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HealthRX.com · Printable question sheet

Before any compounded NAD+ or NMN injection: pharmacy and prescriber question sheet

Questions to put to the prescriber and the compounding pharmacy before you accept an injectable product, a record of what was dispensed, and a place to note any reaction. It contains no dosing; the facts are FDA's own statements.

Companion to “NMN and NR Self-Injection Technique, Mechanism, and Clinical Evidence” · healthrx.com/nad-nmn/self-injection-technique · Facts checked 2026-10-19

What FDA says

  • Compounded drugs are not FDA-approved; FDA does not verify their safety, effectiveness or quality before they are marketed.[1]
  • Poor compounding practices can cause contamination, or a drug with too much or too little active ingredient.[1]
  • People who buy compounded drugs online or through telehealth may not know which compounder made the drug.[1]
  • On FDA's 503A list updated May 14, 2026, nicotinamide adenine dinucleotide (NAD) is in category 1, under evaluation; a separate beta-NAD nomination is in category 3.[2]
  • Dietary supplements must be swallowed, so an injected product is not a dietary supplement.[3]
  • Used needles go into a sharps disposal container immediately after use.[4]

Ask the pharmacy

  1. Are you a state-licensed pharmacy compounding under section 503A, or an FDA-registered 503B outsourcing facility?
  2. Which bulk ingredient is in this product, exactly as it was nominated or listed, and who supplied it?
  3. Can I see the certificate of analysis for this lot?
  4. What is the beyond-use date, and how must it be stored?
  5. Is the vial single-use or multiple-use, and what should I do if it was left out or looks cloudy?

Ask the prescriber

  1. Why an injection rather than a swallowed product for my goal?
  2. Which published human studies used this route and this ingredient?
  3. Which reactions should make me call you, and which need emergency care?
  4. Who do I report a problem with the product to?

What was dispensed

Copy these from the label exactly; do not change anything you were prescribed without your prescriber.

Prescriber and clinic
Pharmacy name, state and licence or FDA registration
Ingredient and strength as printed on the label
Lot number and beyond-use date
Storage instructions on the label

Reaction record

DateInjection siteWhat you noticedHow long it lastedWho you contacted
Sources for the facts on this sheet
  1. U.S. Food and Drug Administration. Compounding and the FDA: Questions and Answers. Accessed 2026-10-19. https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
  2. U.S. Food and Drug Administration. Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act. Accessed 2026-10-19. https://www.fda.gov/media/94155/download
  3. U.S. Food and Drug Administration. Questions and Answers on Dietary Supplements. Accessed 2026-10-19. https://www.fda.gov/food/information-consumers-using-dietary-supplements/questions-and-answers-dietary-supplements
  4. U.S. Food and Drug Administration. Best Way to Get Rid of Used Needles and Other Sharps. Accessed 2026-10-19. https://www.fda.gov/medical-devices/safely-using-sharps-needles-and-syringes-home-work-and-travel/best-way-get-rid-used-needles-and-other-sharps

This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.