NAD+ Injectable
NAD+ supplementation supporting neuronal energy production, DNA repair, and sirtuin-mediated neuroprotection.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
What It Is
NAD+ is dual-listed here for its significant cognitive benefits. Beyond cellular energy, it's critical for neuronal health and cognitive function.
How It Works
NAD+ supports neuronal mitochondrial function, activates sirtuins involved in neuroprotection, and supports DNA repair in brain tissue.
Who It's For
Those seeking cognitive enhancement as part of a broader longevity protocol. See Longevity category for full details.
Who Should Avoid It
AUTO-DENY for active cancer and chemotherapy.
Protocol & Pricing
OBP Pharmacy Price
$100/1000mg
You pay pharmacy price. No markup.
Starting Dose
20 units (20mg)
Form
Injectable vial (10mL, 100mg/mL, 1000mg total)
Dosing Protocol
See Longevity listing for full protocol details.
Beyond Use Date
90 Days from compounding (USP <797>)
Use within this window from the date your vial is compounded. BUD is set per USP <797> sterile compounding standards and printed on every label.
Stacking Guide
Stacks Well With
Longevity coenzyme
Read the NAD+ Injectable protocol guide
Oral supplements have a bioavailability problem the marketing rarely admits. IV produces the flush. Subcutaneous is the at-home middle ground. Not proven to extend lifespan.
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NAD+ Injectable lab test reports
Every NAD+ Injectable batch dispensed by Optimal Balance Pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited) for sterility (ScanRDI) and bacterial endotoxin (USP <85>). The most recent report:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260325-0598 | 032526-11 | NAD+ 100MG/ML SOLN (10ml) | Pass | Pass <2 EU/mL / 400 EU/mL | Download |
Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with RxPepsDirect. RxPepsDirect prescribes; Optimal Balance Pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Browse our full quality program on the quality page.
How to get NAD+ Injectable prescribed online
NAD+ Injectable is available by prescription through a licensed telehealth visit and dispensed for human use by a named 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no subscription and no membership, just a one-time visit fee.
- 1
Complete a $39 medical visit. Answer a short intake about your health history and your goals for NAD+ Injectable. The $39 fee is the only charge RxPepsDirect collects, paid once, not a recurring subscription.
- 2
A licensed provider reviews it. A US-licensed nurse practitioner or physician reviews your intake and, if NAD+ Injectable is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (20mg).
- 3
The pharmacy compounds and ships it. Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds NAD+ Injectable and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is Injectable vial (10mL, 100mg/mL, 1000mg total), and you pay the pharmacy $100/1000mg at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
RxPepsDirect prescribes NAD+ Injectable in the 28 states its medical team is licensed in. Start a $39 visit or browse the full Cognitive & Brain Health range.
Common questions about NAD+ Injectable
- What is the NAD+ Cognitive formulation?
- The NAD+ Cognitive formulation is a variant injectable compounded by Optimal Balance Pharmacy that adapts the standard NAD+ injection for cognitive-priority protocols. The base active is the same NAD+ molecule; the formulation differs in concentration, dilution, or carrier choice to support specific cognitive-protocol dosing patterns.
- How is it different from the standard NAD+ injection?
- Same active ingredient (NAD+), different concentration or formulation tuning. The Cognitive formulation is typically chosen by patients whose primary protocol target is brain energy and focus rather than systemic mitochondrial support, and where their provider has determined a different concentration produces better tolerability for the patient's planned dose schedule.
- How is the cognitive formulation dosed?
- Common protocols deliver 20 to 100 mg subcutaneously, 2 to 3 times per week. Optimal Balance Pharmacy compounds the formulation against RxPepsDirect prescriptions; your provider sets the per-dose draw on your shipment protocol sheet. As with all NAD+ injections, push slowly to minimize flushing or chest pressure.
- How do I inject the cognitive formulation?
- Subcutaneously into the abdomen, upper outer thigh, or back of the upper arm using a 31-gauge, 5/16-inch needle on a U-100 insulin syringe. Push slowly over 30 to 60 seconds. Sterile syringes are included with every RxPepsDirect shipment.
- How is the formulation supplied?
- Compounded by Optimal Balance Pharmacy under a 503A patient-specific prescription. Ships pre-reconstituted and ready to inject in cold-chain packaging. Every batch is tested by Eagle Analytical Services; the Certificate of Analysis is published on this product page.