NAD nasal spray cost compared: $149.99 telehealth spray, $1,799.88 a year if billed monthly, vs a $120 research spray at $0.12 per mg, plus shipping terms.
Compounded NAD+ nasal spray from a telehealth platform. Needle-free delivery with physician oversight.
Sold and shipped by Arc-1. Shipping times, returns and regional restrictions are set on the vendor’s page; most US orders arrive in 1–3 business days in discreet packaging.
We only list products where the vendor publishes a batch-specific certificate of analysis from a third-party lab. Check the COA on the vendor’s page before ordering.
Every pick has a batch-matched certificate of analysis we can read.
We check that real potency matches what the label promises.
Simple, transparent formulas — no mystery fillers or additives.
Scored on real cost per serving, not just sticker price.
Ranked by published COA, potency accuracy and price per mg.
Compounded NAD+ nasal spray from a telehealth platform. Needle-free delivery with physician oversight.
NAD+ research peptide in a multi-dose vial. Independent lab tested with COA published per lot. Ships from US stock.
Physician-guided NAD+ injection kit from a licensed telehealth platform. Includes online consultation.
NAD+ in a 1000 mg liquid spray format. Lab tested per lot with COA published. Ships from US stock.
| Product | Form | Access | Shipping | Testing | Reviews | Price |
|---|---|---|---|---|---|---|
| Arc-1 NAD+ Nasal Spray | Nasal spray (compounded) | Telehealth + Rx | Direct to door | — | 1 | $149.99 |
| Real Peptides NAD+ Peptide (Multi-Dose Vial) | Lyophilized powder | — | US stock | Third-party COA | — | $60.00 |
| Arc-1 NAD+ Injections | Injectable (compounded) | Telehealth + Rx | Direct to door | — | — | $299.99 |
| Real Peptides NAD+ Peptide Liquid Spray (100 | Liquid spray | — | US stock | Third-party COA | — | $120.00 |
| Product | Vendor | Our score |
|---|---|---|
| NAD+ Peptide (Multi-Dose Vial) | Real Peptides | 4.2 |
| NAD+ Peptide Liquid Spray (1000mg) | Real Peptides | 4.2 |
| NAD+ Nasal Spray | Arc-1 | 3.5 |
| NAD+ Injections | Arc-1 | 3.5 |
Real Peptides on Trustpilot: 4.2/5 from 85 reviews (last 12 months), checked Nov 2026 · read them on Trustpilot
What Real Peptides customers say on Trustpilot (5★ 76% · 4★ 5% · 3★ 0% · 2★ 1% · 1★ 18%)
Summary of the reviews written by our editors; the reviews themselves are on Trustpilot.
Ratings are our editors’ scores from one public rubric (COA, price per mg, delivery, returns, vendor reputation). They are not customer reviews. How we review
The cost of NAD nasal spray varies from $120.00 for a standard 1000mg research-grade spray to $149.99 for a prescribed telehealth spray. If the price for the prescription is charged every month, then the total cost for a year is $1,799.88. The research spray comes to $0.12 per mg of active ingredient. However, these numbers are derived from different suppliers who provide different products.
We keep an eye on all NAD+ formats provided by these sellers, and this site collects prices in one spot, does the math concerning subscriptions and per-mg prices, and shows what influence affects the total.
The NAD+ products vary in price from $60.00 to $299.99, with sprays being between the two extremes. These are the various products and terms that influence cost:
| Product | Vendor | Price | Billing or terms | Type |
|---|---|---|---|---|
| NAD+ Peptide (Multi-Dose Vial) | Real Peptides | $60.00 | Free US shipping over $250 | Research use only |
| NAD+ Peptide Liquid Spray (1000mg) | Real Peptides | $120.00 | Free US shipping over $250 | Research use only |
| NAD+ Nasal Spray | Arc-1 | $149.99 | Monthly subscription model, 30-day returns | Telehealth + Rx |
| NAD+ Injections | Arc-1 | $299.99 | 30-day returns | Telehealth + Rx |
The prescription spray costs $29.99 more than the research spray and $150.00 less than the prescription injectable. Specs and links for each are on the products page.
Arc-1 sells its spray on a monthly subscription model, so the useful NAD nasal spray cost figure is what it costs over time, not the single listed price. At $149.99 a month, three months come to $449.97, six months to $899.94 and twelve months to $1,799.88.
Those totals assume the listed price is the monthly charge and that nothing changes. Confirm the billing terms during the intake, and check how cancellation works before you agree to anything. The listed price includes a physician consultation and a pharmacy-compounded product, which is what separates it from the research options. The prescription page covers what that process involves.
With a price of $120.00 for 1000mg of the product, the Real Peptides spray is retailed at $0.12 for each milligram. This product is the only one on this list with ample information to calculate the number of dollars it costs per milligram.
Arc-1 does not list a strength for its spray, and Real Peptides does not list a size for its multi-dose vial. So we cannot say whether the $60.00 vial beats the spray by the milligram, even though it is half the price. Real Peptides itself lists the spray's higher price compared with its vial as a downside.
A mistake buyers make is comparing a per-mg figure across formats as if they were equivalent. A spray and a vial are different formats, and the nasal route has limited bioavailability data, so a lower price per mg on the label says nothing about what a format delivers. Our spray vs injection comparison covers that.
Real Peptides provides shipping within the US free of charge for purchases that exceed $250, while Arc-1 guarantees returns within 30 days time. The features mentioned above afford the price of NAD nasal spray. Here are some examples taken from the prices given:
Real Peptides publishes no return term for its NAD+ products. Do not count on one when budgeting.
The additional cost of $29.99 for the prescription spray epitomizes a service rendered in the medical field whereas that of the research spray covers laboratory reagents that are processed for use above.
With Arc-1, you are paying for a physician's review and a compounded product made under a prescription. With Real Peptides, you get a third-party COA and US stock, and the product is labelled for research use only and not for human consumption. Real Peptides holds a 4.2 out of 5 Trustpilot score from 85 reviews in the last 12 months, with complaints including leaking or under-filled liquid products, which matters for a spray.
Neither option is an FDA-approved NAD+ drug. If cost is pushing you toward a research product for personal use, I would stop there and talk to your doctor instead. The NAD+ nasal spray options page compares the two sprays term by term.
Discounts shown are real: the vendor’s own sale price, or how much cheaper per mg a product is than the average of the vendors on this page.