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NAD+ Picks
Updated September 2026

AVArx review

No price, anywhere

AVArx sells NAD⁺ as a nasal spray and an injection across all fifty states. It publishes no price for either, or for anything else it sells.

Our verdict

You cannot find out what this costs without starting a medical intake. We opened every page the site publishes and there is no pricing page, no price on either NAD⁺ product page, and no dollar figure anywhere on the site. The product pages are careful and restrained in a way we rather like. The NAD⁺ description is plain biochemistry with no anti-aging promises, and it cites a public NCBI reference rather than a testimonial. But restraint about benefits is not transparency about cost. Prices in this category run from roughly $100 to well over $500 for the same molecule. That is exactly where withholding the number puts the buyer at a disadvantage.

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.

At a glance

Category
NAD⁺ nasal spray
Format
Nasal spray · Injection
Dose published
No
Prescription
Required
Compounded
Yes — not FDA-approved
Pharmacy
Not named
Availability
All 50 states
Updated
September 2026

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What it is

A telehealth service operated by AVArx LLC, connecting patients with US-licensed providers and partner pharmacies. NAD⁺ appears twice in the catalog, as a nasal spray and as an injection, inside a wellness and longevity line that also carries sermorelin, sermorelin troches and glutathione. The larger business is GLP-1 weight-loss care.

How it works

Entirely asynchronous and provider-gated: a licensed provider reviews your health history, current medicines and goals, and the prescribed form, directions and follow-up plan come from the provider and the dispensing pharmacy rather than from a product selection. The pages are explicit that submitting a questionnaire does not guarantee a prescription and that not everyone is a candidate — a more honest framing than the category norm, which tends to treat the intake as a checkout step.

Pricing transparency

Not published. There is no pricing page anywhere on the site, no figure on either NAD⁺ page, and no dollar amount on the home page, the treatments index, the get-started page or the shipping page. The only route to a number is to begin a provider evaluation. That is a meaningful barrier in a category where the same compounded molecule is sold at wildly different prices, because it means you cannot rank this seller against any other until you have handed over a medical history.

Branded vs compounded

The site never states whether its NAD⁺ is compounded, never names a pharmacy, and never mentions the FDA — we found no occurrence of "compounded" or "FDA" on any page we read. Prescription NAD⁺ dispensed this way is a compounded preparation: not FDA-approved, and not reviewed by the FDA for safety, efficacy or quality before dispensing. The product description itself is unusually disciplined, describing NAD⁺ as the oxidized form of nicotinamide adenine dinucleotide participating in cellular oxidation-reduction reactions, and citing an NCBI Bookshelf entry on the electron transport chain instead of claiming an outcome. No milligram dose is stated.

Pros and watch-outs

What we like

  • Describes NAD⁺ in plain biochemistry and claims no anti-aging outcome
  • Cites a public reference rather than a testimonial
  • States that a questionnaire does not guarantee a prescription and that not everyone is a candidate
  • Available in all fifty states
  • The route is a genuine clinical decision rather than a product you select yourself

Watch-outs

  • No price published anywhere on the site — not on the product pages, and there is no pricing page at all
  • No mention of compounding and no FDA statement on any page we read
  • No milligram dose stated for either the nasal spray or the injection
  • No LegitScript seal or certification claim
  • The footer's "FAQ" and "How it works" destinations return 404

Best for

Someone who values a seller that refuses to oversell the science and is willing to complete an intake before learning what it costs.

Who should look elsewhere

Anyone comparing on price. You cannot compare this one at all without starting a medical evaluation, and that is a decision the site makes for you.

How AVArx compares

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

Compare all providers side by side →

More NAD⁺ nasal spray sellers reviews: Live VitalHealthRXDirect MedsEdenIvy RxRNK Health

MR
Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of AVArx’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

How much does AVArx NAD⁺ cost?
AVArx does not publish a price. We opened every page the site publishes, in September 2026 — including both NAD⁺ pages, the treatments index, the home page and the get-started page — and found no dollar figure and no pricing page. The only way to learn the cost is to begin a provider evaluation.
Which NAD⁺ formats does AVArx sell?
Two: a nasal spray administered intranasally, and an injection. Each has its own treatment page, and the pages cross-link to one another. Which one you are prescribed is described as a clinical decision rather than a product choice.
Is the NAD⁺ compounded?
The site never says. Neither NAD⁺ page mentions compounding or the FDA, and we found no occurrence of either word anywhere we looked. Prescription NAD⁺ dispensed through a telehealth service is a compounded preparation, which means it is not FDA-approved and is not reviewed by the FDA for safety, efficacy or quality before dispensing — a fact a reader would have to bring to this site rather than learn from it.
Is AVArx LegitScript certified?
There is no LegitScript seal, badge or verification link on any page we opened, and no claim of certification in the text. That is not an accusation of anything — many legitimate sellers do not carry it — but it does mean there is no third-party listing to check this one against.
How many milligrams would I get?
Not stated. Neither NAD⁺ page publishes a dose, a concentration or a vial size, and since no price is published either, there is nothing here that can be compared against another seller on either axis.