What does Made Med's NAD⁺ cost per month?

There is no monthly plan. The injection is $627 billed every three months ($209 a month) or $1,194 billed every six ($199 a month). The nasal spray is $837 a quarter ($279 a month) or $1,614 for six months ($269). Every per-month figure on the page is a prepaid term divided out.

How much NAD⁺ do you actually get?

The injection is stated as 1,000 mg a month, delivered as eight subcutaneous injections of roughly 125 mg every three to four days. The nasal spray bottle is stated as 7,500 mg — 500 mg/mL across 15 mL — as a 30-day supply. Publishing both a price and a quantity is what makes a seller's value checkable, and most of this category publishes only the price.

Do I really need a blood test?

Yes. A comprehensive metabolic panel is required before they will prescribe, and it checks kidney and liver function. You arrange it yourself at Labcorp or Quest, or upload results from any CLIA-certified lab from the last six months. The page does not say what the test costs or who pays for it, so budget for it separately.

Can I buy it in my state?

Only if you are in one of 23: Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Maine, Missouri, Montana, North Dakota, New Mexico, New York, Rhode Island, South Dakota, Texas, Utah, Vermont, Wisconsin or Wyoming. Naming the list rather than claiming nationwide coverage is to their credit, but it does exclude most of the country.

Is the nasal spray worth nearly $100 more a month than the injection?

There is no controlled human trial comparing intranasal NAD⁺ with a subcutaneous injection, or establishing that either produces the benefits advertised. The bottle holds more milligrams on paper, but how much of an intranasally delivered dose reaches the bloodstream is not something anyone has published for this product. Treat the premium as paying to avoid a needle.

MadeMed is an NAD⁺ injection providers service. Its stated availability: AZ, CO, CT, DE, FL, GA, IA, ID, IL, IN, ME, MO, MT, ND, NM, NY, RI, SD, TX, UT, VT, WI and WY. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. What our record does not establish: a single monthly price you can check before an intake, which medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.

Updated September 2026

MadeMed review

Term plans only

Publishes the protocol in milligrams and requires a blood test before prescribing — then sells NAD⁺ only in three- and six-month blocks charged up front.

Our verdict

Made Med does two things almost nobody here does. It tells you the protocol in milligrams: 1,000 mg a month across eight subcutaneous injections of about 125 mg, every three to four days. And it will not prescribe until a comprehensive metabolic panel has checked your kidney and liver function. Both are real reasons to take it seriously. What it does not offer is a month. The cheapest way in is $627 charged today for a quarter, and the advertised "From $199/mo" is $1,194 charged today for six months. That is a legitimate way to sell a subscription, but it is not a monthly price, and it is a large commitment to a compounded drug you have not tried.

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 · Nasal spray
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Labs: Extra cost
Availability: AZ, CO, CT, DE, FL, GA, IA, ID, IL, IN, ME, MO, MT, ND, NM, NY, RI, SD, TX, UT, VT, WI and WY
LegitScript: Claimed by provider
Updated: September 2026

What it is

A cash-pay telehealth storefront running GLP-1s, tadalafil, sermorelin and NAD⁺. NAD⁺ comes two ways: a subcutaneous injection dosed at 1,000 mg a month, and a nasal spray described as 7,500 mg per bottle at 500 mg/mL in 15 mL, a 30-day supply. Both are marketed under a "Patented NanoNAD+ Technology" banner.

How it works

A short online questionnaire, then a comprehensive metabolic panel, then physician review — in that order, and the blood test is not optional. Their stated reason is the sensible one: "A Comprehensive Metabolic Panel (CMP) checks your kidney and liver function to ensure NAD+ therapy is safe for you." You obtain it yourself at a Labcorp or Quest location, or upload results from any CLIA-certified lab from the last six months. Requiring bloodwork before a prescription is rare here, and it is the strongest thing about the service.

Pricing transparency

The injection is $209 a month on a quarterly plan billed $627 every three months, or $199 a month on a six-month plan billed $1,194 every six months. The nasal spray is $279 a month billed $837 quarterly, or $269 a month billed $1,614 for six. There is no one-month option on either product, so every figure on the page is a prepayment divided out. Note also that the two headlines are not built the same way: the injection advertises its six-month rate and the spray advertises its quarterly one, which is why the spray's "From $279" is the more expensive of its two plans.

Branded vs compounded

Compounded NAD⁺ at a stated 1,000 mg a month by injection, or 7,500 mg per 15 mL nasal bottle, and the disclaimer is explicit and easy to find: "This is a compounded medication that has not been approved by the FDA. It is prepared by a licensed US pharmacy specifically for you based on your physician's prescription." Compounded drugs are not reviewed by the FDA for safety, efficacy or quality before dispensing. The pharmacy is described but not named. The "Patented NanoNAD+ Technology" claim attached to both formats is not accompanied by a patent number or any published data, and nasal NAD⁺ has no controlled human trial behind it in any formulation.

Pros and watch-outs

What we like

Publishes the full protocol — 1,000 mg a month, eight injections of about 125 mg, every three to four days
Requires a comprehensive metabolic panel before prescribing, and explains why
Accepts recent labs from any CLIA-certified lab rather than forcing a new draw
States plainly that the medication is compounded and not FDA-approved
Publishes a real strength for the nasal spray too — 500 mg/mL across 15 mL
Lists the 23 states it serves rather than implying nationwide coverage

Watch-outs

No month-to-month plan at all — the shortest commitment is $627 charged at once
The advertised "From $199/mo" requires $1,194 up front
You pay for the required blood test yourself, and the page never says what it costs
Available in 23 states, so most of the country cannot buy it
"Patented NanoNAD+ Technology" is asserted with no patent number and no data
The compounding pharmacy is not named

Best for

Someone in one of the 23 states served who wants a stated milligram protocol and a real safety check before a prescription, and who is willing to pay for a quarter at a time.

Who should look elsewhere

Anyone who wants to try NAD⁺ for a month, anyone outside the listed states, and anyone comparing the $199 figure against a competitor's monthly rate — those are not the same unit.

How MadeMed compares

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

Eden
Knowing the vial size and the real ongoing price
See Eden →
RNK Health
Choosing needle or spray without a price penalty
See RNK Health →
System Labs
Knowing exactly how many milligrams you get
See System Labs →

Compare all providers side by side →

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James Harper

Formats & delivery · Reviewed and last verified September 2026

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

What does Made Med's NAD⁺ cost per month?: There is no monthly plan. The injection is $627 billed every three months ($209 a month) or $1,194 billed every six ($199 a month). The nasal spray is $837 a quarter ($279 a month) or $1,614 for six months ($269). Every per-month figure on the page is a prepaid term divided out.
How much NAD⁺ do you actually get?: The injection is stated as 1,000 mg a month, delivered as eight subcutaneous injections of roughly 125 mg every three to four days. The nasal spray bottle is stated as 7,500 mg — 500 mg/mL across 15 mL — as a 30-day supply. Publishing both a price and a quantity is what makes a seller's value checkable, and most of this category publishes only the price.
Do I really need a blood test?: Yes. A comprehensive metabolic panel is required before they will prescribe, and it checks kidney and liver function. You arrange it yourself at Labcorp or Quest, or upload results from any CLIA-certified lab from the last six months. The page does not say what the test costs or who pays for it, so budget for it separately.
Can I buy it in my state?: Only if you are in one of 23: Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Maine, Missouri, Montana, North Dakota, New Mexico, New York, Rhode Island, South Dakota, Texas, Utah, Vermont, Wisconsin or Wyoming. Naming the list rather than claiming nationwide coverage is to their credit, but it does exclude most of the country.
Is the nasal spray worth nearly $100 more a month than the injection?: There is no controlled human trial comparing intranasal NAD⁺ with a subcutaneous injection, or establishing that either produces the benefits advertised. The bottle holds more milligrams on paper, but how much of an intranasally delivered dose reaches the bloodstream is not something anyone has published for this product. Treat the premium as paying to avoid a needle.
Is MadeMed legit?: MadeMed is an NAD⁺ injection providers service. Its stated availability: AZ, CO, CT, DE, FL, GA, IA, ID, IL, IN, ME, MO, MT, ND, NM, NY, RI, SD, TX, UT, VT, WI and WY. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. What our record does not establish: a single monthly price you can check before an intake, which medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.

Check availability →

Or compare every NAD⁺ injection provider.