Cellular Energy • Healthy Aging • 503B Sourced
NAD+ Therapy (Nicotinamide Adenine Dinucleotide)
Support cellular energy and healthy aging with NAD+ in capsules, troches, nasal spray, injectable vials, and combination capsules — prepared by an FDA-registered 503B outsourcing facility and dispensed with pharmacist-guided care at Rock Ridge Pharmacy.
What Is NAD+ and How Does It Work?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every living cell. It is essential for turning the food we eat into cellular energy (ATP) inside the mitochondria.
NAD+ is also used by enzymes called sirtuins and PARPs, which are involved in cellular maintenance and DNA repair. Research shows NAD+ levels tend to decline with age.
Because of this, prescribers in integrative, functional, and longevity medicine use NAD+ as part of energy, wellness, and healthy-aging protocols — under the guidance of a pharmacist and healthcare provider.
Learn more about NAD+ from the U.S. National Library of Medicine (PubChem) .
How NAD+ Helps Your Cells Make Energy
NAD+ works like a rechargeable shuttle, carrying energy from the food you eat to the “power plants” of your cells.
Food Is Broken Down
Your body breaks down carbohydrates, fats, and proteins from food to release energy.
NAD+ Picks Up Energy
NAD+ collects electrons from this process and becomes NADH, its “charged” form.
NADH Delivers to Mitochondria
NADH carries the electrons to the mitochondria, where they are used to make ATP, the cell’s energy.
NAD+ Is Recycled
After dropping off its electrons, NADH turns back into NAD+, ready to repeat the cycle.
NAD+ is also used up by repair enzymes like sirtuins and PARPs, so the body must keep making more to maintain healthy levels.
Top Benefits of NAD+ Therapy
NAD+ is a versatile therapy that prescribers use to support energy, focus, and healthy aging — with several delivery options to fit each patient.
Supports Cellular Energy
NAD+ helps the mitochondria turn nutrients into usable energy for the body’s cells.
Healthy Aging Support
Used in longevity protocols to help replenish NAD+ levels that naturally decline with age.
Supports DNA Repair Pathways
NAD+ fuels sirtuin and PARP enzymes involved in cellular maintenance and repair.
Focus & Mental Clarity
Often included in cognitive wellness plans, including the NAD+ / B12 / caffeine capsule.
Flexible Delivery Options
Available as capsules, troches, nasal spray, and injectable vials to match patient needs.
Combination Capsules
Two-in-one and three-in-one capsules with B12, caffeine, or sermorelin help reduce pill burden.
What Can Lower NAD+ Levels?
Research links several everyday factors to lower NAD+ levels in the body.
Aging
Studies show NAD+ levels tend to decline as we get older.
Chronic Inflammation
Ongoing inflammation increases the use of NAD+ by the immune system.
Alcohol Use
The liver uses NAD+ to break down alcohol.
Poor Sleep
Disrupted sleep and body-clock patterns affect natural NAD+ production.
Too Much Sun Exposure
UV damage increases DNA repair activity, which uses up NAD+.
Inactive Lifestyle
Regular exercise helps support healthy NAD+ levels; inactivity does the opposite.
Overeating & Metabolic Stress
High-calorie diets and blood sugar problems are linked to lower NAD+.
Chronic Stress
Long-term stress raises cellular wear and tear and NAD+ demand.
If any of these apply to you, talk to your healthcare provider about whether NAD+ therapy may fit your wellness plan.
Oral vs. Direct NAD+ Delivery
Different routes deliver NAD+ in different ways. Your prescriber will choose the best option for your goals.
Capsules & Troches
- Convenient for daily at-home use.
- Troches absorb through the lining of the mouth.
- Capsules swallowed whole with water.
- Includes combination capsules with B12, caffeine, or sermorelin.
- Needle-free and easy to travel with.
Nasal Spray & Injectable
- Nasal spray absorbs through the nasal lining.
- Injectable delivers NAD+ directly.
- Used under provider supervision.
- Injection must be given slowly to reduce discomfort.
- Vials and sprays may need refrigeration.
NAD+ Dosage Forms at a Glance
Compare the main NAD+ options available at Rock Ridge Pharmacy.
| Key Factor | Capsules & Troches | Nasal Spray & Injectable |
|---|---|---|
| Strengths | Capsule 200 mg; Troche 200 mg and 300 mg | Nasal spray 100 mg/mL; 10 mL vial 100 mg/mL |
| Route | By mouth (swallowed or dissolved) | Through the nose or by injection |
| Needle-Free | Yes | Nasal spray: yes · Injectable: no |
| Combination Options | NAD+ / B12 / Caffeine and NAD+ / Sermorelin / B12 capsules | Single-ingredient NAD+ |
| Best For | Daily, convenient at-home routines | Patients who need direct delivery under provider guidance |
| Storage | Room temperature, dry place | Follow label — may require refrigeration |
Note: NAD+ products are prepared by an FDA-registered 503B outsourcing facility and require a prescription.
NAD+ Combination Capsules
Two ready-to-dispense combination capsules let prescribers pair NAD+ with other therapies in one easy daily capsule.
NAD+ / Methylcobalamin (B12) / Caffeine
- Strength: 200 mg / 1 mg / 100 mg capsule.
- Methylcobalamin is the active form of vitamin B12, which supports energy metabolism.
- 100 mg caffeine — about one cup of coffee.
- Often chosen for daytime energy and focus routines.
- Best taken earlier in the day to avoid sleep problems.
NAD+ / Sermorelin / Methylcobalamin (B12)
- Strength: 200 mg / 600 mcg / 1 mg capsule.
- Sermorelin is a peptide related to growth hormone–releasing hormone (GHRH).
- Combines NAD+ and B12 with sermorelin in one capsule.
- Used in healthy-aging and wellness protocols.
- Prescriber monitoring is recommended.
Sourced from an FDA-Registered 503B Outsourcing Facility
Our NAD+ products are prepared by a 503B outsourcing facility — a compounding facility registered with the U.S. Food and Drug Administration (FDA) under Section 503B of the Federal Food, Drug, and Cosmetic Act.
FDA Registered & Inspected
Outsourcing facilities register with the FDA, are subject to FDA inspections, and report the products they make to the agency.
cGMP Quality Standards
Batches are made under Current Good Manufacturing Practice (cGMP) requirements, including potency testing and sterility testing for injectables.
Consistent & Ready to Dispense
Batch production means consistent strengths and dosage forms, with shorter wait times for patients and prescribers.
Important: Compounded medications, including those made by 503B outsourcing facilities, are not FDA-approved. The FDA does not review them for safety or effectiveness before they are sold. They are used under the direction of a licensed prescriber.
Flushing or Discomfort with NAD+ Injections?
Some patients notice flushing, cramping, or chest tightness with injectable NAD+. Here is why — and what options may help.
Injectable NAD+
Delivers NAD+ directly. If given too quickly, some patients may notice:
- Flushing or warmth
- Nausea
- Muscle cramping
- Chest tightness
Troches, Capsules & Nasal Spray
Gentler, at-home options that may be easier for sensitive patients:
- Needle-free daily use
- Slower, steadier absorption
- Easy to fit into routines
- Ask your prescriber if switching is right for you
Always give injectable NAD+ exactly as your prescriber directs. Talk to your provider if side effects bother you.
NAD+ Dosage Forms at Rock Ridge Pharmacy
Ready-to-dispense NAD+ prepared by an FDA-registered 503B outsourcing facility — consistent strengths and quality for every prescription.
Single-Ingredient NAD+
Choose from capsules, troches, nasal spray, or injectable vials so prescribers can match the route to each patient.
NAD+ Combination Capsules
NAD+ / B12 / Caffeine (200 mg / 1 mg / 100 mg) and NAD+ / Sermorelin / B12 (200 mg / 600 mcg / 1 mg) combine therapies in one capsule.
Dose, frequency, and route are set by your prescriber. Always follow the directions on your prescription label.
How to Use NAD+ Troches, Nasal Spray & Injections
Follow these simple steps to get the most from your NAD+ therapy. Always follow your prescriber’s directions.
NAD+ Troches & Capsules
- Troche: place between your cheek and gum and let it dissolve slowly.
- Do not chew or swallow the troche whole.
- Avoid eating or drinking until it has fully dissolved.
- Capsule: swallow whole with a full glass of water.
- Take the caffeine combination capsule earlier in the day.
NAD+ Nasal Spray & Injectable
- Nasal spray: prime the pump before first use and gently blow your nose.
- Spray as directed and do not share your spray.
- Injectable: use only the dose, route, and technique your provider showed you.
- Inject slowly to reduce flushing or discomfort, and use a new sterile needle every time.
- Keep the spray and vial stored as your label directs.
Have questions about your NAD+ therapy? Our pharmacists offer one-on-one counseling — call (201) 444-4190.
NAD+ for Energy & Healthy Aging
Supporting cellular energy with personalized routes, prescriber monitoring, and pharmacist guidance.
Daily or Scheduled Dosing
Capsules and troches are often used daily. Nasal spray and injectable schedules are set by your prescriber.
Provider Monitoring
Your provider will check how you respond and adjust the dose, route, or schedule as needed.
Multiple Strengths & Routes
Available as 200 mg capsules, 200 mg and 300 mg troches, 100 mg/mL nasal spray, and 100 mg/mL vials.
Safe, Consistent, Reliable
Our NAD+ products come from an FDA-registered 503B outsourcing facility that follows cGMP quality standards for consistent strength and quality.
Contact Our Team for Personalized NAD+ SupportIntegrating NAD+ into Wellness & Longevity Protocols
Rock Ridge Pharmacy works with integrative and functional medicine providers to support NAD+ plans that fit each patient’s long-term goals.
Goal-Based Planning
Prescribers choose the route and strength based on energy goals, health history, and patient preference.
Nutrition & Lifestyle
Healthy sleep, regular exercise, and balanced nutrition help support the body’s natural NAD+ production.
Complementary Therapies
Some providers pair NAD+ with glutathione, B vitamins, or other wellness therapies.
Foods & Habits That Support Natural NAD+
Your body makes NAD+ from vitamin B3 and the amino acid tryptophan. A healthy diet and lifestyle help support your natural levels.
Vitamin B3 (Niacin) Sources
The body uses vitamin B3 to make NAD+.
Tryptophan-Rich Foods
Tryptophan is another building block for NAD+.
Healthy Habits
Lifestyle habits that are linked to healthy NAD+ levels.
Diet and lifestyle support, but do not replace, prescribed therapy.
Supplements to Support NAD+ Therapy
NAD+ works best as part of a complete wellness plan. These supplements may support energy and overall health.
- Methylated B-Complex – supports energy metabolism and healthy methylation
- CoQ10 (Ubiquinol) – supports mitochondrial energy production
- Magnesium Glycinate – supports muscle function, sleep, and energy
- Omega-3 Fatty Acids – supports heart, brain, and cellular health
- Trimethylglycine (TMG) – supports methylation pathways used during NAD+ metabolism
These supplements are supportive recommendations only. They do not replace prescription therapy. Ask our pharmacists if supplementation is right for your treatment plan.
Storage & Safety Information for NAD+
Storage Guidelines
Store capsules and troches at 68°F–77°F (20°C–25°C) in a cool, dry place, away from heat, humidity, and sunlight. NAD+ nasal spray and injectable vials may require refrigeration — do not freeze. Always follow your label and store out of reach of children and pets.
Questions about storage, beyond-use dates, or 503B outsourcing facility standards? Call (201) 444-4190 or email info@rockridgepharmacy.com.
Possible Side Effects
Common: flushing, mild nausea, headache, or stomach upset. Injectable: discomfort, cramping, or chest tightness if given too quickly. Caffeine capsule: jitteriness or trouble sleeping. Serious: signs of allergic reaction such as hives, swelling, or trouble breathing — seek immediate medical attention.
Disclaimer: For educational purposes only. Compounded medications are not FDA-approved and are available by prescription only. Always follow your provider’s instructions.
Cost of NAD+ Therapy
The cost of NAD+ at Rock Ridge Pharmacy depends on the dosage form, strength, and quantity. We offer 200 mg capsules, 200 mg and 300 mg troches, 100 mg/mL nasal spray, 100 mg/mL injectable vials, and two combination capsules.
Our NAD+ products are prepared by an FDA-registered 503B outsourcing facility under cGMP quality standards, so many items are ready to dispense with shorter wait times.
Our pharmacists work directly with your healthcare provider to help choose the right form and strength for your therapy.
For current pricing, please call Rock Ridge Pharmacy at (201) 444-4190 or email us at info@rockridgepharmacy.com .
Why Choose Rock Ridge Pharmacy
- Trusted community pharmacy serving Glen Rock and nearby towns for over 70 years.
- Carefully selected FDA-registered 503B partners that follow cGMP quality standards for NAD+ products.
- Personalized medication care — our pharmacists collaborate directly with your provider for customized solutions.
- Fast, friendly service — offering local delivery, medication packaging, and one-on-one counseling for all patients.
At Rock Ridge Pharmacy, we combine trusted sourcing with small-town care. Every prescription is reviewed for accuracy, safety, and optimal patient outcomes.
Whether you need customized medications, vaccines, or health essentials — our team is dedicated to providing personal, professional, and compassionate service every day.
FAQs About NAD+
What is NAD+ used for?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell. Prescribers use NAD+ to support cellular energy, focus, and healthy aging as part of integrative, functional, and longevity medicine protocols.
What forms of NAD+ does Rock Ridge Pharmacy offer?
We offer NAD 200 mg capsules, NAD+ 200 mg and 300 mg troches, NAD+ 100 mg/mL nasal spray, NAD+ 100 mg/mL 10 mL injectable vials, and two combination capsules: NAD+ / B12 / Caffeine and NAD+ / Sermorelin / B12.
Where does Rock Ridge Pharmacy’s NAD+ come from?
Our NAD+ products are prepared by an FDA-registered 503B outsourcing facility. These facilities are inspected by the FDA and must follow Current Good Manufacturing Practice (cGMP) quality standards, including sterility testing for injectables.
Is NAD+ FDA-approved?
No. Compounded medications, including those made by 503B outsourcing facilities, are not FDA-approved. The facility is FDA-registered and follows cGMP standards, but the products are not reviewed by the FDA for safety or effectiveness before use.
Is a prescription required for NAD+ in New Jersey?
Yes. All of our NAD+ products are prescription-only and must be ordered by a licensed healthcare provider.
Which NAD+ form is right for me?
Your prescriber will decide based on your goals and health history. Capsules and troches are convenient for daily use, the nasal spray is a needle-free option, and injectable vials are used under provider supervision.
What is the difference between NAD and NAD+?
NAD+ is the oxidized form of nicotinamide adenine dinucleotide, the form the body uses to carry energy. Product names may use either term. Our pharmacists can explain the exact product on your prescription.
How much caffeine is in the NAD+ / B12 / Caffeine capsule?
Each capsule contains 100 mg of caffeine, about the amount in one cup of coffee. Count it toward your daily caffeine intake and take it earlier in the day to avoid trouble sleeping.
What is sermorelin in the NAD+ / Sermorelin / B12 capsule?
Sermorelin is a peptide related to growth hormone–releasing hormone (GHRH). This capsule combines it with NAD+ and vitamin B12. Your prescriber will decide if this combination is right for you.
Why do some people feel flushing with NAD+ injections?
Injectable NAD+ may cause flushing, nausea, cramping, or chest tightness, especially if it is given too quickly. Always inject exactly as your prescriber directs. If side effects bother you, ask your provider whether a troche, capsule, or nasal spray may be a better fit.
What are the most common side effects of NAD+?
Most patients tolerate NAD+ well. Possible side effects include flushing, mild nausea, headache, or stomach upset. The caffeine capsule may cause jitteriness or trouble sleeping. Allergic reactions are rare but need medical attention right away.
How should I store NAD+?
Store capsules and troches at 68–77°F in a cool, dry place away from sunlight. NAD+ nasal spray and injectable vials may need to be refrigerated and should never be frozen. Always follow your label and keep all medications out of reach of children and pets.
Can NAD+ be used with glutathione or other therapies?
Some prescribers use NAD+ together with glutathione, B vitamins, or other wellness therapies. Your provider will decide if combining therapies is right for you.
Can I support my natural NAD+ levels with diet and lifestyle?
Yes. Your body makes NAD+ from vitamin B3 and tryptophan, found in foods like chicken, fish, peanuts, mushrooms, eggs, and oats. Regular exercise, good sleep, and limiting alcohol also help. These support, but do not replace, prescribed therapy.
How much does NAD+ cost?
Cost depends on the dosage form, strength, and quantity. For current pricing, call 201-444-4190 or email info@rockridgepharmacy.com.
How can my provider send a prescription to Rock Ridge Pharmacy?
Providers can e-scribe to “Rock Ridge Pharmacy,” fax to 201-444-2698, or call 201-444-4190. They may also email info@rockridgepharmacy.com.
How quickly can I get my NAD+?
Because our NAD+ comes from a 503B outsourcing facility, many items are ready to dispense, which helps reduce wait times. We provide convenient pickup and delivery across New Jersey. Contact us to check availability or schedule delivery.
How can I contact Rock Ridge Pharmacy for more information?
Call us at 201-444-4190, email info@rockridgepharmacy.com, or visit our Contact Us page.
Ways to Send Prescriptions
2. E-Scribe
E-Rx (E-scribe) to “Rock Ridge Pharmacy”
Confirm our address:
191 Rock Rd, Glen Rock, NJ 07452
4. Telemedicine
Rock Ridge Pharmacy partners with Physician 360 for on-demand telemedicine consultations.