Feel sharper. Recover better. Age with more energy.
Clinician-reviewed NAD+ and sermorelin programs for energy, recovery, sleep, and healthy aging. Complete a secure online intake, get licensed provider review, and receive discreet shipping if prescribed.
Available nationwide in all 50 states.
Prescription required where applicable. Not everyone qualifies. Individual results vary.
Program Options
Clinician-Reviewed Energy & Longevity Programs
All programs are reviewed by independent licensed providers. Treatment is prescribed only when clinically appropriate.
NAD+ Program
Support cellular energy, recovery, and healthy aging with provider-reviewed NAD+ options when appropriate.
Explore NAD+Sermorelin Program
NAD+ and peptide programs for sleep, recovery, and healthy aging. Reviewed by licensed providers. Treatment prescribed when clinically appropriate.
Explore SermorelinHelp Me Choose
Not sure where to start? Complete your intake and a licensed provider can review which options, if any, may be appropriate.
Start Guided IntakeThe Reality
You are not lazy. You may be under-recovered.
Low energy, brain fog, poor sleep, slow recovery, and feeling older than you should can come from many factors. Open Water Rx gives eligible patients a private, provider-reviewed way to explore treatment options designed around energy, recovery, and long-term wellness.
Energy
Support more consistent daily energy without relying on stimulants or pushing through chronic fatigue.
Recovery
Support for recovery between workouts, resilience after physical exertion, and next-day comfort.
Sleep Quality
Support for more consistent, restful sleep — the foundation most energy and recovery goals depend on.
Mental Clarity
Support for focus and mental clarity through the day.
Healthy Aging
Proactive support for cellular health, metabolic function, and longevity at every stage of life.
Consistency
Provider-guided protocols designed for long-term adherence, not quick fixes.
Individual results vary. These programs are not intended to diagnose, treat, cure, or prevent any disease. A licensed provider determines clinical appropriateness.
NAD+ Therapy
NAD+ support for cellular energy and recovery.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of your body. It is involved in normal cellular energy production and metabolic function — helping convert nutrients into usable energy and supporting the enzymes that repair DNA and regulate cellular health.
NAD+ levels naturally decline with age. Provider-reviewed NAD+ options may be considered for eligible patients who want support for energy, recovery, and healthy aging. Your licensed provider determines which delivery method — if any — is clinically appropriate for your individual health profile.
Compounded NAD+ preparations are prescribed only when an independent licensed medical provider determines there is a valid individual clinical reason.
Sermorelin Peptide Therapy
Sermorelin peptide therapy, reviewed by a licensed provider.
Sermorelin is a growth hormone-releasing hormone (GHRH) analogue that may be considered for eligible patients seeking longevity support. Rather than introducing synthetic growth hormone, sermorelin works with your body's natural regulatory pathways to support the pituitary gland's own production processes.
Your licensed provider reviews your complete health history, goals, current medications, and eligibility before deciding whether sermorelin treatment is appropriate for you. Lab work may be requested to establish baseline levels and ensure clinical appropriateness.
Compounded sermorelin is prescribed only when an independent licensed medical provider determines there is a valid individual clinical reason. Individual results vary and are not guaranteed.
Sermorelin Buying Guide
Compare injectable and oral options.
Every current sermorelin option is shown below with its product form, the supply terms offered, and the total payable for each term. Multi-month plans also list an optional per-month equivalent for comparison. Doses, forms, and effectiveness are not presented as equivalent across routes — your licensed provider determines which form and strength, if any, is appropriate for you.
Sermorelin Injections High Dose
InjectableSermorelin Injections Low Dose
InjectableSermorelin Orals High Dose
OralSermorelin Orals Low Dose
OralTotals are the one-time charge for the stated supply term — not per-month or recurring charges. Per-month figures are optional equivalents shown only alongside multi-month totals. Medication and shipping are included if prescribed. No insurance required; no hidden fees.
Which sermorelin forms are available?
Both injectable and oral sermorelin options are offered. Injectable options come in low-dose and high-dose plans across 1-, 3-, and 6-month supply terms. Oral options are offered in low dose (1 and 3 months) and high dose (1 and 3 months). The forms are not presented as clinically equivalent.
How much does sermorelin cost?
Each option's total for its supply term is listed above. A one-month supply starts at $149. Multi-month plans are charged as a single total for the full term — not per month — and the per-month figure shown next to them is an optional equivalent, not an extra charge.
How does a provider decide suitability?
A licensed provider reviews your complete health history, current medications, and goals — and may request baseline lab work — before deciding whether sermorelin, and which form or strength, is clinically appropriate. No prescription is issued unless the provider determines there is a valid individual clinical reason.
Sermorelin product details
See the full Surfbound Health sermorelin page for product details and intake.
Surfbound Health is a consumer brand operated by Open Water Rx LLC — the two sites share the same operator, so the product-details link above is an affiliated destination, not an independent third-party review or rating. Compounded sermorelin is prescribed only when an independent licensed provider determines there is a valid individual clinical reason. Individual results vary and are not guaranteed.
Simple Process
How It Works
Everything is handled online. No waiting rooms. No in-person visits in most cases. A licensed provider reviews every case individually.
Choose your goal
Select the area you want to focus on — energy, recovery, sleep, or healthy aging. Your intake will be tailored around your specific priorities.
Complete your online intake
Answer a secure health questionnaire covering your history, medications, and goals. Takes about 5-10 minutes. Available 24/7.
A licensed provider reviews your health history
An independent licensed medical provider evaluates your intake and determines which treatment options, if any, are clinically appropriate for you.
Treatment is prescribed only if appropriate
No automatic prescribing. Your provider makes an individualized determination. Not everyone qualifies, and that's how it should be.
Medication ships discreetly if prescribed
If a prescription is issued, your medication is prepared by a licensed pharmacy partner and shipped directly to your door in discreet packaging.
Continue with follow-up and support
Ongoing provider access, dose adjustments as needed, and continued clinical oversight throughout your program.
Pricing
Transparent, Upfront Pricing
Transparent pricing is shown before checkout. No insurance required. No hidden fees. All costs are disclosed before any payment is collected.
NAD+ nasal spray 900 mg: $112 for 1 month; oral sermorelin low dose: $149 for 1 month or $429 for 3 months; injectable sermorelin low dose: $169 for 1 month.
No Insurance Required
Cash-pay model means no prior authorizations, no claim denials, no surprise bills.
Full Disclosure Upfront
Pricing is shown before checkout. You see exactly what you'll pay before committing.
No Hidden Fees
Provider review, ongoing support, and shipping are included if a prescription is issued.
NAD+ Nasal Spray (900 mg)
Nasal spray · 900 mg
NAD+ Nasal Spray+ (1200 mg)
Nasal spray · 1200 mg
Sermorelin Injections High Dose
Injectable · High dose
Sermorelin Injections Low Dose
Injectable · Low dose
Sermorelin Orals High Dose
Oral · High dose
Sermorelin Orals Low Dose
Oral · Low dose
Same price at every dose applies to GLP-1 weight-loss programs — your monthly cost does not increase as your provider adjusts your dose. The NAD+ and sermorelin options shown here are separate products, each with its own listed price.
Safety & Eligibility
Provider Review Required. Not Everyone Qualifies.
These are important guardrails — not barriers. They ensure that treatment is prescribed responsibly and only when clinically appropriate.
Provider review required
Every intake is reviewed by an independent licensed medical provider. No automated prescribing. No exceptions.
Not everyone qualifies
Treatment is prescribed only when clinically appropriate. A complete health evaluation determines eligibility.
Lab work may be requested
Your provider may request lab work to establish baseline levels and ensure clinical appropriateness before treatment.
Available nationwide in all 50 states
Program availability depends on state regulations, provider licensure, and pharmacy shipping capabilities.
Compounded medications
Compounded NAD+ and peptide preparations are prepared by licensed pharmacies for individual patients when prescribed by a licensed provider.
Individual results vary
Responses to treatment vary based on age, baseline health, adherence to protocol, and individual biological factors.
Important: Seek medical evaluation for severe, sudden, or unexplained fatigue, sleep issues, or endocrine symptoms. These programs are not a substitute for diagnostic medical care. Always consult with your primary care provider about any significant changes in your health.
FAQ
Common Questions
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of your body. It plays a central role in cellular energy production, DNA repair, and the activation of sirtuins — proteins linked to healthy aging. NAD+ levels naturally decline with age, which is associated with reduced cellular energy and slower recovery. Provider-reviewed NAD+ options may be considered for eligible patients seeking support for energy and healthy aging.
Sermorelin is a growth hormone-releasing hormone (GHRH) analogue. Rather than introducing synthetic growth hormone, sermorelin works with your body's natural regulatory pathways. It may be considered for eligible patients when a licensed provider determines it is clinically appropriate based on your individual health profile, goals, and lab results.
Yes. Both NAD+ and sermorelin require a prescription from a licensed medical provider. After you complete your online intake, an independent provider reviews your health history and determines whether treatment is clinically appropriate. A prescription is issued only when there is a valid individual clinical reason.
Your provider may request lab work to establish baseline levels and ensure clinical appropriateness before treatment. Lab work helps your provider make an informed decision about which options, if any, are right for you. Not all patients require labs — your provider will advise based on your specific health profile.
Intake takes about 5-10 minutes. After submission, a licensed provider typically reviews your case within 1-2 business days. If treatment is prescribed, medication ships from a pharmacy partner shortly after. Total time from intake to delivery varies by provider availability, pharmacy processing, and shipping location.
Compounded NAD+ and peptide preparations are compounded by licensed pharmacies for individual patients when a licensed medical provider determines there is a valid individual clinical reason. Open Water Rx does not manufacture, compound, or dispense medications.
Your intake is reviewed by an independent licensed medical provider — not an algorithm. The provider evaluates your complete health history, current medications, goals, and any lab results before making a prescribing decision. This is a real clinical review by a real licensed professional.
Pricing includes the medication (if prescribed), licensed provider review, ongoing clinical oversight, dose adjustments as needed, secure messaging, and discreet shipping. All costs are disclosed upfront before any payment is collected. No insurance required. No hidden fees.
Yes. Available nationwide in all 50 states. Some states have additional requirements such as synchronous video consultations. You will be informed of your state's specific requirements during the intake process.
That's completely normal. Complete the guided intake and select 'Help Me Choose.' A licensed provider will review your health history, goals, and preferences to determine which options — if any — may be clinically appropriate for you. You don't need to know the answer before starting.
Start Your Longevity Visit
Complete your online intake and see which energy and longevity options may be appropriate for you. A licensed provider reviews every case. Provider review required.
Treatment determined by licensed providers. Not all patients qualify. Individual results vary.
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People Also Ask
Common questions about NAD+, peptides, and longevity programs.
Longevity programs include NAD+ nasal spray (900 mg at $112 for 1 month, 1200 mg from $179) and sermorelin injections or orals (from $149–$299 depending on dose and route), with 3- and 6-month plans available. All-inclusive: provider review, medication if prescribed, and shipping if prescribed.
Compounded NAD+ preparations are prescribed by a licensed medical provider when there is an individual clinical reason. All compounding is performed by licensed.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme involved in cellular energy production, DNA repair, and metabolic regulation. NAD+ levels naturally decline with age. NAD+ programs are designed to support cellular energy, recovery, and healthy aging when clinically appropriate. Individual results vary and are not guaranteed.
Peptide programs may support energy, recovery, strength, or wellness goals. Different peptides have different mechanisms. They are prescribed only when a licensed provider determines they are clinically appropriate. Individual results vary.
Last Updated
July 2026
Published By
Open Water Rx
Originally Published
April 2026
Content cites FDA/FTC guidance and published clinical sources.
Important: Compounded NAD+ and peptide preparations are not FDA-approved finished drug products. They are prescribed only when an independent licensed medical provider determines there is a valid individual clinical reason. A valid patient-provider relationship (VPPPR) must be established before any prescription is issued. Open Water Rx does not manufacture or dispense medications. Results vary and are not guaranteed. Read full consent →