This filing covers one narrow question: how you acquire NAD+ in this country and what each route costs per milligram. For the therapy overview, the clinic landscape and the protocol structure, the existing NAD+ therapy filing is the reference. This one is about the purchase.
Buying Snapshot
CLINIC DRIP · PH
$150–350
CLINIC DRIP · WEST
$500–1,000
VIAL · ASIAN SUPPLIER
$50–80
VIAL · US SUPPLIER
$150–200
Sourcing note: most readers of this site buy NAD+ from Primara Labs, our partner and supplier. Stock sits inside the Philippines, vials are batch-numbered and shipped cold-chain, and Metro Manila orders verified before noon go out the same day. Order NAD+ 1000mg
Two Ways to Buy, and No Pharmacy Route
No Philippine pharmacy counter sells injectable NAD+. What exists instead are two structurally different purchases that people tend to compare on session price rather than on what they actually deliver.
What you buy
Where
What is included
PH price
A drip session
International hospitals: Makati Med, Manila Doctors
Pharmaceutical-grade NAD+, full medical supervision, 1 to 3 hours of chair time
USD 150–350
A drip session
Wellness clinics: Salcedo, BGC
Same delivery, quality varies by operator
USD 100–300
A lyophilized vial
Verified regional peptide supplier
Material only. You supply the bacteriostatic water, syringes, fridge and technique
USD 50–80
A lyophilized vial
US peptide company
Same material, longer and warmer shipping leg
USD 150–200
The Philippines is a good place to buy either. A drip session that costs USD 500 to 1,000 at a hospital in the US or Europe costs USD 150 to 350 at Makati Med or Manila Doctors for the same pharmaceutical-grade NAD+ on the same slow-drip protocol. The vial side is similarly favourable because regional suppliers are close, which matters more here than price, for reasons covered below.
Cost per Milligram
This is where the two routes stop being comparable. A clinic drip delivers roughly 250 to 1,000mg per session. A home subcutaneous loading dose is 100 to 200mg, three to five times weekly for two to four weeks, dropping to 50 to 100mg one to three times weekly on maintenance.
Run a full loading block through each. Five to ten clinic sessions, which is the standard loading phase, is USD 750 to 3,500 at hospital rates before you have started monthly maintenance. The same total material through vials, at USD 50 to 80 a vial from a verified regional supplier, is a fraction of that. I am not going to publish a precise multiplier because the compound files do not state the milligram content behind that USD 50 to 80 figure, and neither should anyone else. Work it out from your own written quote: ask for the vial size in milligrams, then divide.
Sourcing the Vial
Three things separate a workable NAD+ supplier from an unworkable one in this market, and price is not among them.
Proximity. A verified Asian supplier beats a US peptide company on this compound not only on the USD 50 to 80 versus USD 150 to 200 spread, but on transit hours. Every hour in a warm bag is a real cost for NAD+ specifically.
Documentation. The same COA discipline applies here as everywhere else on this site: HPLC purity, a batch number matching the vial in your hand, and a COA dated to that batch rather than a recycled PDF. The method is on the COA reference page. Vetted supplier and clinic notes are kept on the supply page.
Packaging you can inspect. Ask what the cold pack configuration is and what happens if the parcel arrives warm. A supplier who has never been asked that question will tell you so by how they answer it.
Our partner and supplier
Where readers source NAD+ vials
Most readers of this site order from Primara Labs, our partner and supplier. Vials ship from stock already inside the Philippines, so there is no customs risk. Every vial is batch-numbered and ships cold-chain, Metro Manila orders dispatch same day, and every order gets 10% off.
NAD+ degrades quickly at room temperature. That sentence does more work in a Philippine buying decision than anywhere else, because it means the cheapest vial and the intact vial are frequently not the same vial, and you cannot tell them apart by looking.
Cold-chain shipping is required rather than recommended. After reconstitution the vial must be refrigerated and used within 2 to 3 weeks, which is a shorter window than the 4 to 6 weeks many other peptides tolerate. The two domestic failure modes are the same ones that catch every compound here: the warm ride home from the courier handoff, and an overnight brownout on a condo fridge. Neither leaves evidence.
The practical consequence for buying is that stock already sitting inside the Philippines has an advantage on this compound that it does not have on, say, lyophilized BPC-157. There is no international leg to survive and no clearance window to sit through. Bulk-buying to chase a per-vial discount is the wrong instinct here. Buy the volume you will reconstitute inside a month.
Reconstitution and the Sting
Two handling notes that change what you buy alongside the vial. First, subcutaneous NAD+ stings at the injection site more than other peptides because of the molecule size. Diluting properly and injecting slowly helps, which means buying more bacteriostatic water than you would for a micro-dosed peptide and not economising on syringe gauge.
Second, the short post-reconstitution window means your vial size should match your protocol, not your budget. A large vial you cannot finish in 2 to 3 weeks is money in the bin. Reconstitution mechanics are in the reconstituted peptides note and the water question is covered in bacteriostatic versus sterile water.
Finished reading and not sure where a 90-day plan would start? Longevity Manila builds one around a single goal, then hands the list to our partner and supplier, Primara Labs.
Which Route Fits You
Buy the drip if you want a small number of sessions, want supervision, are nervous about infusion side effects, or simply do not want a peptide operation running out of your fridge. It is the right call for a first exposure and for anyone who would not reliably hold cold-chain.
Buy the vial if you are already running peptide protocols, hold refrigeration discipline through a Philippine summer, and are looking at a loading block plus ongoing maintenance where the per-milligram gap compounds into real money. This is also the route for people stacking NAD+ with MOTS-c and Epitalon, since you are already handling vials.
Neither route is appropriate during pregnancy or breastfeeding, with active cancer without an oncologist in the conversation, or for high-dose IV with a history of severe cardiovascular disease. The full contraindication list is on the compound page.
FAQ
Where can I buy NAD+ in the Philippines?
There are two functioning routes and no pharmacy route. The first is a clinic drip, available at international hospitals such as Makati Med and Manila Doctors and at wellness clinics in Salcedo and BGC. The second is a lyophilized research vial from a peptide supplier, reconstituted with bacteriostatic water and injected subcutaneously at home. Which one you want depends almost entirely on how much total material you plan to use.
Is a NAD+ vial cheaper than a clinic drip in the Philippines?
Per milligram, considerably. A clinic session in the Philippines runs USD 150 to 350 at an international hospital or USD 100 to 300 at a wellness clinic, delivering roughly 250 to 1,000mg over a 1 to 3 hour infusion. A research vial that costs USD 150 to 200 from a US peptide company can run USD 50 to 80 from a verified Asian supplier at the same purity with a COA. The vial route is dramatically cheaper and gives you no medical supervision, which is the actual trade.
Does NAD+ need cold-chain shipping to the Philippines?
Yes, and more strictly than most compounds covered on this site. NAD+ degrades quickly at room temperature, so cold-chain shipping is required rather than preferred. After reconstitution it must be refrigerated and used within 2 to 3 weeks. In this climate that makes supplier handling the single most important thing you are buying, ahead of price.
Can I buy NAD+ outside Metro Manila?
Vials, yes. Nationwide insulated courier runs 1 to 3 days with cold packs, and research-peptide retail is effectively zero outside Metro Manila, so provincial buyers order online exactly as Manila buyers do. Clinic drips are a Metro Manila proposition in practice. Major public hospitals exist in every regional centre, but the drip clinics documented in our files sit in Makati, Quezon City, Salcedo and BGC.
Why does subcutaneous NAD+ sting more than other peptides?
Molecular size. NAD+ is a larger molecule than the short peptides most people are used to injecting, and it stings noticeably more at the injection site. Diluting properly and injecting slowly helps. The IV equivalent of that problem is pushing a drip too fast, which causes flushing, chest tightness, anxiety and nausea, and is why a clinic session takes 1 to 3 hours and cannot be rushed.
Our partner and supplier
Ready to order NAD+?
Primara Labs, our partner and supplier, holds stock inside the Philippines. Vials are batch-numbered and ship cold-chain, Metro Manila orders verified before noon dispatch the same day, provincial couriers run 1 to 3 days, and every order gets 10% off.