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The same letter makes clear the peptides do not automatically move into Category 1 the bucket where the FDA has said it generally would not take action against compounders and that the Pharmacy Compounding Advisory Committee (PCAC) will review them at the July 2324, 2026 meeting, with February 2027 as the alternate date

NAD+ peptide therapy pricing shows what the typical cost structure looks like: nasal spray formulations cost $144-199 per month, while injectable forms range from $155-235 monthly