Palm Beach Labs NAD+ Injections in 2026: Pricing, Telehealth Process, and What to Know Before Enrolling

PALM BEACH, Fla., March 10, 2026 (Newswire.com) - Disclaimer: This article is for informational purposes only and does not constitute medical advice. NAD+ injections are prescription medications that require evaluation by a licensed clinician. Always consult a qualified healthcare professional before starting any prescription treatment. This article contains affiliate links. If you purchase through these links, a commission may be earned at no additional cost to you. This compensation does not influence the accuracy or integrity of the information presented.

Palm Beach Labs NAD+ Telehealth Program Explained: Pricing, Prescription Process, and Research Context for NAD+ Therapy in 2026

If you have been seeing ads for Palm Beach Labs NAD+ injections and wondering how the program works, what the process involves, and whether the research behind NAD+ therapy holds up - this breakdown covers what you need to know before deciding if it fits your situation.

Here is the short version: Palm Beach Labs is a telehealth platform - not a healthcare provider and not a pharmacy. According to the company's published terms of service, medical services are provided through a contracted network of licensed physicians, and medications are prepared by state-licensed compounding pharmacies. The platform facilitates the connection between patients, clinicians, and pharmacies, but clinical decisions rest entirely with the evaluating provider.

NAD+ (nicotinamide adenine dinucleotide) injectable therapy is a compounded prescription medication that requires evaluation by a licensed clinician before it can be prescribed. Compounded drugs are not FDA-approved. The FDA does not verify their safety, effectiveness, or quality before they are marketed. This distinction matters, and it is explained in detail below.

Review current Palm Beach Labs NAD+ program details and pricing

How Palm Beach Labs Works: Platform, Providers, and Pharmacies

Understanding who does what in the Palm Beach Labs system is important for anyone considering this program. Palm Beach Labs operates through a structure that separates the platform function from clinical decision-making and pharmacy fulfillment.

Palm Beach Labs (Buttoned Up Leads LLC) functions as the telehealth platform that facilitates connections between patients and healthcare providers. According to the company's terms of service, Palm Beach Labs itself does not provide medical services and is not a pharmacy. The platform provides the technology infrastructure, customer service coordination, and the administrative framework that enables the telehealth experience.

Licensed Medical Providers via Beluga Health are independent clinicians who review patient health information and determine whether prescriptions are appropriate. According to the company's FAQ, these clinicians are described as "licensed and board-certified" and are connected to Palm Beach Labs via the Beluga Health network. They make clinical decisions based on the health information patients provide through the online questionnaire and telehealth consultation. The platform cannot guarantee that any individual will receive a prescription, as that determination rests entirely with the evaluating clinician.

Partner Compounding Pharmacies fulfill prescriptions written by the medical providers. According to the company's website, current pharmacy partners include Partell Pharmacy and Strive Pharmacy - both described as state-licensed compounding pharmacies. Medications are prepared according to the provider's prescription and shipped directly from the pharmacy.

This structure separates the platform function from clinical decision-making and pharmacy fulfillment. That separation is important to understand because it means Palm Beach Labs does not make prescribing decisions - the independent clinician does.

What Is NAD+ and Why Has It Become a Focus in Longevity Research?

Nicotinamide adenine dinucleotide (NAD+) is a coenzyme present in every living cell. In biology, NAD+ plays a well-documented role in cellular energy metabolism, serving as a critical cofactor in the conversion of nutrients into usable cellular energy (ATP) through mitochondrial processes.

Published reviews have discussed NAD+'s role in cellular metabolism, mitochondrial function, DNA repair signaling, inflammatory regulation, and related biological pathways. Multiple research groups have observed that intracellular NAD+ levels decline with age across various tissues, including human skin, liver, and brain tissue - though researchers have noted that this decline is not uniform across all tissues and still requires further investigation.

Researchers have identified several mechanisms that may contribute to this age-related decline: increased activity of NAD+-consuming enzymes such as CD38, persistent activation of DNA repair enzymes called PARPs in response to accumulated DNA damage, and a decline in the NAMPT salvage pathway - the body's primary system for recycling NAD+ from its breakdown products. These converging factors mean that NAD+ consumption may increase with age while the body's ability to replenish it simultaneously decreases.

Animal studies have shown that restoring NAD+ levels can improve metabolic function and cellular repair in aging models. However, translating those preclinical findings into guaranteed human outcomes remains an active area of study. Published systematic reviews have noted that while NAD+ precursors consistently raised circulating NAD+ metabolite levels in human participants, translating those biomarker changes into consistent functional outcomes in humans remains an area of active investigation.

This is ingredient-level research about NAD+ as a molecule. Published research on NAD+ biology does not establish that any specific compounded NAD+ program - including the Palm Beach Labs program - will produce the same outcomes described in preclinical or clinical research for all users. Individual results are not guaranteed.

NAD+ Injections vs. Oral NAD+ Supplements vs. NAD+ IV Therapy

People researching NAD+ will encounter three main delivery methods. Understanding how they differ helps you evaluate what Palm Beach Labs specifically offers relative to alternatives.

Oral NAD+ precursor supplements (NMN, NR, niacin) are the most widely available option. These over-the-counter dietary supplements provide NAD+ precursors - molecules that the body can convert into NAD+ through internal metabolic pathways. They do not require a prescription and are regulated as dietary supplements under DSHEA. Oral bioavailability - how much of the active compound reaches target tissues - has been a subject of ongoing scientific discussion.

NAD+ IV therapy (clinic-based infusions) delivers NAD+ directly into the bloodstream through an intravenous drip at a clinic or through mobile services. Sessions typically involve longer time commitments and may cost more per session than subscription-based programs. This approach is administered by healthcare professionals in a clinical setting.

NAD+ subcutaneous injections (what Palm Beach Labs offers) are self-administered at home after receiving a prescription through the telehealth process. According to the company's product materials, the NAD+ injectable is offered as a prescription home-delivery program. This route is administered differently from oral supplements and differs from clinic-based IV therapy in that it is designed for home use after clinician approval.

Each delivery method involves different considerations around convenience, cost, administration route, and medical oversight. The injectable route offered through Palm Beach Labs requires physician evaluation and a prescription - it is not available over the counter. The comparison above describes format differences, not efficacy rankings - the published clinical literature does not establish that one route is categorically more effective than another for all individuals. Discuss the options with your healthcare provider to determine which approach, if any, may be appropriate for your specific health situation.

One distinction worth understanding: oral NAD+ precursors like NMN and NR are dietary supplements regulated under DSHEA, while injectable NAD+ through a platform like Palm Beach Labs is a compounded prescription medication - a fundamentally different regulatory category with different oversight requirements. Neither is inherently better; they serve different consumer preferences and involve different levels of medical involvement.

Review current pricing and eligibility information for Palm Beach Labs NAD+

The Palm Beach Labs NAD+ Program: Step-by-Step Process

According to the company's website, the process involves three main steps:

Step 1: Online Health Assessment. You begin by completing an online questionnaire about your health history. According to the company's website, this information is reviewed by a US-licensed medical provider. The company states that the entire process - from intake questionnaire to telehealth consultation to delivery - happens online without requiring a clinic visit.

Step 2: Provider Evaluation and Prescription Decision. A licensed clinician reviews the health information you provide and determines whether NAD+ injectable therapy is appropriate for your situation. Not everyone who applies will necessarily receive a prescription - that determination is entirely at the clinician's discretion based on your individual health profile.

Step 3: Pharmacy Fulfillment and Delivery. If prescribed, the medication is compounded by one of the partner pharmacies (Partell Pharmacy or Strive Pharmacy) and shipped directly to your home. According to the company's website, orders are delivered to most states in the US within a few business days.

According to the company's materials, the program may include recurring shipments if prescribed. Consumers should review billing, cancellation, and refund terms directly on the current Palm Beach Labs pages before enrolling, since program terms can change.

This is not a replacement for prescribed medical treatment for any existing health condition. Only a licensed clinician can decide whether NAD+ injectable therapy is appropriate for your specific case.

What Makes Compounded NAD+ Different From FDA-Approved Medications?

This is a question many consumers have, and it deserves a clear answer because it affects how you evaluate any compounded prescription program - not just Palm Beach Labs.

When a pharmaceutical company develops a drug and receives FDA approval, the FDA has reviewed clinical trial data for that specific finished product and determined it meets standards for safety, effectiveness, and manufacturing quality. That approval process typically takes years and involves extensive testing.

Compounded medications work differently. A compounding pharmacy prepares a medication based on a licensed clinician's individual prescription, often combining active ingredients in specific doses or formulations that may not be commercially available as a standard FDA-approved product. Compounded drugs are not FDA-approved. The FDA does not verify their safety, effectiveness, or quality before they are marketed.

This does not mean compounded medications are inappropriate in all circumstances. Compounding can serve an important patient need, but compounded drugs do not undergo the same FDA premarket review for safety, effectiveness, and quality as FDA-approved drugs. Consumers should understand that distinction before enrolling in any compounded prescription program.

For the Palm Beach Labs NAD+ program specifically, the company's website states that medications are prepared by state-licensed compounding pharmacies (Partell Pharmacy and Strive Pharmacy). Consumers who want additional verification can research these pharmacies independently through their respective state pharmacy boards.

Palm Beach Labs NAD+ Pricing and Program Structure

According to the Palm Beach Labs website at the time of this publication, the NAD+ Injectable is listed with a starting price of approximately $169 per month.

According to the company's terms of service, Palm Beach Labs and its provider network do not accept commercial health insurance plans and are not enrolled with federal or state healthcare programs. The terms describe the program as a cash-pay service. If you currently rely on insurance coverage for healthcare expenses, this program may require separate budgeting.

Because pricing, promotional offers, refund terms, and cancellation policies can change, verify all current details directly with Palm Beach Labs before making purchase decisions.

The Protocol Advisory Role: Dr. Darshan Shah, MD

Palm Beach Labs presents Dr. Darshan Shah, MD as a medical advisor and protocol designer. According to the company's published materials, Dr. Shah is the founder of NextHealth (described as a health optimization and longevity clinic) and is board-certified in surgery. The company's website lists training at the University of Missouri-Kansas City School of Medicine, the Mayo Clinic, Harvard Business School, and Singularity University.

According to the company's published materials, Dr. Shah is described as having performed over 20,000 surgical procedures and advised thousands on longevity optimization. These credentials are attributed to the company's published materials and have not been independently verified by this publication.

While Dr. Shah's protocols may inform the program's treatment framework, the clinician who actually evaluates your health information and makes the prescribing decision is an independent licensed provider within the Beluga Health network - not necessarily Dr. Shah himself.

Situations Where Consumers May Consider This Program - and Where Other Models May Fit Better

Consumers May Be More Likely to Consider This Program If They:

Want clinician oversight rather than self-selecting supplements: If you have been researching NAD+ therapy and prefer having a licensed clinician evaluate whether it is appropriate for your specific health situation - rather than choosing oral supplements without medical guidance - this program is structured around that evaluation process.

Prefer home-based administration over clinic visits: For people who find multi-hour IV clinic sessions impractical or cost-prohibitive, a home-based subcutaneous injection program with telehealth support may be a more accessible format to explore.

Prefer subscription-based pricing over per-session costs: If you prefer a predictable monthly cost with automatic shipments rather than per-session clinic pricing, this subscription model may fit your budgeting preferences.

Are adults 18 or older in a state where the platform operates: According to the company's terms, the services are intended for users age 18 and over who are located in states where Palm Beach Labs offers services.

Other Care Models or Product Formats May Be Worth Comparing If You:

Need insurance-covered treatment: This is a cash-pay program. The company explicitly states they do not accept insurance. If insurance coverage is important to your healthcare budget, other care models may align better with your financial situation.

Prefer in-person medical relationships: If you want face-to-face consultations and hands-on medical evaluation, a local longevity medicine clinic with in-person physician visits may be a better fit than a telehealth-first model.

Are prioritizing the lowest-cost NAD+ option: Over-the-counter oral NAD+ precursor supplements (NMN, NR) are available at lower price points without requiring a prescription. While the administration route differs, cost-conscious consumers may prefer to explore those options and discuss the differences with their primary care physician.

Questions to Review Before Enrolling

Before choosing any NAD+ therapy approach, consider these questions:

Have you discussed NAD+ therapy with your existing healthcare provider to understand whether it aligns with your current health situation and medications?

Are you comfortable with self-administered subcutaneous injections at home, or would you prefer a clinician to administer the therapy?

Does your budget accommodate a monthly cash-pay subscription, or are you looking for insurance-covered options?

Are you in a state where Palm Beach Labs operates, and have you reviewed the full terms of service, billing terms, and refund policy?

Your answers help determine which NAD+ therapy approach - if any - matches your specific situation, preferences, and health goals.

Explore the Palm Beach Labs NAD+ telehealth process

Safety Considerations for NAD+ Injectable Therapy

NAD+ injections are prescription medications that require clinician evaluation before use. The following points provide general context, not a complete safety summary. Consumers should review all pharmacy-provided instructions and discuss possible side effects, medication interactions, and suitability with the prescribing clinician or dispensing pharmacist.

Injection-site reactions: As with subcutaneous injections generally, temporary redness, mild swelling, or discomfort at the injection site may occur. Consumers should follow all pharmacy-provided administration instructions carefully.

Drug interactions and existing conditions: If you are taking medications for blood pressure, diabetes, or other chronic conditions, or if you have existing health conditions, your evaluating provider needs this information to determine whether NAD+ therapy is appropriate. Do not begin NAD+ therapy without disclosing your complete medication and health history to the prescribing clinician.

Pregnancy and nursing: If you are pregnant, nursing, or planning to become pregnant, consult your physician before starting any new prescription treatment including NAD+ therapy.

Consumers should review all pharmacy-provided instructions and discuss contraindications, medication interactions, and individual risks with the prescribing clinician or dispensing pharmacist. Do not change, adjust, or discontinue any medications or prescribed treatments without your physician's guidance and approval.

Realistic Expectations: What the Research Supports and Where the Evidence Gaps Are

Being honest about what is known and what is still being studied helps set appropriate expectations.

What published research supports at the ingredient level: NAD+ is a well-studied molecule with documented roles in cellular metabolism, mitochondrial function, and DNA repair signaling. Age-related declines in NAD+ levels have been observed across species and in specific human tissues. Published trials have demonstrated that NAD+ precursors can raise circulating NAD+ metabolite levels in humans.

Where evidence gaps exist: Most published human clinical trials have studied oral NAD+ precursors (NMN, NR) rather than injectable NAD+ specifically. Large-scale, long-term clinical trials specifically studying subcutaneous NAD+ injections for energy, cognition, or longevity outcomes in healthy adults remain limited. The connection between raising NAD+ blood levels and experiencing specific subjective improvements has not been definitively established in large human trials with injectable NAD+.

Individual results are not guaranteed and will vary based on factors including age, baseline health condition, lifestyle factors, consistency of use, genetic factors, current medications, and other individual variables.

If you are considering NAD+ therapy for a specific concern - fatigue, cognitive decline, recovery, or aging-related issues - the most responsible first step is discussing it with your primary care physician, who can evaluate your individual health context and help you determine whether any NAD+ approach is worth exploring alongside your existing care plan.

Published research on NAD+ biology does not establish product-specific outcomes for the Palm Beach Labs program. NAD+ injectable therapy does not replace prescribed treatment for any medical condition.

How to Review the Palm Beach Labs NAD+ Program

If you have evaluated the information above and are interested in exploring whether the Palm Beach Labs NAD+ program fits your situation, the process begins with the company's online health questionnaire.

According to the company, you begin by completing a short assessment. If you meet the initial criteria, you are connected with a licensed provider for evaluation. The clinician determines whether NAD+ therapy is appropriate for your specific situation. If prescribed, the medication is compounded by a partner pharmacy and shipped to your home.

Contact Information

For questions before or during the process, according to the company's website, Palm Beach Labs offers customer support through the following channels:

Phone: 844-492-2444

Email: [email protected]

Live Chat: Available through the company's website

For questions specifically about the clinician network, according to the company's website, Beluga Health can be reached at [email protected].

See the latest Palm Beach Labs NAD+ program information

What to Consider Before Choosing the Palm Beach Labs NAD+ Program

Here is a summary of the key factors covered in this breakdown to help you evaluate whether this program warrants further exploration:

What the platform appears to offer, based on published materials: According to Palm Beach Labs' published materials, the program is structured around an online intake process, clinician review through the Beluga Health network, and medication fulfillment through state-licensed compounding pharmacies. The subscription model is positioned as a home-based alternative to clinic-based NAD+ IV therapy, with ongoing telehealth support included according to the company.

What consumers should keep in mind: Clinician approval is required - not everyone will receive a prescription. This is a cash-pay program with no insurance coverage. Compounded drugs are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality before they are marketed - this applies to compounded prescriptions broadly, not uniquely to Palm Beach Labs. The published human clinical evidence base for injectable NAD+ specifically (as opposed to oral NAD+ precursors studied in most clinical trials) is still developing. And pricing, availability, and program terms can change - confirm current details directly before committing.

Important Note: Consumers should review current telehealth, prescribing, and compounding disclosures carefully before proceeding with any prescription program. Always verify that the platform operates in your state and that prescribing clinicians are licensed in your jurisdiction.

A Practical Checklist Before You Enroll

If you decide to move forward with any telehealth-based prescription program - whether Palm Beach Labs or another platform - here are steps that help you evaluate the program more carefully:

Verify the platform operates in your state. Not all telehealth platforms are available in every state, and prescribing rules vary by jurisdiction.

Read the full terms of service before entering payment information. Pay particular attention to recurring billing terms, cancellation procedures, and refund conditions.

Disclose your complete health history during the intake process. The clinician can only make a safe prescribing decision based on the information you provide. Omitting medications or conditions can affect clinical decision-making.

Confirm which pharmacy will compound your medication. You have the right to know which pharmacy is preparing your prescription and to verify that pharmacy's licensing through your state's pharmacy board.

Save all correspondence. Keep copies of your intake questionnaire responses, any clinician communications, billing confirmations, and pharmacy documentation.

Talk to your primary care physician. Even if a telehealth clinician prescribes NAD+ therapy, your primary care doctor should know about any new prescriptions so they can monitor for interactions with your existing medications and overall health plan.

View current Palm Beach Labs NAD+ program details

Frequently Asked Questions

Is Palm Beach Labs a pharmacy?

No. According to the company's website and terms of service, Palm Beach Labs is a telehealth platform, not a pharmacy. Medications are compounded and shipped by partner pharmacies (currently Partell Pharmacy and Strive Pharmacy) based on prescriptions written by licensed clinicians in the Beluga Health network.

Is NAD+ an FDA-approved treatment?

NAD+ injectable therapy as offered through Palm Beach Labs is a compounded prescription medication. Compounded drugs are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality in the same way it reviews approved drugs. This applies broadly to compounded prescriptions and is not unique to this platform.

Does Palm Beach Labs accept insurance?

According to the company's terms of service, Palm Beach Labs and its provider network do not accept commercial health insurance plans and are not enrolled with federal or state healthcare programs such as Medicare or Medicaid. The company describes this as a cash-pay service.

What is the refund policy?

The company's published materials include refund and treatment-availability terms. Because refund terms and conditions can change, verify the current policy directly with Palm Beach Labs before enrolling.

Who actually prescribes the medication?

Licensed, independent healthcare providers within the Beluga Health network evaluate patient information and make prescribing decisions. Palm Beach Labs itself does not prescribe medications. The evaluating clinician determines whether treatment is appropriate based on the health information you provide.

Can everyone who applies get a prescription?

No. According to the company, the clinician independently decides whether treatment is appropriate for each individual. Not everyone who completes the intake process will necessarily receive a prescription.

Disclaimers

Content and Medical Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. The descriptions of potential benefits are not guarantees and are not a substitute for an individualized medical evaluation. NAD+ injectable therapy is a compounded prescription medication that requires evaluation by a licensed clinician. The information provided here does not replace the professional judgment of your healthcare provider.

Professional Medical Disclaimer: This article is educational and does not constitute medical advice. NAD+ injectable therapy is not a substitute for prescribed medical treatment. If you are currently taking medications, have existing health conditions, are pregnant or nursing, or are considering any major changes to your health regimen, consult your physician before starting NAD+ therapy or any new prescription treatment. Do not change, adjust, or discontinue any medications or prescribed treatments without your physician's guidance and approval.

Compounded Medication Notice: Palm Beach Labs NAD+ injectable is a compounded prescription medication prepared by a licensed pharmacy based on an individual prescription. Compounded drugs are not FDA-approved. The FDA does not verify their safety, effectiveness, or quality before they are marketed. They are prepared under the direction of a prescribing clinician.

Results May Vary: Individual results will vary based on factors including age, baseline health condition, lifestyle factors, consistency of use, genetic factors, current medications, and other individual variables. Results are not guaranteed. The published clinical evidence for injectable NAD+ therapy in healthy adults is still developing.

FTC Affiliate Disclosure: This article contains affiliate links. If you purchase through these links, a commission may be earned at no additional cost to you. This compensation does not influence the accuracy, neutrality, or integrity of the information presented. All descriptions are based on published research and publicly available information.

Pricing Disclaimer: All prices, promotional offers, and program terms mentioned were based on information from the Palm Beach Labs website at the time of publication (March 2026) but are subject to change without notice. Always verify current pricing and terms before enrolling.

Publisher Responsibility: The publisher of this article has made every effort to ensure accuracy at the time of publication. We do not accept responsibility for errors, omissions, or outcomes resulting from the use of the information provided. Readers are encouraged to verify all details directly with Palm Beach Labs and their healthcare provider before making decisions.

Insurance Coverage Note: According to the company's terms, Palm Beach Labs operates as a cash-pay service and does not accept commercial health insurance plans or federal/state healthcare programs.

SOURCE: Palm Beach Labs

Source: Palm Beach Labs