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Prices, side by side

How much NAD+ therapy costs

Prescription NAD+ runs $93 to $399 a month, median $195, across the 30 telehealth programs on our ranking that publish a figure. CoreAge Rx is the lowest at $93/mo flat; another 9 companies set the number only after a quiz, and 2 over-the-counter oral supplements sit below all of them on price — listed separately further down, because a bottle of capsules is not a prescription program.

Every figure below is the provider's own published price, printed as they print it. This page is ordered by cost. Our judgement about who is worth paying lives on the ranked NAD+ board.

What each route costs

Most companies sell more than one route inside a single program at a single price, so a provider can appear under several rows. Only providers publishing a comparable figure are counted.

RouteProvidersLowest publishedMedianCheapest is
Injection29$93/mo$199/moCoreAge Rx
Nasal spray13$93/mo$185/moCoreAge Rx
Oral6$144/mo$179/moShed
Patch / topical4$158/mo$222/moEden
Sublingual1$107/mo$107/moEnhance MD

Every published prescription price, cheapest first

The middle column is the price exactly as the provider prints it. The right-hand column is our own comparator, and it is the only number we normalize: a program billed every four weeks charges thirteen times a year, not twelve, so we convert it before comparing. Where a price begins “from”, it is a floor.

ProviderRoutesAs publishedPer month, compared
CoreAge RxInjection, Nasal spray$93/mo flat$93
EdgeRxRoute not publishedFrom $99/mo (NAD+ tier)(a floor)$99
Enhance MDInjection, SublingualFrom $99/4wks(a floor)$107(4-week cycle converted)
HealthRXInjection, Nasal sprayFrom $134/mo(a floor)$134
ShedInjection, Nasal spray, OralFrom $144/mo(a floor)$144
Peter MDInjectionFrom $147/mo(a floor)$147
System LabsInjection, Nasal spray$149/mo (first mo $89)$149
Strut Health

FDA warning letter to Strut Health, LLC dba Strut, February 2026. Look it up on FDA.gov

InjectionFrom $149(a floor)$149
Ageless

FDA warning letter to Lovely Meds, Inc. dba Lovely Meds, September 2025. Look it up on FDA.gov

Injection, OralFrom $149/mo listed(a floor)$149
Eden

FDA warning letter to Eden Health International Inc. dba Eden, June 2026. Look it up on FDA.gov

Injection, Nasal spray, Oral, Patch / topical$158 all-in, first mo$158
Breeze MedsInjection, Nasal spray$169/mo injection$169
MavesInjection$169/mo after intro$169
AgelessRxInjection, Nasal spray, Patch / topicalFrom $185/mo(a floor)$185
Pallas HealthInjection, Nasal sprayFrom $189/mo (12-wk prepay)(a floor)$189
Hone HealthInjection~$190/mo$190
RxSpan MDInjection, Nasal spray, OralFrom $199/mo(a floor)$199
WillowInjection$199/mo flat$199
LttlInjection, Nasal spray, Oral$199/mo$199
MyDrHankInjection, Nasal spray$199/mo (advertised $137)$199
He & She MDInjection$199/mo flat ($99 “from”, no term)$199
WellorithmInjection$200/mo (first mo $150)$200
Ivim Health

FDA warning letter to Ivim Services LLC dba Ivim, February 2026. Look it up on FDA.gov

Injection$204/mo all-in$204
MadeMedInjection, Nasal sprayFrom $209/mo (3-mo min)(a floor)$209
Obu HealthInjectionFrom $219/mo(a floor)$219
LifespanningRxInjectionFrom $225/mo(a floor)$225
Bioverse

FDA warning letter to Bioverse, Inc. dba Bioverse, September 2025. Look it up on FDA.gov

Injection, Patch / topicalFrom $259/mo (12-mo plan)(a floor)$259
Sprout Health

FDA warning letter to Sprout Health Partners LLC dba Sprout Health, September 2025. Look it up on FDA.gov

Injection$249/4wks$270(4-week cycle converted)
Synergy RxInjection$275/mo$275
Invigor MedicalInjection, OralFrom $340/mo(a floor)$340
CeliaRxInjection, Nasal spray, Patch / topical$399/fill (no subscription)$399

Bought off a shelf, not prescribed

These are over-the-counter oral NR or NMN supplements. They are the cheapest NAD+ on the ranking and they are not the same purchase: no clinician, no prescription, and oral precursors are the one NAD+ route with human cognition trials behind them — which found the biomarker rises while the thinking stays flat.

  • Tru Niagen$49 (oral)
  • Renue By Science$84.95 (oral)

The 9 that will not publish a price

These set the real figure after an intake questionnaire, so nothing above counts them. What they advertise is printed as they advertise it.

  • yourEraFrom $249/mo (gated)
  • Care Bare RxFrom $199/mo (gated)
  • Bodybuilding Health+From $129/mo (gated)
  • OakPricing not published
  • Yucca HealthFrom $215 (gated)
  • Taurus Meds$79 first mo (gated)
  • Telos RxFrom $116/mo (gated)
  • HealthOnVaries — the site conflicts
  • Thorne (NiaCel 400)Pricing varies

Our top-ranked provider, and what it charges

CoreAge Rx publishes $93/mo flat and sits first on our ranking, which weighs the price against clinician oversight and what the program includes rather than price alone. Compounded NAD+ is not an FDA-approved product, and injected or intranasal NAD+ still has no rigorous trial behind it for focus or energy; this is a note on what a program costs and what it includes, not a promise about what it does.

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.

Common questions

How much does NAD+ therapy cost per month?
Across the 30 prescription providers on our ranking that publish a figure, NAD+ runs $93 to $399 a month, with a median of $195. CoreAge Rx publishes the lowest at $93/mo flat. A further 9 set the price only after an intake quiz. Over-the-counter oral NR and NMN supplements are cheaper again — 2 of them are on the same ranking — but they are a different product bought a different way.
Is a NAD+ nasal spray cheaper than injections?
Not by much, and not reliably. Among providers publishing a price, nasal-spray programs run from $93 a month (median $185, 13 providers) and injection programs from $93 (median $199, 29 providers). Most companies sell both inside one program at one price, so the route is usually a preference rather than a saving.
Why do so many NAD+ providers hide the price?
9 of the 41 providers we track publish only a "from" teaser or no figure at all, and set the real number after a health questionnaire and a clinician review. That is legal and common in telehealth, but it means the advertised figure is a floor, not a quote — so we exclude those rows from every price statistic on this page rather than rank an unquotable number against a verified one.
Does the monthly price include the consultation and shipping?
It depends on the provider, and it is the single biggest reason two similar-looking prices are not comparable. Some publish one flat monthly rate that covers the clinician review, the medication and shipping; others quote the medication and bill the visit, the labs or the shipping separately. Our ranking marks which providers publish a flat all-in rate.
Is NAD+ covered by insurance?
Compounded NAD+ for energy, focus or longevity is not an FDA-approved treatment for any of those uses, and the telehealth programs on this page are cash-pay. Treat the monthly figure as the whole cost to you.

Next: our ranked NAD+ providers weighs price against clinician oversight and what each program includes; the injection-only ranking covers the needle specifically; and the evidence review is the honest answer to whether any of it helps focus.