schedule. So there is no way to work out what a month costs, or how it compares with a seller charging half as much. Honest about the evidence, opaque about the quantity.

Disclosure: NAD Picks is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

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At a glance

Category: NAD⁺ injections
Format: Injection
From: $599
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Updated: September 2026

What it is

A California telehealth clinic selling compounded NAD⁺ for intramuscular injection as a single 10 mL vial, described as ten injections. It sits alongside compounded semaglutide and tirzepatide, a lipotropic MIC and B12 injection, and glutathione, all sold on the same one-vial model. The business publishes a street address in Lake Forest and a phone number rather than operating as a pure storefront.

How it works

You complete an intake, pay, and then meet a provider — immediately after payment or at your convenience within published hours, seven days a week. AquaVita describes this as a telehealth good faith exam used to assess eligibility before any prescription is issued, and states plainly that not all patients will qualify. There is no subscription, no membership and no auto-refill: you buy a vial, and when it runs out you buy another.

Pricing transparency

$599 for one 10 mL vial, listed on the shop page as ten injections. That is about $60 per injection at the seller's own count. What the page does not publish is how many milligrams are in the vial or how often you are meant to inject, and without either number the $599 cannot be turned into a monthly cost or a cost per milligram. For scale, the same clinic sells a 10 mL glutathione vial at $295 and a 10 mL lipotropic vial at $275 on identical terms, so the pricing model is consistent even if the quantity disclosure is not.

Branded vs compounded

Compounded NAD⁺, and the page opens its description with it: this is a compounded preparation, it is not FDA-approved, and it has not been reviewed by the FDA for safety, efficacy or quality. That paragraph is repeated in different words three more times further down, including an acknowledgment that a compounded preparation may differ in strength, quality and purity from other products. The route is described as intramuscular under provider supervision with the dose set individually. No milligram strength is given anywhere on the page, and the pharmacy is not named.

Pros and watch-outs

What we like

Leads with the compounded, not-FDA-approved disclosure instead of burying it in a footer
Describes its own benefit claims as preliminary and says the evidence is still emerging
States that long-term effects of NAD⁺ supplementation are not fully studied — almost unheard of on a sales page
A published street address, phone number and stated consultation hours seven days a week
One-time purchase with no subscription to cancel

Watch-outs

No milligram strength published, so $599 cannot be compared with any other seller's price
No dosing frequency stated, so there is no monthly rate to compare either
$599 is the highest single outlay in our injection roster
The side-effect list describes reactions during and after an infusion, which is IV language on a page selling an intramuscular vial
The compounding pharmacy is not named
The footer still carries the previous year's copyright line

Best for

Someone who wants a clinic with a real address and a provider consultation, is buying a single vial rather than starting a subscription, and will ask the provider for the concentration before injecting anything.

Who should look elsewhere

Anyone shopping on price. Without a milligram figure, $599 is not a number you can weigh against the $149 to $250 monthly plans elsewhere in this roster, and the comparison you would make in your head is almost certainly wrong.

How AquaVita NextGen compares

A few alternatives worth a look, depending on what you’re optimizing for.

Care Bare Rx
Anyone who wants the price up front
See Care Bare Rx →
Breeze Meds
The lowest listed injection price
See Breeze Meds →
CoreAge Rx
The lowest published NAD⁺ price
See CoreAge Rx →

Compare all providers side by side →

More NAD⁺ injection providers reviews: ShedRxThe IV DocMobile IV MedicsIvologistMavesiThriveMD

James Harper

Formats & delivery · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of AquaVita NextGen’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

Is $599 a monthly price?: No. It buys one 10 mL vial, which the shop listing describes as ten injections. AquaVita does not publish how often you should inject, so the vial could last five weeks or fifteen depending on what a provider decides. There is no monthly rate on the page, and we have not invented one.
How much NAD⁺ is in the vial?: The page does not say. You are told the volume — 10 mL — and an injection count, but not the concentration, so the total milligram content is unknown. Sellers who publish a concentration make their price arithmetic; this one leaves it a guess. If you buy, ask for the strength before the first dose, and ask again if a later vial comes from a different batch.
Injection or infusion?: The page says intramuscular injection. It is worth flagging that the side-effect list refers to fatigue during or after infusion and a rapid heartbeat during infusion, which describes an IV drip rather than a shot. That reads like text carried over from an IV product. The route you are buying is an injection.
Do I pay before I see a provider?: Yes. The stated order is intake, payment, then the consultation — which can be immediately after payment or scheduled within the published hours. AquaVita states that a licensed provider conducts a telehealth good faith exam to assess eligibility before any prescription is issued, and that not everyone will qualify.
Is this FDA-approved?: No, and AquaVita is unusually direct about it. Its description opens by stating the preparation is compounded, is not FDA-approved, and has not been reviewed by the FDA for safety, efficacy or quality, and it repeats that a compounded product may vary in strength, quality and purity. That is the correct framing, and most of this category does not manage it.
Is AquaVita NextGen expensive compared with other NAD⁺ injection providers providers?: AquaVita NextGen publishes a starting figure of $599/mo. Across the 116 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $175, which puts AquaVita NextGen above the median. The other 33 NAD⁺ injection providers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Check availability →

Or compare every NAD⁺ injection provider.