NAD+ demand outgrew the IV chair — meet it at home
NAD+ has become one of the signature offerings of the longevity movement, but for most clinics it's been trapped in the IV suite: a chair, a nurse, and an hour or more of the patient's time per session. That model caps how many patients you can serve and how often they come back, and it ties your NAD+ revenue directly to physical capacity you have to staff and schedule. Meanwhile, the people most interested in NAD+ want something they can use consistently, at home, on their own schedule — not a standing appointment they have to defend against a busy week.
A NAD+ nasal spray program solves that. It turns an occasional in-chair service into a recurring, ship-to-home product your patients can stay on month after month — which is exactly the kind of durable, subscription-style revenue longevity clinics are built to capture. It also pairs naturally with the IV and injectable services you may already run, giving patients a maintenance option between visits instead of a gap where their routine lapses. The clinic that offers both the in-person experience and the take-home continuity keeps far more of the patient's lifetime value.
Standing it up the right way still requires providers, protocols, a pharmacy, and compliant workflows. Heally bundles all of it so you can offer NAD+ nasal spray under your own brand instead of assembling vendors — the same foundation behind our longevity clinic solution and branded longevity brand package.
Is a take-home NAD+ program right for your clinic?
NAD+ is a strong fit when you already have a longevity or performance audience — patients who track their healthspan, invest in maintenance, and understand why they'd stay on a monthly protocol. If you run a longevity clinic, a concierge practice, or an IV lounge whose regulars ask about NAD+ by name, the take-home spray converts interest you're already generating into recurring revenue rather than one-off sessions. It also suits clinics that want NAD+ on the menu but don't have the room, staff, or scheduling headroom to grow an IV service further.
Where it fits less cleanly is a practice with no existing longevity narrative, because NAD+ is rarely a patient's first reason for choosing a clinic — it's a program they add once they trust you. If you're starting from a general wellness base, it often works best introduced after an anchor offering has brought patients in. And because it's a recurring product, it rewards clinics willing to lean on refill reminders and lifecycle messaging; without that follow-through, subscription programs quietly churn.
What's included when you add NAD+ with Heally
Everything needed to run a recurring, ship-to-home NAD+ program.
Intake, evaluation, and dosing guidance built for NAD+ nasal spray, editable to your clinic's approach.
Use your own prescribers or Heally's board-certified providers to evaluate and prescribe across all 50 states.
NAD+ nasal spray prepared by licensed compounding pharmacies and shipped direct to patients.
A ship-to-home format built for monthly refills, so NAD+ becomes subscription revenue rather than a one-off visit.
Patients experience your clinic's name and domain. You own the relationship and the data.
Refill reminders and lifecycle messaging keep patients on program and protect recurring revenue.
How you go live
We map your pricing, refill cadence, and whether you use your own providers or Heally's network — and how NAD+ fits alongside any IV or injectable services you run.
Intake, protocols, and your storefront are set up under your brand — usually in under a day.
Patients enroll, providers evaluate and prescribe, the pharmacy ships. You manage everything from one dashboard.
How the economics work
NAD+ nasal spray is built for monthly refills, so it becomes recurring subscription revenue rather than a one-off visit. You set the patient price under your own brand; software, providers, and fulfillment are included.
NAD+ nasal spray is prepared by licensed compounding pharmacies and is not FDA-approved. Eligibility and prescribing decisions rest with the licensed provider.
Where NAD+ fits in a longevity line
NAD+ rarely stands alone. Patients who want it are usually building a broader longevity and wellness routine, which makes it a strong anchor for a menu that can include glutathione, methylene blue, and other longevity-oriented offerings — all running on the same providers, pharmacy, and platform. Because that infrastructure is shared, each additional program is incremental margin rather than a fresh buildout, and cross-enrollment tends to lift the lifetime value of every patient. A patient who starts on NAD+ and adds a second and third program is far more retained than one on a single line.
The commercial structure keeps risk low: no startup fees, no long-term contracts. You set patient pricing; Heally's costs for software, provider evaluations, and fulfillment come out of that margin. Partners across our network average a $127K annual revenue increase after adding recurring programs — a network benchmark, not a promise for any single clinic. The ship-to-home format is what makes NAD+ scale beyond the chair: you're no longer limited by suite capacity or nurse hours, so the same demand can generate far more recurring revenue than an IV-only model ever could, and you can grow the program without adding physical space.
"Our IV NAD+ was capped by chairs and nurse hours. The take-home spray let us keep those patients on program every month without adding a single appointment slot.
— Founder, longevity & performance clinic
The bundling advantage — one switch, not a stack of vendor contracts
Building a NAD+ program the traditional way means finding a compounding pharmacy that will produce and ship the nasal spray reliably, credentialing providers in every state your patients live, writing intake and screening that holds up to scrutiny, and connecting all of it to whatever software runs your clinic. Software-only platforms — the practice-management and EHR tools most clinics already know — leave the providers and the pharmacy entirely to you, which is the hard part. Enterprise telehealth services can supply providers but wrap a single spray in a heavier engagement than it warrants.
Heally is the only platform where the software, a 50-state provider network, pharmacy fulfillment, and ready-made NAD+ protocols ship together, with no startup fees and setup measured in under a day. That combination is why a clinic can go from "patients keep asking about NAD+" to a live, branded, recurring program without underwriting months of buildout. You switch it on, watch how enrollment and refills behave, and expand into the rest of a longevity menu from the same dashboard — and if the mix needs to change, you've stranded no setup investment doing it.
Keep NAD+ marketing educational and business-appropriate — never promise anti-aging, energy, or disease-related outcomes. NAD+ nasal spray is prepared by licensed compounding pharmacies and is not FDA-approved. Eligibility and prescribing are always determined by a licensed provider after an appropriate evaluation. Your patient-facing messaging should read as a clinic offering, not direct-to-consumer medical claims.
Common questions from clinic owners
Why nasal spray instead of IV?+
A nasal spray turns NAD+ into a recurring, ship-to-home product patients can use on their own schedule, rather than an in-chair session limited by suite capacity. Many clinics offer both — IV for in-person visits, spray for maintenance between them — which captures more of the patient's lifetime value than either alone.
Do we need our own providers?+
No. Use your own prescribers or Heally's 50-state network of board-certified providers to evaluate and prescribe. If you have prescribers in some states but not others, the network fills the gaps so you can serve patients nationwide.
Is NAD+ nasal spray FDA-approved?+
No. It is prepared by licensed compounding pharmacies and is <strong>not FDA-approved</strong>. Your providers decide what's appropriate for each patient, and marketing should stay educational rather than promising outcomes.
How fast can we launch?+
Most partners are live in under a day once pricing and providers are scoped. Program design — your pricing, refill cadence, and how NAD+ sits next to your other services — usually takes longer than the technical setup.
Will a take-home spray cannibalize our IV NAD+ revenue?+
Typically it expands the program rather than shrinking it. Patients who value the in-person IV keep booking; the spray captures maintenance months and the patients who wanted NAD+ but not the chair time, so total NAD+ revenue tends to rise.
Are there startup fees or long-term contracts?+
No startup fees and no long-term contracts. You can start with NAD+ and expand into a broader longevity menu as demand grows, without committing to a term up front.
Who owns the patient relationship and data?+
You do. Patients enroll under your brand, and the clinical and marketing data stays yours. Heally is the infrastructure beneath your brand, not the brand patients see.
Keep exploring
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See how quickly you can run your whole clinic on Heally — software, a 50-state provider network, and pharmacy fulfillment, handled from day one.