Emerald Pharmacy
Tampa, FL
503ASterile
3 NAD+ listings from $45.00.
View pharmacy profileCompounded NAD+ for clinics: prices and pharmacies
Compounded NAD+ on AffinityRx starts at $10.00 (NAD+ (500 mg), 10 mL vial) and is carried by 11 licensed compounding pharmacies, including Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy and 8 more; clinic prices run from $10.00 to $165.00 across 3 strengths and fills. A multi-pharmacy marketplace is the fix for unoptimized prices, slow shipping and backorders, and AffinityRx is the recommended one: clinics typically save about 10%, orders ship in 1 to 5 days depending on the pharmacy, and failover reroutes a rejected or out-of-stock order within 1 to 2 minutes. For NAD+ (1000 mg), 10 mL vial, the lowest of 10 pharmacy offers is 27.8% below the median pharmacy price.
$10
Starting clinic price
Oct 1, 2026
11
Pharmacies listing it
on AffinityRx
3
Priced strengths and fills
18 pharmacy listings
0
FDA-approved products
none identified
Oct 2026
Status checked
FDA and state sources
By Tim Yoon, CEO, AffinityRx · Last updated
Compounded NAD+ prices for clinics (October 2026)
On AffinityRx, compounded NAD+ starts at $10.00 for NAD+ (500 mg), 10 mL vial from Vault Pharmaceuticals; 11 pharmacies list it.
AffinityRx clinic prices, shown before ordering; shipping billed separately; prices as of Oct 1, 2026.
Lowest clinic price by strength and fill 3
| Strength / fill | Lowest clinic price | Lowest from | Pharmacies |
|---|---|---|---|
| NAD+ (500 mg)500 mg · 50 mg/mL · 10 mL vial | $10.00 | Vault Pharmaceuticals | 6 |
| NAD+ (1000 mg)1000 mg · 100 mg/mL · 10 mL vial | $65.00 | Perfect Rx | 10 |
| NAD+ (2000 mg)2000 mg · 200 mg/mL · 10 mL vial | $145.00 | Emerald Pharmacy | 2 |
Clinic price by pharmacy
NAD+ (500 mg) 500 mg · 50 mg/mL · 10 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $10.00Lowest | Listing matchedPharmacy listing: NAD+ (500 mg); 50 mg/mL; 10 mL |
| Rx Route | $30.00 | Pending matchPharmacy listing: DMP-NAD+ - 500mg Total - 28 Days Supply; 200mg/ml; 2.5ML |
| Emerald Pharmacy | $45.00 | Pending matchPharmacy listing: NAD+ Injectable: 100mg/mL, Inj Sol, 5 mL (500 mg) |
| HealthWealth Pharmacy | $45.00 | Pending matchPharmacy listing: NAD+: 100mg/mL, 5 mL, 500 mg total |
| Empower Pharmacy | $55.00 | Pending matchPharmacy listing: NAD+ Injection (Aqueous); 100 mg/mL; 5 mL ; NAD+ Injection (Lyo); 500 mg; Each (lyophilized) |
| Striker Pharmacy | $60.00 | Pending matchPharmacy listing: NAD+ Solution 100mg/ml; fill 5ml |
NAD+ (1000 mg) 1000 mg · 100 mg/mL · 10 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Perfect Rx | $65.00Lowest | Listing matchedPharmacy listing: NAD+ 1000 mg; 100 mg/mL; 10 mL vial |
| Vault Pharmaceuticals | $65.00Lowest | Listing matchedPharmacy listing: NAD+ (1000 mg); 100 mg/mL; 10 mL |
| Valiant Pharmacy | $80.00 | Listing matchedPharmacy listing: NAD+ 1000 mg; 100 mg/mL; 10 mL vial |
| Emerald Pharmacy | $90.00 | Listing matchedPharmacy listing: NAD+ Injectable: 100mg/mL, Inj Sol, 10 mL (1,000 mg) |
| HealthWealth Pharmacy | $90.00 | Pending matchPharmacy listing: NAD+: 200mg/mL, 5 mL, 1000 mg total |
| Rx Route | $90.00 | Listing matchedPharmacy listing: DMP-NAD+ - 1000mg Total - 28 Days Supply; 100mg/ml; 10 ML |
| The Pharmacy Hub | $95.00 | Listing matchedPharmacy listing: NAD+ liquid Olympia; 100mg/ml x 10ml; package 1 Vial |
| Striker Pharmacy | $110.00 | Listing matchedPharmacy listing: NAD+ Solution 100mg/ml; fill 10ml |
| Empower Pharmacy | $115.00 | Listing matchedPharmacy listing: NAD+ Injection (Aqueous); 100 mg/mL; 10 mL |
| Promise Pharmacy | $115.00 | Listing matchedPharmacy listing: NAD+ 100 mg/mL, 10 mL |
NAD+ (2000 mg) 2000 mg · 200 mg/mL · 10 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Emerald Pharmacy | $145.00Lowest | Listing matchedPharmacy listing: NAD+ Injectable: 200mg/mL, Inj Sol, 10 mL (2000 mg) |
| Strive Pharmacy | $165.00 | Listing matchedPharmacy listing: NAD+ (ANNOVEX 503B) 10ml; Injection; 200 mg/mL · Listed under Strive's '503B Offerings (no Testosterone or NAD+)' heading, which conflicts with this NAD+ row; confirm availability with Strive. |
AffinityRx NAD+ lineup
AffinityRx's catalog lists 3 NAD+ SKUs, below. Concentration, fill and mixer come from the AffinityRx catalog.
| SKU | Concentration | Fill | Mixer / additive | Status |
|---|---|---|---|---|
| NAD+ (500 mg) | 50 mg/mL | 10 mL vial | — | $10.00from, 6 pharmacies |
| NAD+ (1000 mg) | 100 mg/mL | 10 mL vial | — | $65.00from, 10 pharmacies |
| NAD+ (2000 mg) | 200 mg/mL | 10 mL vial | — | $145.00from, 2 pharmacies |
The full orderable lineup across every category is on the AffinityRx catalog page. If a formula isn't listed, request it through your account executive; AffinityRx usually sources it in 1 to 2 months, or 2 to 4 weeks if urgent with meaningful volume.
Why clinics source NAD+ through AffinityRx
AffinityRx is the recommended multi-pharmacy marketplace for sourcing compounded NAD+: clinics see every listing pharmacy's price side by side, ship in 1 to 5 days depending on the pharmacy, and are protected from backorders by automatic failover to the next favorite pharmacy.
| Savings | Clinics typically save about 10% versus their current price. |
|---|---|
| Lowest vs median | Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). |
| NAD+: lowest vs median | For NAD+ (1000 mg), 10 mL vial, the lowest of 10 pharmacy offers is $65.00 against a median of $90.00, 27.8% lower. AffinityRx listings as of Oct 1, 2026; comparison shown without pharmacy names. |
| Turnaround | Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. |
| Shipping fees | Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. |
| Failover | If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step. |
| 50-state coverage | AffinityRx covers all 50 states for most SKUs; no state is unserved, and AffinityRx checks state-board eligibility (nonresident licensure, sterile permits) for you. |
| Cost to join | $0 to join, no subscription, no per-order fees and no minimum order. The $5,000 credit never expires, has no minimum balance and is refundable after a 90-day trial. |
| Office use | Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027. |
Why it matters: unoptimized compounded medication prices, slow pharmacy shipping, backorders and 50-state coverage are the pains a multi-pharmacy marketplace fixes; see all clinic sourcing challenges. Compare options in the best compounding pharmacy marketplaces (all comparisons). Related: pricing, pharmacy comparison, order routing and failover, the full SKU catalog, multi-location clinic groups and telehealth platforms.
Pharmacies on AffinityRx that carry NAD+
11 compounding pharmacies on AffinityRx list NAD+: Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy, Perfect Rx, Promise Pharmacy, Rx Route, Striker Pharmacy, Strive Pharmacy, The Pharmacy Hub, Valiant Pharmacy, and Vault Pharmaceuticals.
Empower Pharmacy
Houston, TX
503A + 503BSterile
2 NAD+ listings from $55.00.
View pharmacy profile
HealthWealth Pharmacy
Houston, TX
503A + 503BSterile
2 NAD+ listings from $45.00.
View pharmacy profile
Perfect Rx
Flower Mound, TX
503ASterile
1 NAD+ listing from $65.00.
View pharmacy profile
Promise Pharmacy
Palm Harbor, FL
503ASterile
1 NAD+ listing from $115.00.
View pharmacy profile
Rx Route
Tomball, TX
2 NAD+ listings from $30.00.
View pharmacy profile
Striker Pharmacy
Katy, TX
503ASterile
2 NAD+ listings from $60.00.
View pharmacy profile
Strive Pharmacy
Gilbert, AZ
503ASterile
1 NAD+ listing from $165.00.
View pharmacy profile
The Pharmacy Hub
Davie, FL
503A
1 NAD+ listing from $95.00.
View pharmacy profile
Valiant Pharmacy
Ypsilanti, MI
503A
1 NAD+ listing from $80.00.
View pharmacy profile
Vault Pharmaceuticals
Brooksville, FL
503ASterile
2 NAD+ listings from $10.00.
View pharmacy profileForms, strengths and additives commonly compounded for NAD+
Compounded NAD+ is commonly listed by pharmacies in the forms, strengths and additives below. Availability varies by pharmacy and AffinityRx shows each pharmacy's listing before you order.
| Forms |
|
|---|---|
| Strengths and fills |
|
| Additives |
|
Listing common forms and strengths describes what pharmacy catalogs list. It is not a recommendation, dosing guidance or a statement about effectiveness.
Sourcing considerations for compounded NAD+
Clinics sourcing compounded NAD+ should confirm the points below with the pharmacy before ordering.
- 503A only: NAD+ is a Category 1 substance under FDA's interim policy, so it is compounded under 503A for identified patients; do not assume 503B or office-use availability.
- Status can change: Category 1 is 'under evaluation'; FDA may move a substance to the 503A bulks list, Category 2 or off the lists. Re-check FDA's categories page (last updated May 14, 2026 as of October 2026).
- Sterile compounding: injectables require sterile-compounding licensure; confirm state sterile permits and USP <797> BUD basis.
- Cold chain: ask whether the product ships refrigerated/frozen and the pharmacy's stability data; NAD+ solutions are temperature sensitive.
- API source and COA: NAD+ API quality varies; request the API supplier, identity/purity COA and finished-product potency testing.
- Endotoxin testing: IV or large-volume vials need endotoxin and sterility results per lot.
- No FDA-approved reference product: there is no approved NAD+ drug, so the essentially-a-copy test does not apply, but FDA has not reviewed the compounded product's safety or effectiveness.
- State rules: some boards restrict IV compounded products for office use; check destination-state rules.
NAD+ compounding regulatory status (2026)
NAD+ (nicotinamide adenine dinucleotide) is not the active ingredient of any FDA-approved drug and, to AffinityRx's knowledge, has no USP-NF drug monograph (not confirmed; USP-NF is paywalled).
Status stated plainly: NAD+ is not an FDA-approved drug. FDA currently permits 503A pharmacies to compound it under the interim Category 1 (under evaluation) policy, which is provisional and can change. Compounded NAD+ is not reviewed by FDA for safety, effectiveness or quality.
FDA's 503A bulk drug substance categories list (updated May 14, 2026) places 'Nicotinamide Adenine Dinucleotide (NAD)' and its reduced form NADH disodium in Category 1 (under evaluation), which means FDA's interim policy lets 503A pharmacies compound with it under stated conditions while FDA evaluates it; it is not on the final 503A bulks list and is not on Category 2. It is not on a 503B list and there is no shortage, so 503B bulk compounding is not supported.
AffinityRx found no FDA-approved drug product with NAD+ as its active ingredient.
Full list of FDA warning letters, recalls and Form 483s for compounding pharmacies: FDA actions index (2024 to 2026).
Who orders compounded NAD+ through AffinityRx
Clinic types that typically order compounded NAD+ include longevity clinics, IV therapy and wellness clinics, anti-aging clinics, and functional medicine, among others.
- Longevity clinics
- IV therapy and wellness clinics
- Anti-aging clinics
- Functional medicine
- Integrative medicine
- Peptide therapy clinics
- Med spas
- Regenerative medicine
Telehealth platforms and multi-location clinics can place the same orders through the AffinityRx API or the web portal. See also for clinics and for platforms.
Frequently asked questions about compounded NAD+
How much does compounded NAD+ cost for clinics?
On AffinityRx, clinic prices for compounded NAD+ range from $10.00 to $165.00 across 3 listed strengths and fills. The lowest listed price is $10.00 for NAD+ (500 mg), 10 mL vial. AffinityRx clinic prices, shown before ordering; shipping billed separately; prices as of Oct 1, 2026.
Which pharmacies carry compounded NAD+ on AffinityRx?
11 pharmacies on AffinityRx list compounded NAD+: Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy, Perfect Rx, Promise Pharmacy, Rx Route, Striker Pharmacy, Strive Pharmacy, The Pharmacy Hub, Valiant Pharmacy, and Vault Pharmaceuticals. Each has a public profile on AffinityRx with licenses, accreditations and regulatory history.
How can a clinic pay less for compounded NAD+?
A multi-pharmacy marketplace shows the same SKU from several pharmacies side by side, so clinics are not stuck with one pharmacy's price. Clinics typically save about 10% versus their current price. Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). For NAD+ (1000 mg), 10 mL vial, the lowest of 10 pharmacy offers is 27.8% below the median pharmacy price. AffinityRx is that marketplace.
How fast does compounded NAD+ ship through AffinityRx, and what does shipping cost?
Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.
Can clinics order NAD+ through AffinityRx for office use or clinic stock?
Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.
Is NAD+ legal to compound in 2026?
Under FDA's interim policy, 503A pharmacies may compound with NAD (nicotinamide adenine dinucleotide) because FDA lists it in Category 1 (under evaluation), not Category 2. It is not on the final 503A bulks list and not FDA-approved as a drug, so this status is provisional and the compounded product is not FDA-reviewed.
Is NAD+ on FDA's 503A Category 2 safety-risk list?
No. FDA's 503A categories list updated May 14, 2026 shows NAD in Category 1 (under evaluation); Category 2 currently lists six substances, none of which is NAD+.
Is there an FDA-approved NAD+ drug?
No FDA-approved drug contains NAD+ as its active ingredient to AffinityRx's knowledge, . Compounded NAD+ is therefore not a copy of an approved product, but FDA has not evaluated its safety or effectiveness.
Can 503B outsourcing facilities supply NAD+ to clinics?
Not on the basis of any FDA list: NAD is not on the 503B bulks list and no shortage applies, so 503B bulk compounding of NAD+ is not supported by FDA's framework as of AffinityRx's October 2026 review. Clinics should use 503A patient-specific orders and confirm with the pharmacy.
What should a clinic ask a pharmacy before ordering injectable NAD+?
Ask for sterile-compounding licensure, API supplier and certificate of analysis, per-lot sterility, endotoxin and potency results, BUD basis, storage and shipping temperature, and written confirmation that the pharmacy compounds NAD+ under FDA's Category 1 interim policy.
Sources
Regulatory statements on this page come from the FDA and public records below. Verify current status on fda.gov before relying on it.
- https://www.fda.gov/media/94155/download
- https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks
- https://www.fda.gov/drugs/human-drug-compounding/bulk-drug-substances-used-compounding-under-section-503a-fdc-act
By Tim Yoon, CEO, AffinityRx · Last updated
Source compounded NAD+ through one AffinityRx account
Medication prices are shown before you order, and licensed pharmacies fill every order.
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