Provider ranking
Best NAD+ Providers for Energy & Focus, Ranked
NAD+ is sold by clinics and supplement brands for energy and focus — ranked here on price, clinician oversight and evidence, not hype.
Ranking providers, not products · Shopping for a nootropic instead? →
A note on how we're funded. We want to be gentle and honest here: a few of the links on this page are affiliate or referral links handled through the Katalys network, and if you decide to start a treatment or buy a product through one, we may earn a commission — at no extra cost to you. What we write about any product, and the price you pay, are the same either way. You're welcome to read the whole story here.
FTC disclosure. Clearhead Lab has affiliate or referral partnerships with some — not all — of the providers ranked on this page, and we may earn a commission at no extra cost to you when you use our links. Like any comparison site, that compensation can shape which provider we feature and how prominently it appears. Concretely: that compensation can influence placement — which we disclose rather than leave you to infer. Providers we have no commercial tie to are still assessed on the merits and we link out to them too. Order among those providers follows editorial judgment — price transparency, clinician oversight, and support. See our full disclosure.
Side by side
This ranks provider quality and value, not a claim that NAD+ sharpens your mind. 2 of the 61 rest on human trials, and those trials measured blood NAD+, not focus — so none of the 61 has a trial showing sharper thinking. “Flat pricing” means a single all-in monthly figure with no separate membership, starter, or per-format fee.
Showing 61 of 61
| Provider | Price | Evidence | Flat pricing | Clinician-reviewed | Pharmacy | Nurse/RD support | Provider site |
|---|---|---|---|---|---|---|---|
| CoreAge Rx | $93/mo flat | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit CoreAge Rx |
| HealthRX | From $134/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit HealthRX |
| RxSpan MD | From $199/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit RxSpan MD |
| Willow | $199/mo flat | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (3 named) | Nurse/RD support: no | Visit Willow |
| Enhance MD | From $99/4wks | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Enhance MD |
| Sprout Health FDA warning letter to Sprout Health Partners LLC dba Sprout Health, September 2025. Look it up on FDA.gov | $249/4wks | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (2 named) | Nurse/RD support: no | Visit Sprout Health |
| System Labs | $149/mo (first mo $89) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit System Labs |
| ShedReview | From $144/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Shed |
| LttlReview | $199/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Lttl |
| Pallas HealthReview | From $189/mo (12-wk prepay) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (6 named) | Nurse/RD support: no | Visit Pallas Health |
| MadeMed | From $209/mo (3-mo min) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit MadeMed |
| Strut HealthReview FDA warning letter to Strut Health, LLC dba Strut, February 2026. Look it up on FDA.gov | From $149 | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Strut Health |
| Breeze MedsReview | $169/mo injection | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (4 named) | Nurse/RD support: yes | Visit Breeze Meds |
| Peter MD | From $147/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (2 named) | Nurse/RD support: no | Visit Peter MD |
| MyDrHankReview | $199/mo (advertised $137) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit MyDrHank |
| Wellorithm | $200/mo (first mo $150) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Wellorithm |
| Synergy RxReview | $275/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (4 named) | Nurse/RD support: yes | Visit Synergy Rx |
| AgelessReview FDA warning letter to Lovely Meds, Inc. dba Lovely Meds, September 2025. Look it up on FDA.gov | From $149/mo listed | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (7 named) | Nurse/RD support: no | Visit Ageless |
| yourEra | From $249/mo (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit yourEra |
| Care Bare Rx | From $199/mo (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (4 named) | Nurse/RD support: no | Visit Care Bare Rx |
| Bodybuilding Health+ | From $129/mo (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Bodybuilding Health+ |
| OakReview | Pricing not published | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Oak |
| Eden FDA warning letter to Eden Health International Inc. dba Eden, June 2026. Look it up on FDA.gov | $158 all-in, first mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (4 named) | Nurse/RD support: yes | Visit Eden |
| bmiMD | $159/mo ($119 on 12-mo) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit bmiMD |
| Embody | $99/mo, either route | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit Embody |
| He & She MDReview | $199/mo flat ($99 “from”, no term) | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit He & She MD |
| AgelessRx | From $185/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit AgelessRx |
| Hone Health | ~$190/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Hone Health |
| Invigor Medical | From $340/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Invigor Medical |
| Yucca Health | From $215 (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Yucca Health |
| Maves | $169/mo after intro | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Maves |
| Obu Health | From $219/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Obu Health |
| Taurus Meds | $79 first mo (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Taurus Meds |
| Bioverse FDA warning letter to Bioverse, Inc. dba Bioverse, September 2025. Look it up on FDA.gov | From $259/mo (12-mo plan) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: no | Visit Bioverse |
| Ivim Health FDA warning letter to Ivim Services LLC dba Ivim, February 2026. Look it up on FDA.gov | $204/mo all-in | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Ivim Health |
| Telos Rx | From $116/mo (gated) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Telos Rx |
| HealthOn FDA warning letter to Healthon Inc. dba Healthon, September 2025. Look it up on FDA.gov | Varies — the site conflicts | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit HealthOn |
| LifespanningRx | From $225/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit LifespanningRx |
| Tru Niagen | $49 (oral) | Human trials on the molecule | Flat pricing: no | Clinician reviewed: no | Retailer (none) | Nurse/RD support: no | Visit Tru Niagen |
| Thorne (NiaCel 400) | Pricing varies | Human trials on the molecule | Flat pricing: no | Clinician reviewed: no | Retailer (none) | Nurse/RD support: no | Visit Thorne (NiaCel 400) |
| Renue By Science | $84.95 (oral) | No human trial for this route | Flat pricing: no | Clinician reviewed: no | Retailer (none) | Nurse/RD support: no | Visit Renue By Science |
| CeliaRx | $399/fill (no subscription) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: no | Visit CeliaRx |
| EdgeRx | From $99/mo (NAD+ tier) | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: no | Visit EdgeRx |
| The Edit | $249/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit The Edit |
| Mondae | $129/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit Mondae |
| Alinwell | $199/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit Alinwell |
| Bayan Health | $99/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit Bayan Health |
| Believe Health | $199/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Believe Health |
| Longevixx | $199/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Longevixx |
| AHBARx | $299/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit AHBARx |
| Magnolia Regen | $149/mo | No human trial for this route | Flat pricing: yes | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Magnolia Regen |
| Goldspan Health | $199/28 days | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit Goldspan Health |
| Auren Rx | $125–$219/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Auren Rx |
| Nex Gen Health Rx | From $299/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit Nex Gen Health Rx |
| Nova (TryNova) | From $134/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit Nova (TryNova) |
| Pepti | $249–$319/~4 wks | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit Pepti |
| Trellis Vitality | From $129/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network (1 named) | Nurse/RD support: yes | Visit Trellis Vitality |
| NEUVÉ Health | From $217/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | 503A | Nurse/RD support: yes | Visit NEUVÉ Health |
| Lighter You | From $199/4 wks | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Lighter You |
| Superior Remedies | From $199/mo | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Superior Remedies |
| Rehydra+ Wellness | $279 / 4 weeks | No human trial for this route | Flat pricing: no | Clinician reviewed: yes | Network | Nurse/RD support: yes | Visit Rehydra+ Wellness |
Sorting and filtering change this table only — the ranked list below always keeps our published order. For the same providers ordered by price alone, with the per-route figures, see what NAD+ costs. Buying a specific format? Every nasal-spray provider and nasal against injection are the route views of this same ranking. Prices and program details are as published on each provider's own site when we last read them and can change without notice. Tru Niagen, Thorne, and Renue By Science are supplement retailers, so “clinician-reviewed” is correctly marked no — they ship an over-the-counter product, not a prescribed protocol. Confirm current terms with the provider before starting.
The ranked field
All 61 sources in one list, each read from the provider's own site — telehealth clinics offering injections, nasal sprays, wafers, tablets and patches, plus the best-evidenced oral NR supplements. We only state a price where the provider published one we could confirm, and where a headline rate turns out to be a prepay or a first-month promotion we quote the real recurring figure instead. Open any row for its full pricing ladder, model, strengths and trade-offs.
2 of 61 rest on human trials, and those trials measured blood NAD+, not focus — so none of the 61 has a trial showing sharper thinking. The pill on each row describes the molecule and the route, never our order, and we flag a weak evidence tier even on a product we earn from (disclosure).
Our #1 pick · $93 / month, flat
CoreAge Rx
No human trial for this routeNasal spray + injectionNasal and injected NAD+ are marketed for cellular energy and focus with no rigorous human cognition or energy trial.
Price: $93 / month, flat
U.S.-licensed clinicians review an online intake; the NAD+ protocol is filled by a 503A compounding pharmacy. CoreAge markets the nasal spray (“Hello Energy”) and the injection both at a flat $93/month for cellular energy, focus, and bioavailability. Every plan includes 1:1 consults with a nurse and a registered dietitian, plus an automatic refund if you are not approved for treatment.
Strengths
- Transparent flat $93/month — same price for the nasal spray or the injection, no separate membership or lab fee
- Doctor-reviewed protocols filled by a 503A compounding pharmacy
- Included 1:1 support from a nurse and a registered dietitian
- Automatic refund if you are not approved for treatment
Trade-offs
- Single-category focus — not a full hormone-optimization clinic
- Like all compounded NAD+, it is not an FDA-approved product, and nasal NAD+ has no rigorous cognition trial (see our evidence review)
Automatic refund if you are not approved · included nurse + dietitian consults.
HealthRX
From $134/mo
No human trial for this routeSub-Q injection + nasal sprayVisit HealthRXDetailsSub-Q and intranasal NAD+ sold for energy and focus; neither route has a rigorous human cognition trial behind it.
Price: $161 / month injection (1,000 mg); $134 / month nasal spray
A telehealth clinic that publishes its entire NAD+ price ladder in public rather than gating it behind an intake quiz. The self-administered sub-Q injection is dosed at 1,000 mg per month at $161; the nasal spray is $134. Both figures are all-in — the provider visit, unlimited follow-up messaging, injection supplies, and shipping sit inside the quoted price, with no membership or lab surcharge added later.
Strengths
- Full price ladder published up front, so you can compare it against CoreAge before handing over an email address
- Prices both routes separately and states the injection's monthly dose with it — 1,000 mg at $161, nasal spray at $134 — so the figure can be read per milligram rather than as a bare “starting at”
- The provider visit, unlimited follow-ups, injection supplies, and shipping are all inside the quoted price — nothing is billed separately
Trade-offs
- Per-format pricing: the injection costs $27/month more than the nasal spray, so your all-in depends on which route you pick
- Still roughly 1.4–1.7× CoreAge's flat $93, and the compounding pharmacy is not named the way CoreAge identifies its 503A facility
- No nurse or registered-dietitian consults bundled — follow-ups are with the prescribing practice
Shown for honest comparison — figures are as published on HealthRX’s own site and can change without notice.
RxSpan MD
From $199/mo
No human trial for this routeInjection, nasal spray, flex-dose tabletVisit RxSpan MDDetailsInjected, nasal and oral NAD+ marketed for energy; no rigorous human trial supports any of the three routes for focus.
Price: $249/mo for the injection or nasal spray and $199/mo for the flex-dose tablet, with prepay blocks at $597/$997/$1,797 (injection), $597/$949/$1,797 (nasal) and $549/$949/$1,797 (tablet). The three-month prepay is preselected when the panel opens, and every card is labeled “(For the first month)”. An $80 telehealth fee applies if no prescription is issued.
A physician-led telehealth clinic whose longevity catalog carries NAD+ as an injection, a nasal spray, and an oral flex-dose tablet. The published monthly figure is what you actually pay: the clinician consult, the medication, injection supplies, and shipping are bundled into it, and the advertised rate is the month-to-month rate rather than a prepay tier quoted as a monthly equivalent.
Strengths
- Publishes the whole ladder in the open — three routes, each with its month-to-month rate and its prepay blocks, readable before you hand over anything
- Consult, medication, supplies, and shipping bundled into one published monthly figure
- Three routes, including a $199 oral flex-dose tablet for people who will not inject or spray
Trade-offs
- $249/month for the injection or nasal spray is roughly 2.7× CoreAge's flat $93
- Per-format pricing — the tablet is $50/month cheaper than the two parenteral routes, so the all-in depends on your choice
- No nurse or registered-dietitian support bundled, and the compounding pharmacy is not identified
Shown for honest comparison — figures are as published on RxSpan MD’s own site and can change without notice.
Willow
$199/mo flat
No human trial for this routeSubcutaneous injectionVisit WillowDetailsSold on “clearer thinking with less brain fog”, and Willow's own page states the therapy is not FDA-approved for these uses and has not been evaluated for safety or efficacy.
Price: $199 / month, published on the public product page; HSA/FSA eligible
Prescription-only telehealth: NAD+ is dispensed as a compounded subcutaneous injection prescribed by a licensed provider, and the price sits above the fold on the public product page rather than behind a quiz. Willow publishes the schedule up front — “Treatment begins at 3 times per week to help build NAD+ levels in the body. After the first month, patients may choose to continue at this frequency or transition to once-weekly dosing, with guidance from their Willow doctor.” The order ships as “a vial of NAD+ injectable solution, along with syringes and needles for administration.” Willow states site-wide that it is not the compounding manufacturer, and its terms name the three pharmacies that dispense for it — Red Rock Home Pharmacy of Springville, Utah, which fills the NAD+ itself, plus Epiq Scripts and The Pharmacy Hub.
Strengths
- A bare flat $199/month on the public product page — no “as low as”, no first-month promotion, and no intake to complete before the number is shown
- Publishes the dosing schedule before you buy: three injections a week to start, then either the same frequency or once weekly after the first month, decided with a Willow doctor
- Names its three dispensing pharmacies in its terms and identifies which one fills the NAD+ — Red Rock Home Pharmacy of Springville, Utah — where most providers here name none at all
- Ships the vial with the syringes and needles to administer it, and the page is badged HSA/FSA eligible
Trade-offs
- The vial strength is never stated on the page, so $199 cannot be turned into a cost per milligram or compared against the programs here that publish a 1,000 mg monthly dose
- Injection only — no nasal spray and no oral option, so there is nothing here for a reader who will not self-inject
- No 503A or 503B designation is stated for any of the three pharmacies it names, and while it publishes bio pages for its physicians it publishes an NPI for none of them, so none of the clinicians can be checked in the federal registry
Shown for honest comparison — figures are as published on Willow’s own site and can change without notice.
Enhance MD
From $99/4wks
No human trial for this routeSub-Q injection + sublingual wafersVisit Enhance MDDetailsSublingual NAD+ absorption is unproven in humans, and neither the wafer nor the injection has a cognition trial behind it.
Price: $199 per 4-week cycle for the injection and $99 per 4-week cycle for the sublingual wafers — 13 charges a year, so about $216 and $107 a month. The advertised $169 and $84 rates are 48-week prepay blocks ($2,028 and $1,008) divided by twelve, and its own comparison table prints them under the heading “Monthly Price”.
Telehealth NAD+ as a self-administered sub-Q injection or a sublingual wafer, with the clinician consult inside the price and an automatic refund if the prescriber finds you are not an eligible candidate. The full ladder is public. Read it carefully: the “$169/mo” injection rate Enhance markets is a 12-month prepay. The month-to-month injection is $199 and the wafers are $99, and those are the figures quoted here.
Strengths
- $99/month sublingual wafers are the lowest clinician-supervised NAD+ price here
- Consult included, plus an automatic refund if you are not approved — the same screening promise CoreAge makes
- Full price ladder published rather than gated behind an intake quiz
Trade-offs
- The headline “$169/mo” injection rate requires a 12-month prepay — the real month-to-month price is $199, and that is what we quote
- Per-format pricing: the injection costs twice the wafer, and sublingual absorption is the less plausible of the two routes
- No nurse or registered-dietitian support bundled, and the compounding pharmacy is not named
Shown for honest comparison — figures are as published on Enhance MD’s own site and can change without notice.
Sprout Health
$249/4wks
No human trial for this routeSub-Q injection (kit included)FDA warning letter to Sprout Health Partners LLC dba Sprout Health, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit Sprout HealthDetailsInjected NAD+ bypasses the gut, the more plausible route — it is still sold for energy with no human outcome trial.
Price: $249 every 4 weeks — 13 charges a year, about $270 a month equivalent — with $199 for the first month. The dose is published: 2 doses a week at 1,000 mg (5 mL), and the injection kit, clinician evaluation and overnight delivery are inside the price.
A single-route program: a self-administered sub-Q NAD+ injection shipped as a complete kit, with a clinician evaluation and overnight delivery inside the price. There is no membership and no per-format surcharge to work around, because there is only one format. The “$199” shown in Sprout's marketing is a first-month promotional rate; the recurring price is $249, and that is the figure quoted here.
Strengths
- A single all-in monthly figure — no membership, starter fee, or per-format surcharge to discover later
- The injection kit, clinician evaluation, and overnight shipping are all inside the price
- True month-to-month: no commitment tier is required to reach the quoted rate
Trade-offs
- The advertised “$199” is a first-month promotion — the recurring rate is $249, roughly 2.7× CoreAge's flat $93
- Injection only; there is no nasal or oral option if you will not self-inject
- No nurse or registered-dietitian support bundled, and neither named pharmacy is classified — Sprout publishes no 503A or 503B designation anywhere on its site
Shown for honest comparison — figures are as published on Sprout Health’s own site and can change without notice.
System Labs
$149/mo (first mo $89)
No human trial for this routeInjection + nasal sprayVisit System LabsDetailsInjected and intranasal NAD+ sold for energy — the same two routes as our #1 pick, and the same absence of a rigorous human cognition trial behind either.
Price: NAD+ lander publishes $149 struck through to $89 for the first month — a first-month teaser against the struck-through standing rate
A compounded-telehealth catalog (NAD+ injection and nasal spray, sermorelin by injection and as an oral compound, glutathione, MIC+B12, GHK-CU cream, compounded GLP-1/GIP) operated by System Laboratories, Inc., with a LegitScript Certified badge on-site. Its NAD+ lander states $149 struck through to $89 for the first month and lists what comes with it: 20% off a Rythm blood test, injection supplies included, 2-day temperature-controlled shipping, and ongoing support from a real care team. Note the two URLs are different pages — the published figure is on the lander at systemlabs.com/lander/nad, while systemlabs.com/nad opens an intake questionnaire.
Strengths
- Sells NAD+ as an injection and as a nasal spray — the same two routes our #1 pick is ranked on, which no other program added to this site in 2026-07 offers
- The lander names what sits inside the price: injection supplies, 2-day temperature-controlled shipping, ongoing support from a care team, and 20% off a Rythm blood test
- Displays a LegitScript Certified badge rather than an unverified storefront claim
- Names a dispensing pharmacy in its terms — The Pharmacy Hub — and a medical advisor whose NPI verifies as active in NPPES, Dr. Marc Gruner (1760877492)
Trade-offs
- The published $89 is a first month, struck through from $149 — it is a promotional figure against a standing rate, not the rate you renew at
- The price lives on a separate lander: the plain systemlabs.com/nad URL opens an intake questionnaire instead of a price, so which page you land on decides whether you see a number at all
- NAD+ is one line in a wide compounded catalog that also runs sermorelin, glutathione, MIC+B12 and GLP-1/GIP — not a dedicated NAD+ program the way our #1 pick is
Shown for honest comparison — figures are as published on System Labs’s own site and can change without notice.
Shed
From $144/mo
No human trial for this routeInjection (3×/week), nasal spray, oral tabletsVisit ShedDetailsInjection, nasal spray and oral tablets are all marketed for energy, with no human cognition trial behind any of the three.
Price: $169 injection / $144 nasal spray / $169 oral tablets per month, with no prepay ladder — but every program carries a two-month minimum, so the shortest commitment is $288 (spray) or $338 (injection or tablets)
Telehealth NAD+ in three routes — an injection dosed three times a week, a nasal spray, and oral tablets — priced in the open with no commitment ladder behind the figure, so the published number is the recurring one. What is not published beside it is Shed's minimum term: its terms require two full months of every program and make an early cancellation non-refundable. Shed also does not state whether the clinician consult or any membership fee sits inside the monthly price.
Strengths
- Three routes, including oral tablets — one more than our #1 pick, and the only oral option among the partners ranked above it
- The published figure is the recurring rate, not a prepay rung: the NAD+ page carries no six- or twelve-month ladder at all
- Names its operating entity (Shed Holdings, LLC), a prescribing physician, and an assigned care team including a nurse and a registered dietitian
Trade-offs
- A two-month minimum term applies to every program and is stated only in the terms, so the smallest NAD+ decision is $288, not $144
- Shed does not publish whether the clinician consult or a membership fee is included — and it charges a separate membership on its brand-name lines
- Every figure reads “starting at” with no dose or strength published, and the terms reserve the right to ship from outside the U.S. while the product page claims U.S. compounding
Shown for honest comparison — figures are as published on Shed’s own site and can change without notice.
Lttl
$199/mo
No human trial for this routeInjection, nasal spray, oral liposomal liquidVisit LttlDetailsClaims NAD+ is “scientifically proven” to make you “sharper” and raises Alzheimer's prevention in its own FAQ, citing nothing; no human trial supports any of its three routes for cognition.
Price: $199 / month month-to-month, falling to $169 on three months, $149 on six and $129 on twelve (billed $1,548 up front); a $149 first-month special runs against a $229 struck-through rate. Same price at every dose.
Prescription telehealth operated by The Commerce Group Holdings, LLC, selling three lanes — GLP-1 weight loss, a longevity shelf and a microdose GLP-1 tier — with NAD+ the anchor of the longevity range. Unusually for this site, Lttl publishes its complete pricing object on the public /plans page: every product, every term rung, each labeled with what it actually bills (“$199/mo every month” beside “$1,548 annually”). It also publishes a dose, which most of this field will not — 500 mg–1,000 mg injections, with most patients starting at 100 mg and adjusting over the first weeks. Billing is month-to-month with no minimum term (“No contracts · Free shipping · Cancel anytime”) and the clinician consult sits inside the price. No compounding pharmacy is named; the claim is that all medications are compounded by 503A and 503B licensed pharmacies.
Strengths
- Publishes the entire term ladder in the open, each rung labeled with what it bills — “$199/mo every month” beside “$1,548 annually” — so the month-to-month rate is stated outright rather than inferred
- States a dose: 500 mg–1,000 mg injections, most patients starting at 100 mg, and the same price at every dose — which makes $199 comparable per milligram, unlike the “starting at” figures elsewhere here
- Genuinely month-to-month with no minimum term, and the clinician consult included, in a category where two-month minimums and separate membership fees are common
- Three routes including an oral liposomal liquid — the only swallowed NAD+ among the partners ranked above it apart from Shed's tablets — and service in all 50 states plus Washington D.C.
Trade-offs
- All fourteen product cards hardcode “from $129/mo”. For NAD+ that is the twelve-month prepay rung rather than a monthly rate — and for the four longevity products whose ladder tops out at $119 it is higher than any price Lttl charges, so the figure is wrong in both directions
- Sells NAD+ as “Scientifically proven to help you feel younger, sharper, and more alive” with not one citation anywhere on the page, and answers its own “Can NAD+ help prevent Alzheimer's disease?” with “preliminary studies show promise”
- Section 11 of the Terms names its dispensing pharmacies — RedRock (St. George, UT), Health Warehouse (Florence, KY), Precision Compounding (Bellmore, NY) and Triad Rx (Daphne, AL), each with a website, address and phone — but nowhere a buyer is looking, and the identical block appears on Taurus Meds, Remevi, Embody and Nolu, while its own footer states the medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality
Shown for honest comparison — figures are as published on Lttl’s own site and can change without notice.
Pallas Health
From $189/mo (12-wk prepay)
No human trial for this routeNasal spray + subcutaneous injectionVisit Pallas HealthDetailsCompounded NAD+ as a nasal spray and a subcutaneous injection; no rigorous human trial has tested either route for cognition or energy, and neither is an FDA-approved product.
Price: No month-to-month option. Nasal spray $79 the first month, then $567 billed every 12 weeks (advertised as “$189/mo average”); injection $89 the first month, then $597 billed every 12 weeks (advertised as “$199/mo average”). Cash-pay only, no insurance, free shipping when prescribed.
A cash-pay telehealth program operated by Brentmoor, Inc. of Newark, Delaware. Pallas states plainly that it is a technology platform and does not employ medical providers: clinical care is delivered by Lion MD, a nationwide team of US-licensed clinicians, running on the CareValidate clinical-operations platform. It covers all fifty states and DC, fully asynchronously in forty-three of them; seven states — Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota and West Virginia — plus Washington DC require one video visit first. The checkout is real and instrumented rather than a lead form: Stripe Elements, Klarna pay-over-time, a promo-code field, a shipping-state eligibility guard, a self-serve cancellation portal and a pre-renewal email reminder. There is no minimum term and canceling is free, effective at the end of the current billing period — but the billing period is twelve weeks, because no shorter one is sold. Renewal is anchored “every 12 weeks starting 4 weeks after approval”, and price changes require at least thirty days' notice. The program launched on our affiliate network on 1 July 2026, so there is no track record behind it yet.
Read our full Pallas Health review
Strengths
- Names its six dispensing pharmacies in public — Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills — and explains the 503A/503B distinction beside them, where most providers here name none and the brands that do name four are all reprinting one shared white-label list
- Names two prescribing physicians with their NPI numbers and links the NPPES registry to check them; both verify as active — Dr. Ana Lisa Carr, MD (NPI 1689841744, family medicine, licensed in 15 states) and Dr. Kelly Tenbrink, MD (NPI 1346482684, emergency medicine, Tennessee and Florida)
- The advertised price is the price the checkout charges — the homepage FAQ, the landing pages, the treatment pages and the live funnel all state the same figures, with no different number appearing at payment
- No minimum term, a self-serve cancellation portal rather than a phone call, a pre-renewal email reminder, and a full refund if a clinician declines to prescribe
Trade-offs
- There is no month-to-month rung for either route. The funnel renders no cadence selector: the advertised “$189/mo average” is a $567 charge every twelve weeks divided by three, so the second payment after a $79 first month is $567 in one go, four weeks later
- Twelve weeks is not three months. The charge recurs every 84 days — 4.35 times a year, not four — while the advertised average divides by three, so the steady-state cost of the nasal spray works out around $205 a month rather than $189
- Only two clinicians are named site-wide, and the footer's “Provider directory” link resolves to a section naming the same two; the wider prescribing network behind Lion MD is not published, and neither is which clinician a given patient sees
- Whether baseline or follow-up lab work is included or billed separately is not published, and there is no pre-purchase dose selector, so whether the price moves with dose cannot be checked before paying
- Its own footer states that some content on the site is AI-generated with no warranty as to accuracy — which is a reason not to treat its blog as a clinical source — and its advertised 4.8 rating cites no published source
- In the seven video-visit states and DC a $60 visit deposit can be retained if the visit is neither attended nor rescheduled; a $5 fee is deducted from each refunded payment for purchases made on or after 14 July 2026, though never on a clinician-declined or unfulfilled order
- Cash-pay only, with no insurance accepted in any state, and the compounded preparations it dispenses are not FDA-approved products
Shown for honest comparison — figures are as published on Pallas Health’s own site and can change without notice.
MadeMed
From $209/mo (3-mo min)
No human trial for this routeSub-Q injection (1,000 mg/mo) + nasal sprayVisit MadeMedDetailsThe same nasal and injected routes as our #1 pick, and the same gap behind them: no human cognition or energy trial.
Price: No month-to-month plan. Injection $209/mo on a 3-month plan ($627) or $199/mo on 6 months ($1,194); nasal spray $279/mo on 3 months, $269/mo on 6
MadeMed sells NAD+ as a nasal spray and a sub-Q injection — the same two routes CoreAge is ranked on — with the clinician consult included and every figure published rather than gated. What it does not sell is a single month: the injection is billed $627 per quarter ($209/mo) or $1,194 per six months ($199/mo), and the nasal spray $279/mo quarterly or $269/mo on six. A CMP blood panel is required before treatment, and MadeMed does not state that its cost is included.
Strengths
- Publishes the plan totals, not just a monthly-equivalent figure, so the real amount charged is visible before you start
- Offers both routes our #1 pick offers, at a 1,000 mg/month injection dose
- Requires a CMP blood panel before treatment — genuine screening rather than a rubber stamp
Trade-offs
- There is no month-to-month plan at all: the shortest commitment is three months at $627 up front, so the advertised “from $199/mo” is a six-month prepay
- The required CMP blood panel's cost is not stated as included, so the true first payment cannot be worked out from the published page
- At $269–279/month the nasal spray is the most expensive nasal NAD+ here — roughly 3× CoreAge's flat $93
Shown for honest comparison — figures are as published on MadeMed’s own site and can change without notice.
Strut Health
From $149
No human trial for this routeSub-Q injectionFDA warning letter to Strut Health, LLC dba Strut, February 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit Strut HealthDetailsA compounded 500 mg NAD+ injection sold for energy; no rigorous human trial supports the injected route for focus or cognition, and the page's own account of the molecule is wrong.
Price: NAD+ 500 mg subcutaneous injection, from $149 / month. Strut's advertised rates across its catalog are auto-refill rates; it publishes a one-off 30-day price for only two of its products, and on one of those the one-off costs 63% more
A Dallas-based compounded-telehealth practice operated by Strut Health, LLC, with Simal Patel, MD named as its chief executive — one of the few operators here that names an individual at all. A licensed clinician reviews an online intake behind a Persona identity check, and the NAD+ is a compounded 500 mg subcutaneous injection. The catalog around it is unusually shaped for this field: sermorelin ships both as an injection and as an oral lozenge, and Strut sells its own capsule supplements — but there is no glutathione, no methylene blue, no standalone B-12 injection and no second NAD+ route. Its own checkout API publishes the state list, which is 49 states plus Washington DC and Puerto Rico, with Arkansas the only exclusion.
Read our full Strut Health review
Strengths
- Publishes the dose beside the price — a 500 mg injection at $149 — where most providers here prints a figure with no strength attached and no way to compare it per milligram
- Its own checkout returns a complete state list, and the FAQ agrees with it: 49 states plus DC and Puerto Rico, with Arkansas the single exclusion, rather than an unsupported “all 50 states” badge
- Names its operating entity and its chief executive by name — Strut Health, LLC, with Simal Patel, MD as chief executive — where most companies here name neither
Trade-offs
- Its own NAD+ page explains the product by calling NAD+ “a peptide that signals your own pituitary gland”. That is the description of a different molecule, copied from its sermorelin page — and it is the sentence a reader uses to decide what they are buying
- The advertised rates are auto-refill rates. The one-off 30-day price for NAD+ is not published at all, and where Strut does publish one — on its injectable tirzepatide — canceling auto-refill costs 63% more than the badge implies
- No compounding pharmacy is named, the refund policy was last modified in September 2021, and the newer /peptides, /testosterone and /weight-loss templates ship with no prices on them whatsoever
Shown for honest comparison — figures are as published on Strut Health’s own site and can change without notice.
Breeze Meds
$169/mo injection
No human trial for this routeInjection + nasal sprayVisit Breeze MedsDetailsTells patients “mental clarity and focus often improve by week 3” — a timeline no trial of either route has ever measured.
Price: NAD+ injection $169 / month and nasal spray $210 / month, the figures its product cards and its own machine-readable catalog agree on. The same page's hero says “Just $179 to start” and its own FAQ calls $249/month the regular rate
A Georgia-based telehealth brand shipping compounded NAD+ nationwide as a subcutaneous injection or a nasal spray, with the clinical side run by Lion MD. It is among the most transparent operators here on the two things most providers hide: it names its prescribing physicians with their NPI numbers, and it names all four of its compounding pharmacies with phone numbers. Where it is least transparent is the one thing a reader came for — what it costs, and what happens if they want their money back. Breeze runs on the CareValidate white-label platform, which several other brands on and off this site also run on, so its clinicians and its pharmacy list are not independent corroboration of anyone else's.
Read our full Breeze Meds review
Strengths
- Names its prescribers individually, with NPI numbers that verify in NPPES — though the same two doctors appear on every brand sharing its CareValidate backend, so they are not Breeze's own bench
- Names all four compounding pharmacies in its network, with phone numbers, rather than saying “a licensed U.S. pharmacy”
- Two routes — the injection and a nasal spray — with the injection's $169 corroborated by Breeze's own product catalog rather than resting on a single marketing line
- Unlimited consultations, secure messaging and coaching are stated as included, not as an upsell
Trade-offs
- Three different NAD+ injection prices across one page — $169 on the card, $179 in the hero, $249 called “regular” in the FAQ — and only the $249 states a billing period at all
- There is no terms of service, no refund policy and no shipping policy anywhere on the site: /terms, /terms-of-service, /refund-policy and /privacy-policy all return 404, and the privacy policy survives only as inline text on the home page
- Its own results panel renders as broken placeholder counters — “1M % Increase in energy levels”, “1 % Improvement in cognitive Function” — under survey-based claims, and its patient count is “50,000+” on the home page against “100,000+” on the NAD+ page
Shown for honest comparison — figures are as published on Breeze Meds’s own site and can change without notice.
Peter MD
From $147/mo
No human trial for this routeInjectionVisit Peter MDDetailsInjectable NAD+ sold for energy alongside a broad hormone/weight-loss menu; no rigorous human trial supports the injected route for focus or cognition.
Price: $369 for an 8–10 week supply (2 vials, 200mg/mL injectable) — roughly $147–184/month depending on how many weeks you stretch the supply
A physician-prescribed telehealth brand (getpetermd.com, founded 2021, HQ Miami) selling a wide catalog under one account — TRT, ED, non-GLP-1 weight loss, GLP-1, men's hair loss, and NAD+ — rather than a single-category program the way our #1 pick is. Its injectable NAD+ is sold as 2 vials at 200mg/mL for $369, stated to cover an 8–10 week supply, which works out to roughly $147–184 a month depending on how it is used rather than a single published monthly rate.
Strengths
- One account covers a genuinely wide menu — TRT, ED, weight loss, GLP-1, men's hair loss, sermorelin and NAD+ — for a reader who wants more than one category from a single clinician relationship
- The $369 NAD+ figure is a real total for a stated 8–10 week supply, not a number set inside a quiz
- Physician-prescribed telehealth model with the injectable dose and vial count published rather than left vague
Trade-offs
- No flat monthly rate for NAD+ — $369 has to be divided by however many weeks the supply actually lasts you, so the effective monthly cost moves depending on use
- State access is not fully disclosed: the customer-facing product page names only a couple of excluded states, while the affiliate program's own restricted-state data shows broader exclusions that vary by treatment (broadly touching AL, CA, ID, TX among others) — treat this as not available in every state rather than nationwide
- Customer reviews are mixed, and the two pharmacies it names — Absolute and Partell — appear only in section 23 of the Terms, never on the NAD+ product page, with no facility class and no PCAB certification stated for either
Shown for honest comparison — figures are as published on Peter MD’s own site and can change without notice.
MyDrHank
$199/mo (advertised $137)
No human trial for this routeNasal spray + sub-Q injectionVisit MyDrHankDetailsNasal and injected NAD+ sold for energy and focus; the trial cited on the page studied oral NMN and measured no cognitive outcome at all.
Price: $199 / month nasal spray and $225 / month month-to-month injection. The advertised “from $137” and “$155” are the twelve-month rungs, costing $1,644 and $1,859 up front; the quarterly and six-month rungs are $507 / $913 (nasal) and $574 / $1,033 (injection)
A multi-category prescription telehealth practice — weight loss, longevity, peptides and NAD+, sexual health, hair growth and strength — operated by Dr. Hank, LLC, which the site credits in its own privacy policy and terms. A U.S.-licensed clinician reviews an online intake, and the NAD+ is a compounded medication filled by a state-licensed U.S. compounding pharmacy. Both NAD+ routes are dosed self-administered at home. Pricing is published before any intake quiz, which most of this field does not do — but what is published is the annual prepay rate, presented as a monthly one.
Strengths
- Sells both of the routes our #1 pick is ranked on — a nasal spray and a subcutaneous injection — rather than a single format
- A figure is published before the intake quiz, so you can compare it against CoreAge without handing over an email address first
- Its own safety block is franker than most providers here: it states in writing that compounded drugs are not FDA-approved and that “clinical evidence for nasal and injectable NAD+ delivery is limited and based largely on preclinical and observational research”
- The operating entity is named — Dr. Hank, LLC — and we found no FDA warning letter against the brand, the entity or the domain
Trade-offs
- Every price it shows is the twelve-month prepay rung. The nasal spray's real month-to-month rate is $199 and the injection's is $225; neither number is rendered on any page of the site, and “$137” costs $1,644 up front
- The lander prints “Starting at $137/month · Cancel anytime” in one line — but $137 exists only if you have already paid for the year, so no single purchase is both
- It will not say where it operates: “available in select U.S. states”, with no list published anywhere on the consumer site
- The two routes contradict each other on schedule — the lander says “a daily nasal spray or weekly injection” while the product page's own FAQ says to inject “2–3 times per week”
- The headline “6x increase in whole blood NAD+” is footnoted to a trial of oral NMN, a different molecule by a different route (see our review)
Shown for honest comparison — figures are as published on MyDrHank’s own site and can change without notice.
Wellorithm
$200/mo (first mo $150)
No human trial for this routeInjectionVisit WellorithmDetailsA compounded NAD+ injection sold for energy; no rigorous human trial supports the injected route for focus or energy.
Price: $150 first month, then $200/mo* — the asterisk reads “*Price shown applies to 500mg (2.5mL) 3-month plan paid upfront or with buy now, pay later programs. Actual price will depend on product and plan prescribed.”
A facilitator-model telehealth brand selling a compounded NAD+ injection alongside sermorelin and compounded and branded GLP-1. The NAD+ page shows the product “In Stock” at $150 for a first month and then $200/mo, quoted as “Only $15/shot*, homekit included” with “Full-strength dosages”, “Compounded in the U.S.A”, and FSA/HSA eligibility, with a stated saving of up to $50 on a first order applied automatically at checkout. Wellorithm's own terms describe the arrangement plainly: it “acts as a facilitator, connecting users with licensed healthcare professionals through its Professional Entities. The company itself does not diagnose, treat, or practice medicine.”
Strengths
- Publishes a figure and its conditions on the public product page — $150 for a first month, then $200/mo, quoted as “Only $15/shot*, homekit included”
- Ships a home kit with the prescription and states the compounding is done in the U.S.A.
- FSA- and HSA-eligible, with the first-order discount stated to apply automatically at checkout rather than behind a code
Trade-offs
- The $200/mo applies to a 500 mg (2.5 mL) three-month plan paid upfront or financed, and the footnote adds that the actual price depends on the plan prescribed — so there is no month-to-month rate behind the headline
- The compounding pharmacy is never named beyond “Compounded in the U.S.A”, and the terms describe Wellorithm itself as a facilitator that does not practice medicine
- The site contradicts itself: the home page claims all 50 states while other pages say 49 (Louisiana excluded), the sermorelin page carries leftover NAD+ copy, and billing runs “every 28 days”, which is not a month
Shown for honest comparison — figures are as published on Wellorithm’s own site and can change without notice.
Synergy Rx
$275/mo
No human trial for this routeSub-Q injectionVisit Synergy RxDetailsA compounded NAD+ injection sold on the longevity shelf; no rigorous human trial supports the injected route for focus, energy or cognition.
Price: $275 / month month-to-month for the NAD+ injection, falling to $175/mo on three months ($525), $150/mo on six ($899) and $133/mo on twelve ($1,599). Glutathione is $275 and B-12 $109 on the same shelf
A Wyoming-registered telehealth brand — “SynergyRx, a Delaware corporation located at 5830 E 2nd St, Ste 7000 #2603, Casper, WY 82609”, in its own words — whose medical services are delivered by Usable Health, PC and whose CareGLP platform it says it owns. The longevity shelf is genuinely a shelf rather than a bolt-on: NAD+, sermorelin, glutathione, B-12 methylcobalamin and PT-141 all sold as subcutaneous injections, with hair, ED and compounded skin lines beside them. Its homepage FAQ names both its four dispensing pharmacies and its two prescribing physicians with their NPI numbers. What it will not publish is where it operates, what dose you would be prescribed, or a price its own terms do not reserve the right to depart from.
Read our full Synergy Rx review
Strengths
- Publishes a complete four-rung price ladder for NAD+ — $275 month-to-month down to $133 on a year — where most providers here publish one figure and leaves you to discover the rest
- The month-to-month rung is a genuine one: unlike its own GLP-1 shelf, where the three-month bundle costs more per month than paying monthly, the NAD+ ladder gets cheaper as it lengthens
- Names its four dispensing pharmacies with phone numbers and two prescribing physicians with verifiable NPI numbers in its homepage FAQ, and publishes unlimited 24/7 appointments, messaging and support
- Names the professional entity behind the prescriptions — medical services delivered by Usable Health, PC — where several companies here leave the prescriber unattributed
Trade-offs
- Its own terms warn that “the final charge to your credit card may fluctuate contingent upon the prescribed medication and the chosen pharmacy”, so none of the published figures is a price you can hold them to
- Its /about page advertises a “Money Back Guarantee” while the terms state that consult fees are non-refundable and all sales are final — a direct contradiction between two of its own pages
- Where it operates is not published: the terms say the service is “available to individuals located in certain states” and tell you to contact customer service for the list — and no NAD+ dose or strength is stated anywhere, so $275 cannot be compared per milligram
- Its pharmacy and clinician disclosure is real but it is not its own: the same four pharmacies and the same two physicians appear word for word on its CareValidate siblings, Breeze Meds among them, so it is shared white-label copy rather than an independent clinical bench
Shown for honest comparison — figures are as published on Synergy Rx’s own site and can change without notice.
Ageless
From $149/mo listed
No human trial for this routeSub-Q injection + oral trocheFDA warning letter to Lovely Meds, Inc. dba Lovely Meds, September 2025. It concerns the compounded GLP-1 line of Lovely Meds, Inc., which Try Ageless's own regulation page names as the operator of tryageless.com — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit AgelessDetailsInjected and oral-troche NAD+ sold for energy and healthy aging; no rigorous human trial supports either route for focus or cognition.
Price: Listed one-month shop prices: NAD+ 200 mg troche $149, NAD+ injection $169 for the 1,200 mg “high strength” and $199 for the 1,000 mg, methylene blue capsules $149. Ageless states on its own product pages that the final amount is shown after clinical review, so these are listings rather than rates
A compounded-telehealth shop (tryageless.com, Newark DE) whose prescribing runs through Wasef Health, PC of Pinellas Park, Florida. Its non-GLP-1 catalog is the deepest of any paid row here — NAD+ as a 1,000 mg or 1,200 mg injection and as a 200 mg troche, sermorelin as an injection, a troche and a nasal spray, oral methylene blue, MIC+B12, testosterone in three routes, and low-dose naltrexone — and none of it sits on a plan ladder: each is a flat one-month purchase from the shop. It is a different company from AgelessRx, which is also ranked here. The brand names its own operating entity three different ways across three of its own pages, and one of those three is the company the warning letter disclosed on this row is addressed to.
Strengths
- Names seven dispensing pharmacies in public — The Pharmacy Hub, Greenwich Rx, VialsRX, Partell Specialty, Believe Rx, Precision Compounding Pharmacy & Wellness and HealthWarehouse.com — more than any other row here, though the first of them is the same Miami facility Willow and System Labs also dispense through
- Two NAD+ routes, one of them a 200 mg troche at $149 for a reader who will not inject, with the milligram strength published on both — and the injection sold at a stated 1,000 mg or 1,200 mg rather than “starting at”
- Everything is a flat one-month shop purchase with no commitment ladder anywhere on the non-GLP-1 line, so there is no prepay rung dressed up as a monthly rate
Trade-offs
- The listed price is not the price. Ageless states on its own product pages that “exact pricing depends on your prescribed dose” and that the “final amount is shown after clinical review”, and it publishes three or four different numbers for the same product across its shop, its funnel and its hero
- Its own catalog is priced upside down: the 1,200 mg “high strength” injection is listed at $169 while the 1,000 mg is $199, so the stronger product is the cheaper one
- Its LegitScript seal ID returns nothing from LegitScript's own CDN and renders as a broken image, so we do not repeat the certification claim — and the /medical-experts/ page is unedited template filler, with one fictional doctor appearing twice under two different specialties
- Where it ships is not published anywhere, on a site whose own peptide page promises “State-smart — we tell you what's available in your state upfront”; and its refund policy names two different amounts for the same administrative fee and cites a “registered UK pharmacy” its main terms disclaim
Shown for honest comparison — figures are as published on Ageless’s own site and can change without notice.
yourEra
From $249/mo (gated)
No human trial for this routeRoute not published — “self-administered protocols”, format never namedVisit yourEraDetailsSold for vitality, recovery and mental clarity — the clarity claim has no human trial behind it by any NAD+ route, named or unnamed.
Price: Advertised from $249 / month, stated to include the provider evaluation, personalized protocol, medication and supplies, and ongoing check-ins; nothing beyond that entry figure is published outside the intake
A physician-directed telehealth clinic selling NAD+ alongside GLP-1 and microdosing programs. Its NAD+ therapy is advertised “from $249/mo” with an unusually specific inclusion list — the provider evaluation, a personalized protocol, the medication and supplies, and ongoing check-ins are all stated to sit inside that figure, and the site claims the same price at every dose. What it never states is what you would be taking: the copy says only “self-administered protocols designed by your clinician”, and the product photography shows a compounded vial. Injection is implied; it is not published. Everything past the entry figure is behind intake.yourera.com.
Strengths
- Publishes what the price includes — evaluation, protocol, medication, supplies, and ongoing check-ins — which the other two gated programs here never do
- States the same price at every dose, so a titration should not quietly raise the monthly figure
- A licensed clinician decides whether a prescription is appropriate, and the program is built around tracked check-ins rather than a one-time script
Trade-offs
- The delivery route is never published: “self-administered protocols” plus a vial in the photography implies an injection, and we will not print a route the provider itself declines to state
- $249 is an entry figure — the ladder above it sits behind the intake at intake.yourera.com, so the price you would actually pay is not knowable from the public site
- At $249/month it is roughly 2.7× CoreAge's flat $93, and no nurse or registered-dietitian support is bundled
Shown for honest comparison — figures are as published on yourEra’s own site and can change without notice.
Care Bare Rx
From $199/mo (gated)
No human trial for this routeRoute not published — “fast-acting or daily options” onlyVisit Care Bare RxDetailsMarketed for energy, focus and mood at the cellular level without naming a route — and no NAD+ route has a rigorous human cognition trial.
Price: Advertised “NAD+ THERAPY From $199/mo” on the home page only; the NAD+ product page publishes no price at all, and everything past that headline is behind a 6-step intake
Telehealth NAD+ from a general-wellness brand that also sells weight-loss, hair and sexual-health medications: you submit an online intake, a licensed provider reviews it within 24 hours, and the prescription ships if you are approved. The home page advertises NAD+ therapy “From $199/mo”. The NAD+ product page carries the line “Transparent pricing, no insurance required” and then shows no price whatsoever — the real figure, whether the consult is inside it, and which of the “fast-acting or daily options” you would receive all appear only after a six-step intake that collects your name, email and sex before it quotes anything.
Strengths
- A licensed provider reviews the intake within 24 hours and the prescription ships only if you are approved
- Names four dispensing pharmacies — Belmar with full street addresses — and four clinicians with NPI numbers, the most NPI-verifiable prescribers of any row here, though the list is shared white-label copy rather than its own
- Two NAD+ options are offered — a fast-acting and a daily one — rather than a single fixed protocol
- FSA- and HSA-eligible, with no insurance billed
Trade-offs
- The product page claims “Transparent pricing” while showing no price at all; the only figure published anywhere is the “From $199/mo” on the home page
- The real price, the inclusions and the format are all behind a six-step intake that asks for your name, email and sex before it will quote you
- Nothing states whether the clinician consult is inside the $199, so the all-in cost cannot be worked out until you are already in the funnel
- Its only mention of 503A compounding is a general sentence about how state boards regulate 503A pharmacies — not a statement about who fills its own prescriptions
Shown for honest comparison — figures are as published on Care Bare Rx’s own site and can change without notice.
Bodybuilding Health+
From $129/mo (gated)
No human trial for this routeRoute not published — no format stated for the NAD+ lineVisit Bodybuilding Health+DetailsSold explicitly on “cognitive clarity” — the one claim no NAD+ route, including our own #1 pick's, has a human trial to support.
Price: Advertised “NAD+ Starting at $129/mo”; no ladder, renewal terms or inclusions published — the real figure is set inside a height-and-weight quiz
The compounded-telehealth arm of the Bodybuilding.com brand, operated by Dynamo Group LLC. Its Longevity & Optimization program lists NAD+ next to sermorelin at “Starting at $129/mo”, sold on energy support, cognitive clarity and healthy-aging protocols. That sentence is the entire published pricing: there is no dose ladder, no renewal term and no statement of what the figure includes. The real number is produced by a quiz at start.bbhealthplus.com that opens by asking your height and weight. The same page states a route for sermorelin — “available in injection or tablet” — and states none for NAD+.
Strengths
- $129 is the lowest headline figure among our paid partners after our #1 pick's flat $93 — only Taurus Meds' $79 first-month promotion undercuts it anywhere here
- Displays a LegitScript certification badge and runs under an established consumer brand rather than an anonymous storefront
- Provider-guided and prescribed online, with NAD+ sold inside a defined longevity program rather than as a one-off add-on
Trade-offs
- “Starting at $129” is all there is — no dose ladder, no renewal terms, and no statement of what the price includes
- The real figure only appears after a height-and-weight quiz, and that quiz opens with a “$150 off your first month” banner, so whatever it quotes, the first month and the recurring rate are not the same number
- The NAD+ line names no delivery route at all, on a page that states the format for its sermorelin line — which makes the omission a choice rather than an oversight
Shown for honest comparison — figures are as published on Bodybuilding Health+’s own site and can change without notice.
Oak
Pricing not published
No human trial for this routeSub-Q injection (anti-aging program) + topical NAD+Visit OakDetailsNAD+ sold inside an anti-aging program by injection and as a topical; no rigorous human trial supports either route for focus, energy or cognition.
Price: Pricing not published. No non-GLP-1 program on Oak's site carries a price, and the figure is set only after the quiz and a clinician approval. We publish no estimate for it
A multi-program telehealth brand running six active lines: GLP-1, phentermine, an Anti-Aging program whose own consent text names MIC+B12 injections, glutathione, NAD+ and metformin, a sermorelin and tesamorelin program, erectile dysfunction, and a compounded skincare line that includes a topical NAD+. The prescribing network is Beluga Health, disclosed only inside the consent JSON rather than on any page. Six different legal entities appear across one website — Oak Longevity Holdings Corp, Oak Longevity Corp, Leaf Longevity Holdings Corp DBA Oak Longevity and Oaklovesyou LLC on the terms-of-use page, the last inside a second separately dated terms document appended below the first, plus Flow Longevity Holdings Corp and Mito Health Holdings Corp in the homepage footer.
Strengths
- The anti-aging program is real and is Oak's own: its consent text names NAD+, glutathione, MIC+B12 and metformin together, with a topical NAD+ in the skincare line — a wider non-GLP-1 shelf than several rows ranked above it
- A clinician has to approve the program before anything is dispensed, and the intake is a real quiz rather than an email-capture form
- It sells sermorelin and tesamorelin as a separate named program rather than folding them into the same checkout as the NAD+ line
Trade-offs
- No price is published for NAD+, glutathione, MIC+B12 or sermorelin anywhere on the site — the figure only exists after you have completed the quiz and been approved, so nothing about the cost can be checked in advance
- Its GLP-1 line, which is the only priced part of the site, advertises five mutually inconsistent figures across the home page, the meta description, two comparison tables and its own FAQ — which is the only evidence available about how Oak handles a number
- Where it operates cannot be established: one terms document says 45 states, the other points at a “States Where We Currently Operate” list said to be in the FAQ, and there is no FAQ — /faq, /faqs, /help and /states all 404 and none appears in the sitemap
- No compounding pharmacy is named, no clinician is named, no medical director is named, and there is no LegitScript seal ID anywhere in the markup, so the certification cannot be checked at all
- The home page says “No subscriptions” four times while the terms describe a subscription fee that may change and a subscription you may cancel; and its own Women's Health tile is wired to the anti-aging NAD+ intake, because no women's-health questionnaire exists in the catalog
Shown for honest comparison — figures are as published on Oak’s own site and can change without notice.
Eden
$158 all-in, first mo
No human trial for this routeInjection, nasal spray, topical cream, and a separate oral supplementFDA warning letter to Eden Health International Inc. dba Eden, June 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit EdenDetailsSold on “sharper focus & clarity” and “mental fog fades” — claims that neither the injection nor the nasal spray has a human trial behind.
Price: Injection “Starting at $119 first month”, nasal spray “Starting at $112 first month” — medication only. An Eden membership is required on top: $39 for the first month, then $99/month
A large longevity-and-metabolic telehealth brand (tryeden.com now resolves to eden.health) selling NAD+ across more routes than anyone else here: a self-administered subcutaneous injection at 200 mg/mL, a nasal spray, a topical face cream, and a non-prescription oral supplement. Prescribing runs through “Eden's network of licensed clinicians”; compounding through unnamed U.S. pharmacies that Eden says run third-party lot testing at FDA- and DEA-registered labs. The catch is structural rather than hidden: the advertised figure is the medication alone, and medication is not available without an active membership.
Strengths
- The widest route menu here — injection and nasal spray both orderable, plus a cream and an oral supplement
- Its LegitScript badge links through to LegitScript's own verification checker, rather than being a graphic that goes nowhere
- Membership genuinely buys something: on-demand medical support, no-cost follow-up consultations and free expedited shipping are all included
Trade-offs
- “Starting at $119” is medication only — the mandatory membership ($39 first month, $99/month after) is disclosed in an asterisked footnote, not in the headline
- The recurring medication price never appears as visible copy; the $186 and $127 figures exist only as structured-data variables in the page source, tied to a three-month plan
- The four named pharmacies and four named clinicians are all on the About page — none of it appears on the NAD+ product pages, where the supply chain is described only as a network
Shown for honest comparison — figures are as published on Eden’s own site and can change without notice.
bmiMD
$159/mo ($119 on 12-mo)
No human trial for this routeInjection and nasal sprayVisit bmiMDDetailsSold under an Anti-Aging heading for energy and focus. Neither the injection nor the nasal spray has a human cognition or energy trial behind it.
Price: NAD+ injection $159/month month to month. Three months is $149, billed once as $447. Six months drops it to $129 and twelve to $119. A nasal spray is sold on its own ladder.
An online intake reviewed by licensed clinicians, with compounded NAD+ shipped as an injection or a nasal spray from a state-licensed pharmacy. NAD+ sits in bmiMD's own Anti-Aging section beside sermorelin and glutathione. Every plan tile prints the total charge next to the per-month figure, so a prepay is visible without reaching a checkout, which most sellers here will not do. The clinician visit, 24/7 clinician access and shipping are inside the subscription, with no separate membership fee, and it offers a full refund if a clinician finds you ineligible.
Strengths
- Every rung is published with its total charge beside the monthly figure, before any intake
- A real month-to-month rung exists, so no prepay is needed to get a price at all
- The nasal spray is sold on its own published ladder rather than as an add-on
- Visit, clinician access and shipping are inside the price, with no membership
Trade-offs
- The advertised $119 is the twelve-month rate; month to month is $159, a third higher
- The pricing block opens on the 3-Month tab, so the default figure is a commitment rate
- The $198.90 it crosses out has no published basis and sits under a standing sale label
- The dispensing pharmacy is never named and no compounding class is stated
Shown for honest comparison — figures are as published on bmiMD’s own site and can change without notice.
Embody
$99/mo, either route
No human trial for this routeInjection and nasal sprayVisit EmbodyDetailsThe lander promises sharper memory and more energy and calls NAD+ a "fountain of youth peptide" — it is a coenzyme, and neither route it sells has a human cognition trial behind it.
Price: $99/month flat for the injection, and the same $99/month for the nasal spray, with the telehealth visit and the prescription included and no membership. Injections are offered from 500mg to 1000mg at that one price.
Embody sells compounded NAD+ two ways at a single flat monthly rate with the medical visit and the prescription inside it. There is no membership, no prepay tier and no contract, and shipping is free with one-to-two-day delivery. It names Red Rock Compounding Pharmacy among its partners and describes them as FDA-registered compounding facilities, which is more than the unnamed networks most sellers here cite. Ongoing care comes from its own nursing staff.
Strengths
- One flat $99 covers either route, with the visit and prescription included and no membership
- Names Red Rock Compounding Pharmacy rather than citing an unnamed network
- No prepay tier and no contract, so the published figure is one you can stop after a month
- The nasal spray costs the same as the injection, so the needle-free route carries no premium
Trade-offs
- The $99 is a sale rate against an implied $199, and the sale has no published end date
- One price covers 500mg to 1000mg, and which dose it buys is not settled before you order
- Its own comparison table puts rivals at $40 to $100 a month, a range that brackets its own $99
- The customer count differs between its two landers: 180,000+ here, 125,000+ on its sermorelin page
Shown for honest comparison — figures are as published on Embody’s own site and can change without notice.
He & She MD
$199/mo flat ($99 “from”, no term)
No human trial for this routeSub-Q injection (500–1,000 mg)Visit He & She MDDetailsInjected NAD+ marketed for energy and clarity, with no rigorous human cognition or energy trial behind the route — the same gap that sits behind our own #1 pick.
Price: $199/month for injectable NAD+, the same price at 500 mg and at 1,000 mg, with the prescription and telehealth visit included. The page also advertises "from just $99/month" and publishes no term, total or commitment for that figure anywhere.
A multi-vertical telehealth clinic — GLP-1s, hormones, hair and sexual health alongside longevity — selling physician-prescribed injectable NAD+ at one price across its whole dose range. The prescription, the telehealth visit and shipping are inside the $199, with no membership or separate consult fee, and the dose options run 500 mg to 1,000 mg at the same rate. Its NAD+ page leads with "Injectable NAD+ $199/month from just $99/month" and never states what the $99 requires, which is the one thing a reader most needs from it.
Read our full He & She MD review
Strengths
- Charges the same price at every dose in its range, so titrating from 500 mg to 1,000 mg does not reprice the plan — only three other providers here hold a dose-flat price
- The prescription and the telehealth visit are inside the monthly figure, with no membership fee and no separate consult charge
- Names the pharmacy that dispenses in full — F&F Pharmacies Inc, doing business as Jungle Jim's Pharmacy, with a street address and a phone number — where most providers here stop at "a licensed US pharmacy"
Trade-offs
- The advertised "$99/month" has no published terms at all: no plan length, no charged total and no commitment language appears anywhere on the NAD+ page, so the number the marketing leads with cannot be checked before you hand over a medical history. Budget against the $199 the same page prints
- $199 is the standing rate, more than double our #1 pick's flat $93 for the same injected route
- No 503A or 503B compounding classification is stated for the named pharmacy anywhere on the site, so who is permitted to compound it is not published
Shown for honest comparison — figures are as published on He & She MD’s own site and can change without notice.
Not currently a paid partner — shown for honest comparison, same evidence standard applied
AgelessRx
From $185/mo
No human trial for this routeInjection, nasal spray, transdermal patchVisit AgelessRxDetailsNo peer-reviewed human trial shows that intranasal or transdermal NAD+ raises cellular NAD+ at all.
Price: Injection from $185–235/mo; nasal from $125; patch from $160
A U.S. longevity-telehealth clinic with a real questionnaire → video → prescriber-review flow and a broad Rx menu (NAD+, plus metformin, LDN, and rapamycin). NAD+ is offered as a self-administered injection, an intranasal spray, or a battery-powered iontophoresis patch, marketed for energy and healthy aging. Cash-pay only, no insurance.
Strengths
- Among the most credible longevity-telehealth operators — genuine licensed-prescriber review, not a rubber stamp
- Widest NAD+ menu here (injection, nasal, and active iontophoresis patch) so you can match the format to your preference
- Injection plans start around $185/mo — closer to CoreAge than the IV-clinic crowd
Trade-offs
- Cash-only with a 'longevity Rx' framing; no nurse or registered-dietitian consults bundled like CoreAge
- Its nasal and patch absorption claims are unproven — no peer-reviewed human trial shows intranasal or transdermal NAD+ raises cellular NAD+
- Per-format pricing means your all-in cost depends on which delivery you pick
Shown for honest comparison — figures are as published on AgelessRx’s own site and can change without notice.
Hone Health
~$190/mo
No human trial for this routeInjectionVisit Hone HealthDetailsA self-administered injection is the more plausible NAD+ route, but no human cognition or energy trial supports it.
Price: Injection $165/mo + $25/mo membership (~$190)
A well-funded ($33M Series A, Jan 2025) telehealth clinic centered on men's hormone optimization, with good doctor reviews and a legitimate prescriber flow. NAD+ is offered as a self-administered injection — an add-on to its core TRT-style catalog rather than the hero product.
Strengths
- Real, well-capitalized clinic with solid prescriber reviews
- Self-administered injection bypasses the gut, the more plausible NAD+ route
Trade-offs
- Stacked fees — the medication, a consult, and a $25/mo membership add up to roughly $190 vs CoreAge's flat $93
- TRT-centric: NAD+ is an add-on, not a dedicated program, and no nurse/dietitian support is bundled
- Membership-plus-medicine billing draws complaints about the true ongoing cost
Shown for honest comparison — figures are as published on Hone Health’s own site and can change without notice.
Invigor Medical
From $340/mo
No human trial for this routeInjection + oralVisit Invigor MedicalDetailsInjectable and oral NAD+ marketed to boost energy and support cognition, with no outcome trial behind either claim.
Price: Starting at $340 / month (includes doctor consult and supplies)
A 100%-online clinic (“prescribed by U.S. doctors”) that ships NAD+ injection or oral NAD+ to your door with the doctor consult and supplies bundled into the price. Invigor markets NAD+ to boost energy and support cognition. A starter fee and first-month promotions can apply.
Strengths
- Consult and supplies bundled into the advertised price
- Long-running telehealth catalog with both injectable and oral NAD+ options
Trade-offs
- Starting price ($340/month) is the highest in this comparison and well above CoreAge's flat $93
- Starter fee and shifting first-month promotions make the true ongoing cost harder to pin down
- No included nurse or registered-dietitian support
Shown for honest comparison — figures are as published on Invigor Medical’s own site and can change without notice.
Yucca Health
From $215 (gated)
No human trial for this routeInjectionVisit Yucca HealthDetailsMarketed to “support cellular energy, focus, metabolism and healthy aging” — restrained wording, still with no cognition trial behind the injection.
Price: “NAD+ As low as $215” in its own treatment menu; a promotional badge image reads “Exclusive $158 per month lowest price ever, 3 month plan”. Checkout routes to an intake quiz, so the charged figure is gated
A telehealth brand selling a personalized compounded NAD+ injection program alongside GLP-1s and sermorelin. Prescribing is described as licensed U.S. providers reviewing an intake; the pharmacy is described only as a partner. It stands out for saying the quiet part out loud in its own copy — that compounded medications are not FDA-approved, that NAD+ is not appropriate for everyone, and that injection-site reactions, nausea, fatigue, headache, flushing and dizziness may occur.
Strengths
- The clearest compounding-safety disclosure here — states plainly that compounded NAD+ is not FDA-approved and lists the side effects
- Marketing is unusually restrained: “support cellular energy, focus, metabolism and healthy aging”, with no brain-fog cure claim
- LegitScript badge links through to LegitScript's own verification checker
Trade-offs
- The $158 figure exists only as a PNG badge, so it can go stale invisibly and cannot be read by anything that is not a human eye
- That $158 is a promotional “lowest price ever” tied to a three-month plan, against a standing “as low as $215”
- Neither the pharmacy nor any clinician is named, and the real price sits behind an intake quiz
Shown for honest comparison — figures are as published on Yucca Health’s own site and can change without notice.
Maves
$169/mo after intro
No human trial for this routeInjectionVisit MavesDetailsPromises “sharper focus, mental clarity, and a more switched-on feeling” — the exact outcome no NAD+ injection trial has measured.
Price: $149 for the first month, then $169/month on the three-month plan; $159 first month, then $179/month billed monthly. The homepage card advertises only the $149
A performance-framed telehealth brand — a consumer front end on the Homera Health platform, which is where its own login lives — selling a compounded NAD+ injection with a home kit included. Clinicians are licensed in all 50 states but not named, and no compounding pharmacy is named. Its plan selector is honest in a way its homepage is not: it prints the intro rate and the standing rate side by side.
Strengths
- The plan selector prints “first month” and “/mo after” next to each other, so the real ongoing rate is one click from the headline
- 24/7 clinical messaging with a clinician and no-appointment dose adjustments are included, with an explicit “no hidden or additional fees”
- Writes about NAD+ more carefully than most — “NAD+ is a tool in the stack, not a substitute for the fundamentals”
Trade-offs
- The homepage card says “Starting at $149/month” when $149 is a first month only; the ongoing rate is $169 or $179 depending on plan
- Two “save” badges — $20 off and $81 off — render on the same card at the same time
- Neither the pharmacy nor any clinician is named, and the NAD+ page never states whether the injection is subcutaneous or intramuscular even though the sermorelin page does
Shown for honest comparison — figures are as published on Maves’s own site and can change without notice.
Obu Health
From $219/mo
No human trial for this routeInjectionVisit Obu HealthDetailsSold as “supporting energy, mental clarity, and cellular health” — none of which the injectable route has a trial for.
Price: “Starting From $219”, stated as $219 per month in the product page's closing block. Its own comparison table claims a $129 starting price that matches nothing it sells
A Las Vegas-based multi-product telehealth storefront selling a self-administered compounded NAD+ injection. Its supply-chain disclosure is among the most detailed here: two compounding pharmacies named with street addresses and phone numbers, a named provider network (MD Integrations), and individual physicians listed with their state license numbers — the last of which no other row here publishes. The quality control on its own marketing does not match.
Strengths
- Names both compounding pharmacies with full addresses and phone numbers, plus its provider network and individual physicians with license numbers
- Doctor consultation, ongoing care and dose adjustments are stated as included, and the plan can be paused or canceled at any time
- The product page does eventually state a billing period — “$219 /per month” — which several providers here never do
Trade-offs
- A testimonial on the homepage is unreplaced lorem ipsum, carrying a “Verified” badge
- Its comparison table advertises a $129 starting price; nothing on the site costs $129, and the cheapest product listed is $149
- Claims “FDA-approved options” while selling compounded NAD+ and compounded GLP-1s, with no “compounded medications are not FDA-approved” disclosure anywhere we could find — and its LegitScript badge is a self-hosted image that links nowhere
Shown for honest comparison — figures are as published on Obu Health’s own site and can change without notice.
Taurus Meds
$79 first mo (gated)
No human trial for this routeInjectionVisit Taurus MedsDetailsAdvertises “improve focus & mental clarity” and relief from brain fog — the claim with no human trial behind it on any NAD+ route.
Price: “Limited Time: $79 for your first month. Auto-applied at checkout.” The struck-through $179 beside it carries no billing period at all, and no recurring rate is published anywhere on the page
A TRT- and peptide-focused direct-to-consumer platform that sells a 200 mg/mL, 5 mL bottle of compounded NAD+ as an at-home injection with the kit included. Shipping is from an unnamed licensed U.S. pharmacy; no clinician is named, and the footer states plainly that Taurus is not a laboratory or a medical provider. It is the only row here whose ongoing price is not published in any form.
Strengths
- The lowest first-month figure here, at $79 with the discount auto-applied rather than hidden behind a code
- Publishes the actual concentration and volume — 200 mg/mL, 5 mL per bottle — which most providers here do not
- Its LegitScript badge links through to LegitScript's own verification checker, and the page carries an explicit note that these therapies are not FDA approved
Trade-offs
- No recurring price is published anywhere — the $179 it strikes through carries no billing period, so what you pay in month two is unknowable before you buy
- No clinician is named and no compounding pharmacy is named; the footer states outright that Taurus is not a medical provider
- No coaching, consult or support component is offered at all
Shown for honest comparison — figures are as published on Taurus Meds’s own site and can change without notice.
Bioverse
From $259/mo (12-mo plan)
No human trial for this routeInjection; a separate topical NAD+ face creamFDA warning letter to Bioverse, Inc. dba Bioverse, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit BioverseDetailsTells buyers an energy increase is “often felt within one to two hours after injection” — a timing claim no trial of the injectable route has measured.
Price: “Starting at $339” beside “$259/mo”; the page's own footnote ties the $259 to a twelve-month plan, benchmarked against twelve competitors
A longevity telehealth brand selling a self-administered subcutaneous NAD+ injection in eighteen states, filed on its own site under a category called “Energy & Cognitive Function”. A licensed provider reviews the intake and prescribes only if appropriate, and the site states plainly that you are charged only if a provider prescribes. It also prints the disclosure most of this field omits: that the FDA does not verify the safety, effectiveness or quality of compounded drugs.
Strengths
- Charges only if a provider actually prescribes — “you'll only be charged if a provider determines that treatment is right for you”
- States on its own page that the FDA does not verify compounded drugs for safety, effectiveness or quality
- The injection route is spelled out down to the injection sites, rather than left to a diagram after checkout
Trade-offs
- Two prices sit side by side in the same hero, and the cheaper one is a twelve-month commitment rather than a monthly rate
- Available in eighteen states only, and no compounding pharmacy or individual clinician is named
Shown for honest comparison — figures are as published on Bioverse’s own site and can change without notice.
Ivim Health
$204/mo all-in
No human trial for this routeInjectionFDA warning letter to Ivim Services LLC dba Ivim, February 2026. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit Ivim HealthDetailsMarketed as “supports focus and mental clarity” — supportive wording for an outcome the injectable route has never been trialled on.
Price: $129 for a one-month supply PLUS a $75/month membership. The $74.50/mo figure on the same page is a two-month prepay billed as $149 upfront, not a standing rate
A metabolic-health telehealth platform whose NAD+ injection is prescribed and monitored weekly by an Ivim clinician. The structure is a membership plus a medication charge, and the membership is the care: it buys continued access to a care team, and NAD+ is included at no extra medication cost for existing members. The NAD+ line is absent from the homepage product grid, so a homepage-only check would wrongly conclude they do not sell it.
Strengths
- The medication price and the membership price are both printed on the same page, so the all-in figure is computable before any intake
- Weekly clinician monitoring rather than a shipped vial and silence — the membership is an ongoing-care product, not a fee
- Existing members pay nothing extra for NAD+, which is genuinely cheaper than a second subscription
Trade-offs
- The $129 is only two-thirds of the cost; the $75/month membership is mandatory and is what makes the real figure $204
- A separate landing page runs a 60%-off promotional framing against the same product, so which number you meet depends on which page you land on
Shown for honest comparison — figures are as published on Ivim Health’s own site and can change without notice.
Telos Rx
From $116/mo (gated)
No human trial for this routeNasal sprayVisit Telos RxDetailsPromises “cleaner cognition, smoother focus, and a steadier mental edge” — the nasal route has no cognition trial of any kind behind it.
Price: “As low as $249 $116 per month”, with the $249 struck through, alongside “Your price depends on plan length.” The plan tiers are only quoted after the online visit
An intranasal-only NAD+ program — no needle, no drip — run by Superior Health Solutions. It is among the most forthcoming operators here about who actually handles the medicine: it names both of its compounding pharmacies with street addresses, and it names the clinical group whose licensed clinicians review the intake, typically within four hours. What it will not tell you before the visit is what you will pay.
Strengths
- Names both compounding pharmacies with addresses and the clinical group behind the prescriptions — one of seventeen rows here that name a pharmacy at all, and it publishes their street addresses
- Its LegitScript badge is a live link through to LegitScript's own validation record, rather than a graphic that goes nowhere
- 24/7 unlimited clinician messaging, quarterly labs and dose adjustments are all included, with free 48-hour shipping and no cancellation penalty
Trade-offs
- “As low as $116” is the floor of a ladder whose rungs are only quoted after an online visit, so nothing published is a price you can hold them to
- It claims availability in all 50 states while also stating that one of its named pharmacies is not licensed to dispense sterile compounds in ten of them, including California and Texas
- Nasal spray only — no injectable route, so a reader set on the needle is in the wrong place
Shown for honest comparison — figures are as published on Telos Rx’s own site and can change without notice.
HealthOn
Varies — the site conflicts
No human trial for this routeInjection + nasal sprayFDA warning letter to Healthon Inc. dba Healthon, September 2025. It concerns its compounded GLP-1 line — the letter does not mention NAD+. Look it up in the FDA warning-letter database
Visit HealthOnDetailsSold on “cognitive clarity” and “improve cognitive function” — the claim no NAD+ route, by injection or spray, has a human trial to support.
Price: Three figures for one product. The injection page headline reads “From $195 / month”; the PRICING DETAILS block on that same page reads “$350 per month”; the site's own navigation reads “Starting at $150 /mo*”. The nasal spray repeats the pattern at “From $110/month” against “$325 per month”
A multi-category telehealth platform at healthon.com — not to be confused with HealthRX at healthrx.com, a separate company ranked further up this site — selling compounded NAD+ as a vial injection dosed two to three times weekly and as a nasal spray dosed one to three times weekly. Consultations are by same-day video with a licensed clinician, and the plans are sold as a subscription with a bundle discount at three and four months. We record no headline price for it because it does not have one.
Strengths
- Two routes and real dosing detail — milligrams per dose and doses per week are published for both the injection and the spray, which most of this field omits
- Same-day video consultation with a licensed clinician rather than an asynchronous form
- A named ongoing-care program with one-to-one guidance is bundled into the subscription
Trade-offs
- Three prices for the same NAD+ injection appear on its own site — $195, $350 and $150 a month — so no figure here can be relied on, which is why we publish none
- The LegitScript badge is a self-hosted image that links to no verification record, and no compounding pharmacy or individual clinician is named
Shown for honest comparison — figures are as published on HealthOn’s own site and can change without notice.
LifespanningRx
From $225/mo
No human trial for this routeInjectionVisit LifespanningRxDetailsLists “cognitive clarity and mental performance” among what the program supports — an outcome injected NAD+ has never been trialled on.
Price: “From $225.00”: $225.00 for a one-month supply and $590.00 for three months, against a banner offering “Buy 2 months, Get 1 free” on a quarterly subscription
A longevity and peptide telehealth brand (Lifespanning Media Corp., Miami) selling a high-dose NAD+ program with the telehealth visit and prescription included in the price and no membership fee stacked on top. Prescribing runs through board-certified, U.S.-licensed providers; compounding through unnamed 503A/503B pharmacies.
Strengths
- The advertised figure is the whole figure — the telehealth visit and prescription are included and the site states plainly that there are no membership fees
- Only two tiers, both published, so the ladder can be read in full before you start rather than after an intake
- 24/7 support is stated as part of the program rather than sold separately
Trade-offs
- The route appears only in the page title; the product copy itself never states how the medicine is taken, which is a strange omission on a page selling a compounded drug
- The three-month tier works out at about $197 a month, so the “From $225.00” headline is the most expensive way to buy it
- No compounding pharmacy and no individual clinician is named, and the LegitScript badge is a self-hosted image rather than the official seal
Shown for honest comparison — figures are as published on LifespanningRx’s own site and can change without notice.
Tru Niagen
$49 (oral)
Human trials on the moleculeOral (300mg Niagen NR capsule; also stick packs)Visit Tru NiagenDetailsMultiple human RCTs show patented Niagen NR meaningfully raises blood NAD+ — none of them show sharper focus.
Price: $49 / 30ct (~$39 on subscription)
A supplement, not a telehealth program. Tru Niagen (ChromaDex) delivers 300mg of patented Niagen nicotinamide riboside (NR) daily, the most clinically studied NAD+ precursor. It is Alkemist Assured third-party verified, with higher-dose and stick-pack formats NSF Certified for Sport. You buy it directly — no intake, no clinician, no prescription.
Strengths
- Strongest evidence in the category — multiple human RCTs show NR meaningfully raises blood NAD+
- Genuinely third-party verified (Alkemist Assured; NSF Certified for Sport on some formats) — ChromaDex's own 2025 study found 87% of competitor NR products failed label claims while Niagen passed
- Lowest entry price here and no consult to schedule — just buy the bottle
Trade-offs
- An over-the-counter supplement with no clinician review, candidate screening, or prescribed protocol
- Raising blood NAD+ is not the same as improving cognition or energy — no rigorous trial shows NR sharpens focus
- Premium per-dose price and aggressive 'clinically proven' marketing; no nurse or dietitian support
Shown for honest comparison — figures are as published on Tru Niagen’s own site and can change without notice.
Thorne (NiaCel 400)
Pricing varies
Human trials on the moleculeOral (NiaCel 400 — ~415mg NR malate capsule)Visit Thorne (NiaCel 400)DetailsNR is the best-evidenced NAD+ precursor in humans, but the trials used patented Niagen, not the NR-malate form here.
Price: Pricing varies (~mid-range across retailers)
Thorne is a practitioner-favored supplement brand known for broad third-party certification. NiaCel 400 supplies roughly 415mg of nicotinamide riboside (as NR malate) per serving and is NSF Certified for Sport. Like all supplements here, you buy directly — there is no intake, clinician review, or prescription.
Strengths
- Trusted, widely third-party-certified brand; NiaCel 400 is NSF Certified for Sport
- Uses NR, the best-evidenced precursor for raising NAD+, at a generous per-serving dose
Trade-offs
- Over-the-counter supplement — no clinician oversight or candidate screening
- Pricing is opaque and varies across retailers; the NR-malate form differs from the patented Niagen used in trials
- Higher blood NAD+ does not equal proven cognitive or energy benefit; no nurse/dietitian support
Shown for honest comparison — figures are as published on Thorne (NiaCel 400)’s own site and can change without notice.
Renue By Science
$84.95 (oral)
No human trial for this routeOral (liposomal capsules, sublingual)Visit Renue By ScienceDetailsOral liposomal NAD+/NMN bioavailability is debated and, like nasal NAD+, lacks rigorous cognition outcome trials.
Price: NAD+ Complete (liposomal) $84.95; NMN from ~$40
A supplement retailer, not a telehealth provider. Renue sells liposomal NAD+ and NMN capsules and sublingual tabs marketed for cellular energy and healthy aging, with an emphasis on liposomal bioavailability. You buy directly — there is no intake, no clinician review, and no prescription.
Strengths
- Lowest entry price and no consult to schedule — just buy the bottle
- Oral option for people who do not want an injection or nasal spray
Trade-offs
- No clinician review or candidate screening — it is an over-the-counter supplement, not a prescribed protocol
- Oral NAD+/NMN bioavailability is debated and, like nasal NAD+, lacks rigorous cognition outcome trials
- No nurse or dietitian support; you are on your own for dosing and questions
Shown for honest comparison — figures are as published on Renue By Science’s own site and can change without notice.
CeliaRx
$399/fill (no subscription)
No human trial for this routeInjection (NAD+, sermorelin); nasal spray (PT-141); topical (peptide skincare)Visit CeliaRxDetailsNAD+ injectable sold under a general "Brain Health" category with no route-specific cognition claim stated on the page — and, as with every NAD+ route here, no rigorous human cognition trial exists behind it.
Price: NAD+ injectable $399/fill; sermorelin injectable $349/fill; PT-141 nasal spray $349/fill — each a one-time per-fill price, not a subscription — plus a separate $55 one-time Celia Onboarding Consultation (15 minutes)
CeliaRx is organized as eight à-la-carte product categories — Longevity, Immunity, Weight & Metabolism, Skin & Hair, Gut Health, Brain Health, Performance & Recovery, and Libido — rather than a single subscription plan. NAD+, sermorelin and PT-141 are each sold per fill at a fixed price with no monthly tier to compare against the telehealth NAD+ programs elsewhere here. A separate $55 one-time consultation fee applies before any prescription. Prescribing is routed through a named third-party telemedicine group, Qualiphy, rather than CeliaRx's own in-house clinical staff. The pharmacy is disclosed only as "a long-established, full-service pharmacy operating since 1991" and stated to be 503A-fulfilled — not named directly. A LegitScript badge is displayed. The pharmacy is described as licensed to serve patients in all 49 U.S. states, with specific exclusions confirmed only at intake.
Strengths
- The only provider here with a named "Brain Health" product category, alongside NAD+, sermorelin and PT-141 sold individually rather than bundled into a single plan
- Per-fill pricing is genuinely published for each product — $399, $349, $349 — rather than gated behind an intake, and a reader who only wants one item is not forced into a subscription
- LegitScript badge displayed, and the pharmacy is described as 503A-fulfilled and operating since 1991, even though it is not named directly
Trade-offs
- No monthly rate exists to compare against this site's telehealth NAD+ subscriptions — a reader has to do the per-fill math themselves, and refill cadence is not published
- Prescribing runs through a named third-party telemedicine group, Qualiphy, rather than CeliaRx's own clinical staff — a materially different trust model than a provider that names its own prescribers
- A separate $55 one-time onboarding consultation sits on top of the per-fill price, and the pharmacy itself is never named beyond "operating since 1991"
Shown for honest comparison — figures are as published on CeliaRx’s own site and can change without notice.
EdgeRx
From $99/mo (NAD+ tier)
No human trial for this routeRoute not published — protocol/tier pricing only, individual product routes not statedVisit EdgeRxDetailsNAD+ sold inside an "Energy, Longevity & Cognition" tier name — the closest any provider here comes to a direct cognition claim in its own category label — with no rigorous human cognition trial behind the route regardless.
Price: "Energy, Longevity & Cognition" tier (NAD+ + glutathione) from $99/month; sermorelin priced separately under "Recovery & Vitality" from $199/month; GHK-Cu $199/month flat under a third tier — the $99 floor does not include sermorelin or GHK-Cu
EdgeRx is explicitly positioned as "PRESCRIPTION PROTOCOLS FOR MEN" — a men's-only telehealth brand, not a general-audience clinic. Its catalog is organized into five priced tiers rather than individual product pages; the one relevant here, "Energy, Longevity & Cognition," bundles NAD+ and glutathione protocols starting at $99/month, while sermorelin sits in a separate "Recovery & Vitality" tier from $199/month and GHK-Cu sits in a third, "Skin, Hair & Aesthetics," at a flat $199/month. Named Chief Medical Advisor Dr. John Starke, MD (ABEM board-certified) does not personally prescribe; the prescribing pool is an unnamed pool of licensed physicians. The named compounding pharmacy is Strive Pharmacy (503A, operating since 2018). A LegitScript certification badge is displayed, and third-party lab testing is claimed without naming a specific lab. States served: 46, excluding Arkansas, Indiana, Minnesota, and South Carolina.
Strengths
- Prices an explicit "Energy, Longevity & Cognition" category by name, starting at $99/month — the lowest entry point here after our own #1 pick and a handful of gated first-month teasers
- Names both a Chief Medical Advisor (Dr. John Starke, MD, ABEM board-certified) and a compounding pharmacy (Strive Pharmacy, 503A, since 2018) — more supply-chain disclosure than most of this field
- LegitScript certified, with third-party lab testing claimed on top of the standard telehealth intake-and-prescribe flow
Trade-offs
- Explicitly men's-only — "PRESCRIPTION PROTOCOLS FOR MEN" — which makes it a poor fit for roughly half of this site's readers even where the product itself would otherwise qualify
- The $99/mo floor covers only NAD+ and glutathione together, not a standalone NAD+ price — sermorelin and GHK-Cu are priced separately and higher, and no individual per-product route is published
- Dr. Starke is a named medical figurehead who does not personally prescribe; the actual prescribing pool is unnamed licensed physicians, and the site excludes four states (Arkansas, Indiana, Minnesota, South Carolina)
Shown for honest comparison — figures are as published on EdgeRx’s own site and can change without notice.
The Edit
$249/mo
No human trial for this routeInjection + nasal sprayVisit The EditDetailsInjected and intranasal NAD+ sold for energy and focus; neither route has a rigorous human cognition trial behind it.
Price: $249 / month for the injection, printed identically on all three surfaces that carry it
The Edit prices its NAD+ injection at $249 a month with no floor language anywhere — no struck-through anchor, no limited-time first month, no prepay ladder, all of which its own GLP-1 pages carry. The Pharmacy Hub is named as the compounding pharmacy on the NAD+ page itself rather than only sitewide. The provider visit, ongoing care, injection supplies and temperature-controlled shipping are all itemized as included.
Strengths
- A single figure, identical on all three surfaces that print it, with no floor language
- The Pharmacy Hub is named on the NAD+ page itself, not merely sitewide
- Visit, supplies and shipping are itemized as included rather than implied
Trade-offs
- No dose is published, so the price cannot be compared per milligram
- State coverage is a conditional sentence about provider licensing, not a list
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on The Edit’s own site (read September 2026) and can change without notice.
Mondae
$129/mo
No human trial for this routeSub-Q injectionVisit MondaeDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $129 / month month-to-month; $279 total for three months, which Mondae itself prints as $93/mo
Mondae sells a NAD+ injection at $129 a month, or $279 prepaid for three months. Its homepage prints “From $93 / Billed monthly”, and $93 is not billed monthly — it is the three-month prepay divided by three, so the headline understates the real monthly rate by 39%. Greenwich is named as the pharmacy on the NAD+ page itself. The page says “per month” without ever stating a day count.
Strengths
- A genuine month-to-month rate exists and is published, not only a prepay
- Greenwich is named as the compounding pharmacy on the NAD+ page itself
- The three-month prepay total is printed in full, so the discount can be checked
Trade-offs
- The homepage's “$93 Billed monthly” is the prepay rate mislabeled — the monthly plan is $129
- The NAD+ page states a cycle of “per month” with no day count
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Mondae’s own site (read September 2026) and can change without notice.
Alinwell
$199/mo
No human trial for this routeSub-Q injectionVisit AlinwellDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $199 / month at the walked checkout — while the homepage advertises the same product at $249/mo
Alinwell's peptides page lists NAD+ injection from $199 a month and the checkout charges exactly that, with no intro discount and no prepay ladder. Its homepage, the same day, prices the same product at $249. Both are visible text and nothing on the site reconciles them; the sermorelin line carries an identical split. Certificates of analysis are published, naming Vios Compounding Pharmacy — though two of the four names on those documents are testing laboratories.
Strengths
- The advertised floor and the charged checkout figure agree at $199
- Certificates of analysis are published, with Vios named on the NAD+ document
- No intro discount and no prepay ladder, so the rate does not step up
Trade-offs
- NAD+ is priced $199 on one visible page and $249 on another, the same day
- Two of the four names on the published certificates are testing laboratories, not the pharmacy
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Alinwell’s own site (read September 2026) and can change without notice.
Bayan Health
$99/mo
No human trial for this routeInjection, nasal spray, oral capsuleVisit Bayan HealthDetailsInjected, intranasal and oral NAD+ sold for energy and focus; none of those routes has a rigorous human cognition trial behind it.
Price: $99.00 / month for the injection, printed with no “from” and confirmed at checkout
Bayan prints $99.00 a month for its NAD+ injection with no floor qualifier, and the walked checkout confirms it as a recurring monthly total. A nasal spray is $119.00 and an oral capsule line is $159.00 a month across three fixed installments, so each route carries its own figure. The consult is itemized as included and shipping is free. No pharmacy is named: 503A and 503B are stated together sitewide, and the homepage then says 503A only.
Strengths
- The lowest published monthly injection figure here, with no floor language on it
- Three routes priced separately rather than one headline covering all of them
- The physician consultation is itemized as included in the monthly figure
Trade-offs
- No pharmacy is named for NAD+ — only a 503A/503B class, stated sitewide
- No phone number is published anywhere on the site
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Bayan Health’s own site (read September 2026) and can change without notice.
Believe Health
$199/mo
No human trial for this routeSub-Q injectionVisit Believe HealthDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $199 / month, published as a floor and confirmed as the only plan at checkout
Believe Health lists NAD+ at “from $199/mo” and the walked checkout offers exactly one plan at that figure, with free shipping and a home injection kit — so the floor and the rate coincide. Two things matter for comparison: its NAD+ plan and payment screens are byte-for-byte the same pages Longevixx serves, down to the same six named patient testimonials, and the “what's included” panel on a NAD+ order leads with GLP-1 medication copy.
Strengths
- The advertised floor and the charged rate are the same number
- A home injection kit is included rather than bought separately
- One month at a time, with no contract
Trade-offs
- The NAD+ plan and payment screens are byte-identical to Longevixx's, testimonials included — not two independent options
- The “what's included” panel on a NAD+ order leads with GLP-1 medication copy
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Believe Health’s own site (read September 2026) and can change without notice.
Longevixx
$199/mo
No human trial for this routeSub-Q injectionVisit LongevixxDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $199 / month, published as a floor with the same single plan at checkout
Longevixx lists NAD+ at “from $199/mo” and the checkout offers one plan at that price with free shipping and an injection kit. It is listed for completeness rather than as an independent alternative: its NAD+ plan and payment screens are byte-for-byte the same pages Believe Health serves, walked the same day, with the same six named patient testimonials. Its homepage sells lab-informed dosing while no NAD+ surface mentions labs at all.
Strengths
- The published floor matches the only plan the checkout offers
- The figure and its cycle both appear before any intake
- Free shipping and an injection kit are included in the figure
Trade-offs
- Not independent of Believe Health — the NAD+ plan and payment screens are byte-identical
- The homepage sells lab-informed dosing while no NAD+ surface mentions labs
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Longevixx’s own site (read September 2026) and can change without notice.
AHBARx
$299/mo
No human trial for this routeInjection + nasal sprayVisit AHBARxDetailsInjected and intranasal NAD+ sold for energy and focus; neither route has a rigorous human cognition trial behind it.
Price: $299 / month for the injection at checkout with no code; the nasal spray is $279
AHBARx's standing month-to-month rate for its NAD+ liquid is $299, confirmed at checkout with no discount code, and its nasal spray is $279. The same three product ids are also sold at $194, $259 and $454 on another of its pages — first-order-only intro prices conditional on a code, which that page does not make plain. Consult, provider messaging and free shipping are itemized at checkout. No pharmacy is named for NAD+.
Strengths
- A standing rate confirmable at checkout without a discount code
- Two routes sold, each with its own checkout-confirmed figure
- Consult, messaging and shipping itemized rather than implied
Trade-offs
- The same three product ids carry two different price sets on two of its own pages
- The cheaper set is first-order-only and conditional on a code the page does not explain
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on AHBARx’s own site (read September 2026) and can change without notice.
Magnolia Regen
$149/mo
No human trial for this routeSub-Q injectionVisit Magnolia RegenDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $149.00 / month month-to-month ($249.00 for the NAD+/glutathione blend)
Magnolia's month-to-month NAD+ plan is $149.00. Every $135 the site advertises is $405.00 billed every three months divided by three, and every $225 is $675.00 divided the same way — arithmetic that is exact and that the site never shows. Prices sit behind the intake rather than on a public product page. Coverage is a named 26-state list including Washington D.C., which is narrower than most and, unusually, actually enumerated.
Strengths
- A genuine month-to-month plan exists alongside the prepay
- The 26 served states are named explicitly rather than claimed as “all 50”
- The prepay totals divide exactly, so the discount can be checked
Trade-offs
- The advertised $135 and $225 are prepay-derived per-month figures published without that qualifier
- No NAD+ price is readable before the intake
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Magnolia Regen’s own site (read September 2026) and can change without notice.
Goldspan Health
$199/28 days
No human trial for this routeSub-Q injectionVisit Goldspan HealthDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $199 with the plan card reading “Billed every 28 days” — thirteen charges a year, not twelve
Goldspan offers exactly one NAD+ plan, so its “From $199” floor and its standing rate coincide. The figure is not monthly: the hero says “From $199 /month” and the payload calls the cadence monthly, while the plan card on the same page says “Billed every 28 days”. Thirteen charges across a year is $2,587 rather than $2,388, and the site publishes no annual figure and no per-month equivalent to resolve the two. 503A and 503B are stated as a class with no facility named.
Strengths
- Only one plan exists, so there is no prepay ladder to misread
- The 28-day cycle is disclosed on the plan card rather than hidden entirely
- Coverage is stated as all 50 states and D.C. on the NAD+ page itself
Trade-offs
- “/month” and “Billed every 28 days” appear on the same page — thirteen charges a year
- No annual figure or per-month equivalent is published to resolve the contradiction
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Goldspan Health’s own site (read September 2026) and can change without notice.
Auren Rx
$125–$219/mo
No human trial for this routeInjection, nasal spray, creamVisit Auren RxDetailsInjected, intranasal and oral NAD+ sold for energy and focus; none of those routes has a rigorous human cognition trial behind it.
Price: $125/mo to $219/mo on subscription and $155 to $249 one-off; the page loads on $179
Auren publishes eleven NAD+ figures on a single page: seven recurring subscription rates and seven matching no-commitment prices, driven by a format-by-strength-and-size selector. That is real disclosure rather than a floor with the ladder hidden, and three routes are sold. The difficulty is which number a reader leaves with — the marketing leads with $125 and the page's own default is $179. VialsRX is named sitewide only, so it is not a NAD+-scoped disclosure.
Strengths
- The whole grid is published rather than one “from” with the ladder hidden
- Recurring and no-commitment prices are shown side by side for every option
- Three routes are sold and each is priced
Trade-offs
- The advertised $125 is the cheapest cell of a two-axis grid, not the default the page loads
- The NAD+ page says the initial visit is free while the terms make the patient responsible for it
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Auren Rx’s own site (read September 2026) and can change without notice.
Nex Gen Health Rx
From $299/mo
No human trial for this routeSub-Q injectionVisit Nex Gen Health RxDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: $299.00 at the walked checkout, qualified “STARTING AT” despite no higher tier existing
Nex Gen prices injectable NAD+ at $299 and qualifies it twice, “STARTING AT” on the product page and “From” on the category card. There is no ladder behind the qualifier: the page payload carries an empty tier list, the copy promises the cost never changes with dosage, and the checkout charges exactly $299.00 with the consult free. Manifest Pharmacy is named on the NAD+ page itself. One page gives the product three different routes.
Strengths
- Manifest Pharmacy is named on the NAD+ page rather than only sitewide
- The charged figure matches the advertised one exactly, with the consult free
- The page states the cost does not change with dose
Trade-offs
- One page gives the product three different routes: intramuscular, subcutaneous and intravenous
- The price is qualified “starting at” when no higher tier exists
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Nex Gen Health Rx’s own site (read September 2026) and can change without notice.
Nova (TryNova)
From $134/mo
No human trial for this routeInjection, nasal spray, trocheVisit Nova (TryNova)DetailsInjected, intranasal and oral NAD+ sold for energy and focus; none of those routes has a rigorous human cognition trial behind it.
Price: Headline “Starting at $134/mo” against a monthly all-in of $204 on the same page
Nova labels every NAD+ hero “Starting at” or “As low as”, and on all four products the headline equals no number the page itself computes. The injectable's “Starting at $134/mo” sits above a FAQ whose cheapest all-in is $144 and whose monthly all-in is $204. Three routes are sold and medication, shipping and support are stated as included. Coverage is 49 states with California named as coming soon, rather than a blanket claim qualified away in a footer.
Strengths
- Three routes sold, each with a published figure
- A state count that names its own exception rather than claiming all 50
- Medication, shipping and support are stated as included
Trade-offs
- On all four products the headline matches no number the same page computes — $70 apart on the injectable
- 503A is stated sitewide with no pharmacy named for NAD+
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Nova (TryNova)’s own site (read September 2026) and can change without notice.
Pepti
$249–$319/~4 wks
No human trial for this routeInjection + nasal sprayVisit PeptiDetailsInjected and intranasal NAD+ sold for energy and focus; neither route has a rigorous human cognition trial behind it.
Price: $249 a vial / $319 the pen per ~4 weeks; the nasal SKU's $269 covers a stated ~62 days
Pepti sells NAD+ by injection and nasal spray. The injection page renders $319 for the pen by default while its own title tag, its structured data and its state pages all say $249. The nasal SKU's $269 is labeled an “all-in monthly price” while its refill line calls it roughly a 62-day supply and the category card says nine weeks, so no per-month figure can honestly be derived. A 503A class is printed on the NAD+ pages; Olympia is named sitewide only.
Strengths
- Two routes sold, each with a published figure and a stated supply length
- A 503A class designation is printed on the NAD+ pages themselves
- Coverage is stated as all 50 states and Washington D.C.
Trade-offs
- The page renders $319 by default while its own title, structured data and state pages say $249
- The nasal SKU is labeled an all-in monthly price against a stated ~62-day supply
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Pepti’s own site (read September 2026) and can change without notice.
Trellis Vitality
From $129/mo
No human trial for this routeSub-Q injectionVisit Trellis VitalityDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: “Treatment plans starting at $129/month” — the only NAD+ figure Trellis publishes
Trellis publishes one NAD+ number, $129 a month, qualified “starting at”. The page then names three plan durations — monthly, three-month and six-month — says longer plans lower the per-month cost, and prices none of them. An 18-screen intake produced no dollar figure at all before a create-account wall. VialsRX is named as the pharmacy on the NAD+ page itself. No dose and no injection cadence are published.
Strengths
- VialsRX is named as the compounding pharmacy on the NAD+ page itself
- The $129 entry figure is restated consistently on three of its own pages
- The clinical assessment is free and no membership fee is charged
Trade-offs
- Three plan durations are named and none of them is priced
- An 18-screen intake produced no price before the create-account wall
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Trellis Vitality’s own site (read September 2026) and can change without notice.
NEUVÉ Health
From $217/mo
No human trial for this routeSub-Q injectionVisit NEUVÉ HealthDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: “STARTING AT” $217 / month — a floor, and the only NAD+ figure published anywhere
NEUVÉ publishes $217 a month for NAD+ and qualifies it “starting at” on both surfaces that carry it. No second NAD+ figure exists anywhere — no dose tier, no plan menu, nothing to bound what the floor rises to. Its pricing page is titled “Transparent pricing” and blurs the grid behind a members-only overlay: the figures sit in the page text, so an automated reader calls them published while a person cannot read them. The NAD+ card and the terms disagree on whether the evaluation is included.
Strengths
- The entry figure is readable before any intake, on two separate surfaces
- A 503A/503B designation is stated on the NAD+ page itself
- Coverage is stated as all 50 states on two surfaces
Trade-offs
- No second NAD+ figure exists, so the floor has nothing behind it to bound the real cost
- The page titled “Transparent pricing” blurs its own grid behind a members-only overlay
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on NEUVÉ Health’s own site (read September 2026) and can change without notice.
Lighter You
From $199/4 wks
No human trial for this routeInjection, nasal spray, oralVisit Lighter YouDetailsInjected, intranasal and oral NAD+ sold for energy and focus; none of those routes has a rigorous human cognition trial behind it.
Price: “Starting at” $199 per four weeks for the injection; $229 for the nasal and oral routes
Every NAD+ figure Lighter You publishes is a floor — “Starting at” sits above each store price and prefixes every marketing card — and the cycle is four weeks rather than a month, which it does state. Three separate price sets for the same products were live simultaneously across its store, a partner page and its marketing. A 13-screen intake ended in an eligibility exclusion before any price screen, so no rate was established. Four pharmacies are named, sitewide only.
Strengths
- Three routes sold, each with a published starting figure
- The four-week cycle is stated rather than passed off as a month
- Four compounding pharmacies are named somewhere on the site
Trade-offs
- Three different price sets for the same NAD+ products were live at the same time
- The four pharmacy names are sitewide only and cannot be credited to NAD+
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Lighter You’s own site (read September 2026) and can change without notice.
Superior Remedies
From $199/mo
No human trial for this routeSub-Q injectionVisit Superior RemediesDetailsSub-Q NAD+ sold for energy and focus; that route has no rigorous human cognition trial behind it.
Price: “from $199/mo” — a floor with no ceiling, no dose tier and no plan menu behind it
Superior Remedies prices NAD+ “from $199/mo” and never says what the “from” varies with: no ceiling, no dose tier, no plan menu, no prepay option. BPC-157 carries exactly the same $199, which makes it a peptide-line entry price rather than a NAD+ one. Its coverage is answered two ways on the same site: a homepage badge marquee says all 50 states, and the contact page names seven. The seven-state list is the specific claim.
Strengths
- The figure and its cycle are published before any intake
- The contact page names its seven states explicitly
- No prepay commitment is required to reach the published rate
Trade-offs
- The homepage claims all 50 states while the contact page names seven
- The same $199 is attached to BPC-157, so it reads as a line entry price rather than a NAD+ rate
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Superior Remedies’s own site (read September 2026) and can change without notice.
Rehydra+ Wellness
$279 / 4 weeks
No human trial for this routeInjection, nasal spray, oralVisit Rehydra+ WellnessDetailsInjected, intranasal and oral NAD+ sold for energy and focus; none of those routes has a rigorous human cognition trial behind it.
Price: No monthly rate exists — a bare $279.00 against a “4 Weeks” variation, sold as a cart product
Rehydra+ lists NAD+ across injection, nasal and oral routes, but its store treats NAD+ as a one-time cart product rather than a subscription — every variable-subscription product in its catalog is a semaglutide or tirzepatide tier. The single published figure, $279.00 for a four-week variation, is not a monthly rate and cannot honestly be turned into one. Its coverage is claimed as 20 states on three surfaces while the only named list on the site holds 19.
Strengths
- Three routes are listed under the NAD+ line
- A figure is published rather than gated behind the intake
- A free consultation is the product page's only call to action
Trade-offs
- No monthly NAD+ rate exists — the product is a one-time cart item, not a plan
- The sitewide claim of 20 states is contradicted by the site's own list of 19
- We earn nothing on it — there is no affiliate relationship here
Shown for honest comparison — figures are as published on Rehydra+ Wellness’s own site (read September 2026) and can change without notice.
Prices and formats are each provider's own published figures as we last read them, and subject to change. Providers we have no commercial tie to are linked with plain referral attribution rather than a paid link. Read the NAD+ evidence review before you buy anything here.
Why CoreAge Rx ranks first
CoreAge wins on the fundamentals, not on any claim that NAD+ is a miracle. The price is genuinely flat — $93/month for the nasal spray or the injection, with no membership, starter fee, or lab surcharge to discover later. The intake is reviewed by U.S.-licensed clinicians, the NAD+ is filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with a nurse and a registered dietitian. If you are not approved, you are refunded automatically.
We are also honest about the science: there is no rigorous trial showing nasal or injected NAD+ improves cognition or energy in people, and compounded NAD+ is not an FDA-approved product. This ranking is about provider quality, value, and experience — not a promise of sharper focus. Read the full picture in our NAD+ evidence review before deciding.
How we rank
A calm word before you spend. This is a ranking of provider quality and value, not a claim that NAD+ sharpens your mind. NAD+'s cognitive benefit is unproven, and nasal or IV NAD+ specifically has no rigorous cognition or energy trial. Brain fog is multifactorial — sleep is the single biggest lever, not a supplement. See our full NAD+ for brain fog & focus evidence review first.
We do not run sponsored reviews, and nobody pays us to change what we write about a product. Placement is where the money shows up, and we say so. Beyond that, the ranking is ordered on four factors — with price transparency carrying the most weight, because hidden recurring fees are the most common way NAD+ programs end up costing more than they first appear.
Price transparency
We reward a single, all-in monthly price. Plans that stack a membership, starter fee, or per-format surcharge on top of the medication rank lower than a true flat rate — and a provider whose own terms reserve the right to charge something other than the price it published ranks lower still, because a number the seller will not stand behind is not really a price.
Clinician oversight
Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates. Over-the-counter supplements have none.
Pharmacy quality
We note whether the compounding pharmacy is identified (e.g. a 503A facility) rather than left vague — and call out retailers that ship an unprescribed supplement.
Human support
Included access to a nurse or registered dietitian — not just a shipped vial — meaningfully improves the experience and is rare at this price point.
Read the evidence first
A provider ranking is only half the decision. Understand what NAD+ can and cannot do — and what actually drives brain fog — before you start:
This page is informational and not medical advice. Prescription NAD+ is available only after clinician review; compounded NAD+ is not FDA-approved, and oral NAD+/NMN supplements are not evaluated by the FDA to treat any condition. There is no rigorous trial showing nasal, injected, or oral NAD+ improves cognition or energy in people. Talk to a licensed provider about whether it is appropriate for you.