PHYSICIAN-FORMULATED IM INJECTION IN CARMEL, INDIANA
NAD+ Injections in Carmel, IN
A physician-reviewed intramuscular wellness injection containing nicotinamide adenine dinucleotide (NAD+).
NAD+ is a cash-pay wellness injection. It is not a medical treatment, not a cure, not an anti-aging therapy, and not a substitute for clinical care. We will tell you what NAD+ is, what we know about its physiologic role, and what we cannot promise about outcomes. A Monarch physician reviews suitability before treatment. $75 per session.
Walk-In Welcome
No appointment required — open 7 days
$75 Cash-Pay
Clear in-office pricing. Not billed to insurance.
Physician-Reviewed
A Monarch physician reviews suitability before treatment
~15 Minute Visit
Single intramuscular injection — no IV, no infusion
WHAT NAD+ IS
A Physician-Reviewed Wellness Injection
NAD+ stands for nicotinamide adenine dinucleotide. It is a coenzyme found in all living cells with documented roles in cellular energy production, DNA repair, and metabolic function. NAD+ levels naturally decline with age.
A NAD+ injection at Monarch is a single intramuscular (IM) injection administered in your arm or hip. It takes about 15 minutes from check-in to leaving the office. NAD+ is offered as a cash-pay wellness service. It is not a medical treatment for any condition, and we do not claim it produces specific clinical outcomes.
What You Receive
- ✓ Brief intake review with a Monarch physician or clinical staff
- ✓ Pre-injection screening for contraindications
- ✓ A single intramuscular (IM) NAD+ injection
- ✓ Post-injection observation period
- ✓ Clear pricing reviewed before treatment begins
Route & Time
- ✓ Intramuscular (IM) injection — not IV, not infusion
- ✓ Single injection in arm or hip
- ✓ Visit time roughly 15 minutes
- ✓ Walk-in or schedule online through MyChart
- ✓ Cash-pay only — not billed to insurance
HONEST DISCLOSURE
What NAD+ Is Not
NAD+ is one of the most heavily marketed wellness injections in the country. We would rather tell you what it is not, so you can decide whether it fits what you are looking for.
Not FDA-approved as a product. NAD+ injections are not FDA-approved drugs or therapies. NAD+ has documented physiologic roles in the body, but the injection has not been reviewed by FDA for safety, effectiveness, or quality as a wellness product.
Not an anti-aging or longevity treatment. Marketing language about NAD+ “reversing aging,” “cellular renewal,” or “extending lifespan” goes beyond what the evidence supports. We do not make those claims. NAD+ levels do decline with age, but a single injection does not reverse that decline in any clinically meaningful way.
Not a guaranteed energy or cognitive boost. Some patients describe feeling more energetic or mentally clear after a NAD+ injection. Others do not notice a difference. We cannot promise specific outcomes around energy, focus, sleep, or recovery.
Not addiction or substance use treatment. Monarch does not offer NAD+ for withdrawal, substance use disorder, or addiction recovery. Those concerns need evidence-based medical care from a primary care physician, addiction medicine specialist, or structured treatment program.
Not for chronic conditions or ongoing management. Chronic fatigue, autoimmune conditions, persistent low energy, or unexplained symptoms belong with your primary care doctor or a specialist — not a wellness injection.
Not IV NAD+ therapy. Monarch offers a single intramuscular injection. We do not run IV NAD+ infusions, multi-day NAD+ programs, or high-dose NAD+ protocols.
Not insurance-covered. NAD+ is a cash-pay wellness service. HSA and FSA cards may not be eligible because NAD+ is not medically necessary — check with your benefits administrator.
If you came here looking for treatment of a specific condition or looking for IV NAD+ therapy, call us at (317) 804-4203 first. We will help you decide whether Monarch is the right place or whether another option fits better.
FROM DR. CLAY
Why We Offer NAD+
NAD+ is one of the most over-marketed wellness products of the last few years. So I want to be careful about why it is on our menu.
NAD+ is a real coenzyme with real physiologic functions. We make a single IM injection available because some patients want a physician-supervised NAD+ wellness injection in a physician-led urgent care setting. We do not market it as anti-aging, do not promise more energy, and do not position it as a treatment for anything specific.
A Monarch physician reviews your health history, medications, allergies, and any conditions before the injection. If NAD+ is not appropriate for you, we will tell you that. If you are dealing with a real medical concern, we will route you to urgent care, your primary doctor, or the right specialist.
THE SCIENCE — HONESTLY
What NAD+ Does in the Body
NAD+ has documented roles in cellular function. We describe each role honestly. We do not claim a single IM injection produces measurable clinical outcomes from those mechanisms.
Cellular Energy Production
Documented role
NAD+ is essential to the redox reactions that convert nutrients into ATP — the energy currency of cells. It cycles between NAD+ and NADH forms during this process. Without NAD+, cells cannot produce energy efficiently.
DNA Repair Enzyme Function
Documented role
NAD+ is required by enzymes called sirtuins and PARPs that participate in DNA repair and stress response. These enzymes use NAD+ as a substrate.
Age-Related Decline
Documented observation
NAD+ levels decline with age in many tissues. This is well-documented in research literature. Whether supplementing NAD+ via injection meaningfully reverses that decline in healthy adults is an open question.
Educational only. Mechanism evidence (NAD+ has these roles in cells) is not the same as outcome evidence (a single IM injection produces specific clinical results). The clinical evidence for IM NAD+ supplementation in healthy adults is limited. A Monarch physician will discuss what is reasonable to expect and what is not.
DELIVERY METHOD MATTERS
NAD+ Injection vs. Oral NAD+ Supplements
Intramuscular NAD+ Injection
- Bypasses digestive system entirely
- Near-complete bioavailability
- Delivered directly to the bloodstream
- Administered by licensed clinical staff
- Physician screening for contraindications
- Single session — approximately 15 minutes
Available at Monarch Medicine — $75 per session
Oral NAD+ Precursors (NMN, NR)
- Must survive GI digestion and first-pass liver metabolism
- Reduced bioavailability compared to injection
- Indirect pathway — converts to NAD+ after absorption
- No physician screening required (OTC)
- Variable product quality across brands
- Daily dosing required for sustained effect
Available over the counter — no physician involvement
Want to know which approach is right for you? Walk in and discuss your goals with Dr. Clay.
SUITABILITY
Who NAD+ May Be Appropriate For
NAD+ injections are offered to generally healthy adults seeking a physician-supervised wellness injection in an urgent care medical office. A Monarch physician reviews your specific situation before treatment. If NAD+ is not appropriate, we will tell you and recommend the right next step.
NAD+ May Fit If You
- ✓ Are a generally healthy adult curious about NAD+ as a wellness option
- ✓ Want a physician-supervised wellness injection in an urgent care medical office
- ✓ Prefer a single visit rather than an ongoing program
- ✓ Want clear in-office pricing before treatment
- ✓ Are looking for an IM injection — not IV, not infusion
- ✓ Have realistic expectations about wellness injections
NAD+ May Not Be Right If
- ⚠ You are actively sick — urgent care evaluation comes first
- ⚠ You are pregnant or nursing — consult your OB first
- ⚠ You have severe kidney or liver disease
- ⚠ You have a known allergy to any NAD+ component
- ⚠ You are seeking treatment for substance use disorder — this needs evidence-based addiction care, not a wellness injection
- ⚠ You are seeking treatment for chronic fatigue or unexplained symptoms — this needs a workup, not a wellness injection
- ⚠ You are looking for an FDA-approved therapy — NAD+ is not
- ⚠ You are looking for IV NAD+ infusion — we do not offer that
A Monarch physician confirms suitability before treatment. We do not bill insurance for NAD+. If something we discuss during intake suggests you need clinical evaluation rather than a wellness injection, we will recommend that instead.
HOW IT WORKS
Your NAD+ Visit in 4 Steps
Walk In or Schedule
Walk in during open hours, or book through MyChart for a specific time slot.
Brief Clinical Review
A Monarch physician reviews your health history, current medications, and allergies to confirm NAD+ is appropriate.
Receive the Injection
A single intramuscular injection is administered by physician-led clinical staff in your arm or hip. Takes a few minutes.
Brief Observation, Then Go
Short observation period after the injection, then you are free to leave.
Total visit time is roughly 15 minutes when we are not busy. We will let you know expected wait time at check-in.
TRANSPARENT PRICING
Clear In-Office Pricing Before Treatment
$75
per NAD+ session
Cash-pay only. Not billed to insurance. Includes pre-treatment review with a Monarch physician, pre-injection screening for contraindications, the physician-reviewed NAD+ intramuscular injection, and post-injection observation. Pricing is reviewed with you before treatment begins.
HSA / FSA note: Most wellness injections are not eligible for HSA or FSA reimbursement because they are not medically necessary. Check with your benefits administrator before submitting.
Pair NAD+ with the Vital Immunity Boost
Many patients combine NAD+ injections with our Vital Immunity Boost (VIB) — a physician-formulated injection of glutathione, vitamin C, and zinc. Ask Dr. Clay about combining treatments for comprehensive cellular support.
FREQUENTLY ASKED QUESTIONS
NAD+ FAQ
Is NAD+ FDA-approved?
No. NAD+ injection as offered here is not an FDA-approved drug or therapy. NAD+ has documented physiologic roles in the body, but the injection has not been reviewed by FDA for safety, effectiveness, or quality as a wellness product. We do not claim NAD+ treats, prevents, or cures any condition.
Is this an IV NAD+ infusion?
No. Monarch offers a single intramuscular (IM) injection — an injection in your arm or hip. We do not run IV NAD+ infusions, multi-day NAD+ programs, or high-dose protocols. If you are looking for IV NAD+ therapy, you will need a different clinic.
Will NAD+ make me feel younger or more energetic?
We cannot promise that. Some patients describe feeling more energetic or mentally clear after a NAD+ injection. Other patients do not notice a difference. The clinical evidence for measurable energy or anti-aging outcomes from a single IM NAD+ injection in healthy adults is limited. If you are looking for a guaranteed result, NAD+ is not the right service.
Is NAD+ an anti-aging treatment?
No. We do not market NAD+ as anti-aging or longevity therapy. NAD+ levels decline with age, but a single injection does not reverse aging in any clinically meaningful way. Marketing claims to that effect go beyond what the evidence supports.
How often can I get NAD+?
NAD+ is intended for occasional use. There is no recommended ongoing schedule because we do not have evidence that frequent use produces additive benefit. A Monarch physician can discuss your specific situation if you are considering more than one session.
Are there side effects?
Possible side effects include injection site soreness, brief flushing, mild nausea, headache, or muscle tension immediately after the injection. Severe reactions are uncommon. A Monarch physician reviews allergies and medical history before treatment. If you have a history of allergic reactions to vitamins, B-complex compounds, or preservatives, tell us before treatment.
Is NAD+ covered by insurance?
No. NAD+ is a cash-pay wellness service and not billed to insurance. HSA and FSA cards may not be eligible because NAD+ is not medically necessary — check with your benefits administrator before submitting.
Can my child or teenager get NAD+?
No. NAD+ is offered to adults only. Children and teenagers with health concerns belong with their pediatrician.
What is the difference between NAD+ and the Vital Immunity Boost (VIB)?
Both are physician-supervised IM wellness injections at $75 cash-pay. VIB contains glutathione, vitamin C, and zinc. NAD+ contains nicotinamide adenine dinucleotide. Different ingredients, different mechanisms. Neither is FDA-approved as a product, and we do not claim either produces specific clinical outcomes.
PATIENT REVIEWS
What Our Patients Say
★★★★★
"Dr. Clay was fantastic! I wish she did primary care. She’s very caring, spends the time, and is very knowledgeable and transparent. 10/10 the kind of care you want for your family. The office is clean and staff is prompt and friendly !!."
—Lisa Lucheon
★★★★★
"The staff were incredibly friendly, attentive, and genuinely caring when I brought my daughter in. They created a welcoming environment with coffee, water, and snacks in the waiting area, which was a thoughtful touch. I also really appreciated their transparent pricing. They bill insurance but also offer very reasonable cash-pay options, which provides peace of mind compared to the unpredictable costs of an ER visit. Most importantly, the experience felt personal rather than rushed. Highly recommend if you’re looking for compassionate, patient-centered care."
—Brittany Carter
★★★★★
"All of my future urgent care visits will be here!! Todd and DR. Clay are amazing and extremely fast they both listen and are very thorough!!!"
— Michael Young
Schedule Your NAD+ Session
Walk in 7 days a week or book online. $75 cash-pay. No appointment required.
Schedule Online
Call (317) 804-4203
Mon–Fri 8am–6pm · Sat–Sun 9am–12pm
90 Executive Drive, Suite A & B, Carmel, IN 46032
How This Page Is Reviewed
This page was medically reviewed by Dr. Lisa Clay, MD — Founder and Medical Director of Monarch Medicine Urgent Care. NAD+ is offered as a cash-pay wellness injection, not as a medical treatment, cure, anti-aging therapy, or substitute for clinical care. The injection is not FDA-approved as a product and has not been reviewed by FDA for safety, effectiveness, or quality. We describe the documented physiologic roles of NAD+ and do not claim specific clinical outcomes from a single IM injection. A Monarch physician confirms suitability before treatment. Last reviewed: May 2026.
Medically reviewed by Dr. Lisa Clay, MD
— Founder & Medical Director, Monarch Medicine Urgent Care. Last reviewed: May 2026.
NAD+ injections are provided by Monarch Medicine Urgent Care under the supervision of Dr. Lisa Clay, MD, and administered by physician-led clinical staff. NAD+ is offered as a cash-pay wellness injection and is not a medical treatment, not an FDA-approved drug or therapy, not a cure or prevention claim, not an anti-aging or longevity treatment, not a treatment for substance use disorder, and not a substitute for clinical care for illness, infection, or chronic conditions. The injection has not been reviewed by FDA for safety, effectiveness, or quality. NAD+ has documented physiologic roles in the body; we do not claim a single IM injection produces specific clinical outcomes. A Monarch physician reviews suitability before treatment, and NAD+ is not appropriate for every patient. Patients with severe kidney or liver disease, allergies to any component, pregnancy, nursing, or other concerns should discuss with a Monarch physician before treatment. For severe symptoms or any medical emergency, call 911 or go to the nearest emergency room. Pricing is accurate as of the page's last review date and may change.