All 50 US states. Consultations are with independent US-licensed physicians, and licensed US pharmacies ship to all 50 states. Where an individual treatment is not available in a state, that is shown before checkout.

NAD+ injection at $109 a month, NAD+ nasal spray at $179 a month, nicotinamide riboside injectable at $699 a month, glutathione at $89 a month, vitamin B12 injection at $49 a month, and an anti-aging topical gel at $175 a month.

You complete a guided medical questionnaire and checkout. An independent US-licensed physician reviews your information and determines whether treatment is appropriate. If it is, a licensed US pharmacy prepares it and ships it to you. If not, you are notified and refunded.

NAD+ is a coenzyme involved in cellular energy production. Vitren offers it as an injection and as a nasal spray. A physician decides which form, if either, is appropriate for you.

Vitamin B3 is a precursor the body uses to make NAD+. They are related but not the same compound.

Vitamin B12 is involved in converting food into energy, in nerve function, and in making red blood cells. A physician will confirm whether a B12 injection fits your plan.

B12 levels can run low in people on plant-based diets, in older adults, and in people with conditions that affect nutrient absorption. A physician reviews your history and decides.

NAD+ comes as an injection kit or a nasal spray, and B12 as an injection kit. Each kit includes the supplies and instructions for use at home.

In most cases no. A physician may request it based on your history and will tell you if it is required.

Some are. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Your physician will discuss what is appropriate for you.

Not all patients qualify. If a physician determines that treatment is not appropriate for you, you are notified and refunded.

Medical services are provided by independent licensed physicians. Vitren is a health brand and does not provide medical advice, diagnosis, or treatment.