Best NAD+ Therapy Providers (2026): Doctor-Reviewed, Ranked
Every telehealth clinic we can verify sells NAD+, compared on price, clinical oversight and support. CoreAge Rx is our featured partner at a flat $93/month.
ftc_disclosure — The NAD Review partners with some, not all of the providers below and may earn a commission at no extra cost to you, which we state here rather than leave you to infer. Full disclosure.
// Some of the providers above pay us a commission when you sign up, at no extra cost to you. That does not change a price or a flag in this index — every figure is the one the provider publishes — but it does affect the order: paid partners are listed first, and the rest follow. Read the full disclosure.
Reading the flags:flat = one all-in monthly price, cnsl = clinician consult included, supp = nurse or dietitian support included, labs = bloodwork required (no / optional / yes), pharm = compounding pharmacy (503A, a pharmacy network, or UNSPEC where the provider does not name one). Prices and program details were verified on each provider's own site in 2026 and can change without notice — confirm current terms before starting.
// written by Marcus Hale·Longevity Research Editor ·last_updated=
// rank_01 · top_pick
From $93 / month (injection or nasal spray)
1
CoreAge Rx
Doctor-reviewed NAD+ at the lowest published price here, with human support included.
Featured partner · #1
From $93 / month (injection or nasal spray)
U.S.-licensed clinicians review an online intake; the NAD+ protocol is filled by a 503A compounding pharmacy. CoreAge offers both an NAD+ injection and an NAD+ nasal spray, each advertised as "Starting at $93/mo" on its own storefront. Every plan includes 1:1 consults with nurses and registered dietitians, an automatic refund if you are not approved, and roughly 2-business-day shipping after approval. Monthly recurring, with no separate membership or lab fee.
Strengths
$93/month is the lowest published NAD+ figure on this index — no separate membership, lab, or hidden fees
Doctor-reviewed protocols filled by a 503A compounding pharmacy
Two formats at the same price: NAD+ injection and NAD+ nasal spray
Included 1:1 support from nurses and registered dietitians
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 injectable/nasal NAD+ has no rigorous trial evidence (see our evidence review)
Real providers that verifiably offer an NAD+ program — at-home injection and nasal telehealth, clinic and mobile IV, and the best-evidenced oral NR precursors — each checked against their own site in 2026. We only state a price where the provider published one we could confirm. Every one of those figures is reproduced verbatim, with the qualifier the provider attached to it, in the NAD+ price index.
2
RxSpan MD
Physician-led longevity telehealth that prints every price on the homepage.
Board-certified physician-led telehealth (Dr. John Diaz, plastic surgeon) covering longevity, weight loss, hormones, hair and sexual health. Three NAD+ routes are sold and each carries a price on the public homepage rather than behind an intake: injection at $249, nasal spray at $249, and a flex-dose tablet at $199. The FAQ states there are no long-term commitments, no hidden fees, free expedited delivery, and unlimited 24/7 messaging with the care team. Verified in a rendered browser 2026-07-31.
Strengths
Every NAD+ price is printed on the public homepage — no intake required to comparison-shop
Three routes at published prices, including a $199 oral tablet that undercuts every injection here except CoreAge
Names all four dispensing pharmacies (Belmar, Strive, Epiq Scripts, Casa Pharma Rx) and its medical team with NPIs
All 50 states, with no long-term commitment and unlimited 24/7 support included
Trade-offs
$249 is more than 2.5× CoreAge's $93 flat monthly price
No 503A/503B designation is published for any of the four named pharmacies
Compounded NAD+ is not an FDA-approved product, and injected or intranasal NAD+ still has no rigorous trial evidence
Visit RxSpan MD ↗Shown for honest comparison · verified on the provider's own site in 2026
3
Willow
One flat published number on the product's own page — $199, no ladder, no code.
NAD+ injection $199 / month
A compounded telehealth best known for its GLP-1 line, which also sells a subcutaneous NAD+ injection at a flat published $199/month. Dosing starts at three times weekly for the first month, then continues at that frequency or steps down to weekly with the prescriber's guidance. The price includes the vial, syringes and needles, ongoing access to a Willow doctor, and 24/7 patient support; shipping is free and approval is same-day. HSA/FSA eligible. Verified in a rendered browser 2026-07-31.
Strengths
A single flat $199/month with no strike-through, no plan-length ladder and no introductory code attached
The price is printed on the NAD+ product page itself, not on a separate marketing tile
Vial, syringes and needles are inside the price, with 24/7 support and free shipping
The page states in its own words that compounded NAD+ is not FDA-approved for these uses
Trade-offs
Injection only — no nasal, oral or troche route
NAD+ sits beside a much larger GLP-1 business, so there is no NAD+-specific coaching programme
Willow states it is not the compounding manufacturer, and names no pharmacy and no 503A/503B designation
No state-availability list is published
Visit Willow ↗Shown for honest comparison · verified on the provider's own site in 2026
4
Telos Rx
Publishes both numbers honestly: $249 list, $116 if you commit to the longest plan.
NAD+ nasal spray: $249 / month list, advertised "as low as $116 / month" on the longest plan
Peptide-and-GLP-1 telehealth whose NAD+ line is an intranasal spray. The pricing panel shows $249 struck through beside $116, and — unusually for this category — states the mechanism in plain words directly beneath it: "Your price depends on plan length. Cancel anytime, no penalties." Free 48-hour shipping if approved, FSA/HSA eligible. Verified in a rendered browser 2026-07-31.
Strengths
Names the commitment mechanism on the same screen as the discount, which most of this category does not
"Cancel anytime, no penalties" is stated alongside the plan-length pricing
$116 is the lowest advertised NAD+ figure on this index apart from CoreAge's flat $93
FSA/HSA eligible with free 48-hour shipping after approval
Trade-offs
The $116 headline requires the longest plan — $249 is what a single month costs
Nasal spray only; no injectable NAD+ route
No compounding facility named and no 503A/503B designation published
Visit Telos Rx ↗Shown for honest comparison · verified on the provider's own site in 2026
5
MadeMed
Two NAD+ routes with published floors — and the floor is where the number stops.
NAD+ injectable from $199 / month; NAD+ nasal spray from $269 / month
LegitScript-verified telehealth selling NAD+ as an injectable (marketed as "NanoNAD+") and as a nasal spray. Both figures are published on the NAD+ therapy page — but both are "from" prices, so what a given dose actually costs is settled after the intake rather than before it. ⚠ These pages render their pricing client-side, so a plain HTTP fetch returns nothing and a fetch-only check wrongly concludes "not published". Verified in a rendered browser 2026-07-31.
Strengths
Two genuinely different routes — injection and nasal spray — from one provider
A figure is published for each route rather than gated behind the intake entirely
LegitScript-verified
Trade-offs
Both prices are "from" floors, so the cost at your dose is not knowable before intake
The nasal spray at $269 is the most expensive NAD+ route on this index
No compounding facility named and no 503A/503B designation published
Visit MadeMed ↗Shown for honest comparison · verified on the provider's own site in 2026
6
Care Bare Rx
Publishes an NAD+ floor — on the homepage, but not on the NAD+ page itself.
NAD+ therapy from $199 / month (homepage figure; no price on the NAD+ product page)
A multi-category platform carrying NAD+ alongside weight loss, hair loss and sexual health. It discloses more than almost anyone else here: four named dispensing pharmacies, a named medical team with NPIs, a verifiable LegitScript seal, all 50 states plus Puerto Rico, FSA/HSA accepted. Its homepage prints four category floors side by side, NAD+ among them at "From $199/mo". Its NAD+ product page prints no figure at all, so the number and the product description live on two different URLs. Verified in a rendered browser 2026-07-31.
Strengths
Names four dispensing pharmacies and its medical team with NPIs, and carries a checkable LegitScript seal
All 50 states plus Puerto Rico, with FSA/HSA accepted
A published NAD+ floor at $199/month, which is more than three providers on this index manage
One platform if you want NAD+ alongside hair or sexual health
Trade-offs
The $199 figure is a "from" floor on the homepage; the NAD+ product page itself publishes no price
The product page describes the medication only as an "NAD+ compound" — no route, dose or strength is stated before intake
No 503A/503B designation published for any of the four named pharmacies
Visit Care Bare Rx ↗Shown for honest comparison · verified on the provider's own site in 2026
7
Try Ageless
Every advertised price is an intro-code rate, and the site says the real one comes later.
NAD+ listed at $249 / month; advertised at $199 with an introductory code
Compounded NAD+ in injection and troche form, inside a broader longevity menu. The advertised figures are introductory-code rates against a $249 list, and the page itself states that the final amount is shown after clinical review — so the number on the marketing page is explicitly not the number you pay.
Strengths
Two NAD+ formats, including a troche for readers who will not inject
The site does say, in its own copy, that the final amount comes after clinical review — an unusual admission in this category
Trade-offs
Every advertised price is an intro-code rate against a $249 list
The provider states the final amount is determined after clinical review, so no published figure is reliable
No compounding facility named and no 503A/503B designation published
Visit Try Ageless ↗Shown for honest comparison · verified on the provider's own site in 2026
8
AgelessRx
The cheapest headline on the index — and it is a first-month rate on a prepaid quarter.
Injection $79 first month on a 3-month plan billed in full, then $149/month; nasal spray $125/month ($140 one-time); patches from $150/kit
A longevity-focused telehealth clinic with a real questionnaire → prescriber-review → Rx flow. NAD+ is offered as a self-administered subcutaneous injection, an intranasal spray, or a battery-powered iontophoresis patch, alongside a wider cash-pay longevity menu (metformin, low-dose naltrexone, sermorelin, methylene blue). The injection's advertised $79 is a first-month rate that requires prepaying a three-month plan in full; the standing rate after that is $149/month, stated on the same page. Verified in a rendered browser 2026-07-31.
Strengths
Genuine U.S.-licensed prescriber review with a clear intake-to-Rx flow
Three NAD+ formats — injection, nasal spray and patch — under one established clinic
The page states the post-promotional rate ($149/month) beside the promotional one, which most of this category does not
The nasal spray's $125/month is a plain monthly price with a $140 one-time alternative
Trade-offs
The $79 headline is a first-month rate and requires prepaying three months in full
The standing injection rate of $149/month is 60% above CoreAge's $93 floor
Nasal and patch absorption claims are unproven — see our evidence review
Cash-pay only; no included nurse or dietitian program
Visit AgelessRx ↗Shown for honest comparison · verified on the provider's own site in 2026
9
Invigor Medical
Established telehealth clinic; NAD+ priced higher with consult and supplies bundled.
Starting at $340 / month (includes doctor consult and supplies)
Virtual visit with a licensed provider, then NAD+ plus injection supplies shipped to your door, prescribed 100% online by U.S. doctors. The advertised price bundles the consult and supplies; Invigor publicly names its compounding-pharmacy partners.
Strengths
Consult and injection supplies bundled into the advertised price
Long-running telehealth clinic that openly names its pharmacy partners
Trade-offs
Starting price is well above CoreAge's flat $93
Pricing can vary by dose; an upfront initial-order fee has been reported elsewhere
Visit Invigor Medical ↗Shown for honest comparison · verified on the provider's own site in 2026
10
Hone Health
Lab-gated optimization platform that prices NAD+ on top of a recurring membership.
Hone is a biomarker-driven optimization platform. NAD+ injections require an initial lab panel (discounted to $65) and a physician video consult, then are billed at $165/month on top of an ongoing membership ($25/month Basic or $155/month Premium). The medication price alone does not reflect the true monthly cost.
Strengths
Baseline and ongoing lab testing for users who want data-driven monitoring
Physician video consult and a personalized plan included with onboarding
Trade-offs
Stacked cost: the $165 medication is charged on top of a recurring membership
Lab-gated onboarding is heavier than a single-product NAD+ plan
Total monthly outlay can far exceed CoreAge once membership and labs are added
Visit Hone Health ↗Shown for honest comparison · verified on the provider's own site in 2026
11
Drip Hydration
Nurse-administered mobile IV drips — and a storefront we can no longer read to price.
Not re-verified: the provider's site blocks automated access. A June 2026 check recorded roughly $799–$999 per IV session.
A large multi-city mobile-IV operator that brings a nurse to your home or office for an NAD+ drip (typically 250–1000 mg over 1–2 hours), and also sells self-administered injection kits. This is the clinic-grade IV experience rather than a flat monthly telehealth plan, with per-session pricing that runs far above an at-home injection subscription.
Strengths
Nurse-administered, in-home IV from an established national operator
Higher per-session doses than a typical at-home subcutaneous injection
Trade-offs
The public site cannot be read by an automated browser, so no figure on this row can be re-confirmed today
Per-session IV pricing is an order of magnitude above a monthly at-home injection plan either way
Long chair time, and injection-kit pricing is not clearly published
IV NAD+ longevity claims outrun the evidence — see our evidence review
Visit Drip Hydration ↗Shown for honest comparison · verified on the provider's own site in 2026
12
Tru Niagen
The most evidence-backed oral NAD+ precursor — patented Niagen NR, third-party verified.
$49.00 for a 30-day supply of 300 mg ($44.10 on subscription); $1.22–$1.63 per capsule by supply length
An oral capsule delivering 300 mg of patented Niagen nicotinamide riboside (NR) daily — a different approach from injectable NAD+. It is the benchmark of the oral-precursor category: Alkemist Assured third-party verified, ISO/IEC 17025-tested, with multiple human RCTs showing NR meaningfully raises blood NAD+. NR has long-standing GRAS/NDI clearance, so it never faced the NMN regulatory uncertainty. A 30-day supply is $49.00 one-time or $44.10 on subscription; 90 days is $114.30 and 180 days is $219.60. Verified in a rendered browser 2026-07-31.
Strengths
Strongest clinical evidence in the oral category — real RCTs raising blood NAD+
Patented Niagen NR with Alkemist Assured third-party verification
Every price and per-capsule cost is printed on the product page before checkout
Inexpensive and over-the-counter — no prescription or clinician review needed
Trade-offs
An oral precursor, not a clinician-reviewed Rx injection like CoreAge
Raises NAD+ via NR rather than delivering NAD+ directly; premium price for the dose
We earn nothing on it — there is no affiliate relationship here, so nothing about this row is monetised
Visit Tru Niagen ↗Shown for honest comparison · verified on the provider's own site in 2026
13
Thorne NiaCel 400
Trusted practitioner-grade oral NR — NSF Certified for Sport, widely third-party tested.
$74 for 60 capsules on Thorne's own site
An oral capsule from Thorne, a practitioner-trusted supplement brand, delivering nicotinamide riboside (as NR malate). NiaCel 400 is NSF Certified for Sport and broadly third-party certified, making it a low-red-flag oral NR pick. Like Tru Niagen it raises NAD+ through a precursor rather than delivering the NAD+ molecule directly, and requires no prescription. Thorne lists it at $74 for 60 capsules with a subscription discount offered at checkout. Verified in a rendered browser 2026-07-31.
Strengths
NSF Certified for Sport from a widely trusted practitioner brand
Over-the-counter oral NR with no clinician review or membership
The manufacturer sells it directly at a published price, so there is a reference number to compare retailers against
Trade-offs
An oral precursor, not a doctor-reviewed Rx injection or nasal protocol
At $74 for 60 capsules it is the most expensive oral option here per capsule
NR malate form, and no included support
We earn nothing on it — there is no affiliate relationship here
CoreAge wins on the fundamentals rather than on any claim that NAD+ is a miracle. The price is genuinely flat — $93/month with no membership or lab surcharge to discover later, and the same price covers either the injection or the “Hello Energy” nasal spray. The intake is reviewed by U.S.-licensed clinicians, the protocol is filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with nurses and registered dietitians. If you are not approved, you are refunded automatically.
We are also honest about the science: NAD+'s clinical evidence is modest, and injectable and nasal NAD+ specifically have no rigorous randomized-trial evidence. Compounded NAD+ is not an FDA-approved product. This ranking is about provider quality, value, and experience — not a promise that NAD+ shots boost energy or longevity. Read the full picture in our NAD+ therapy evidence review before deciding.
Some of the providers here are affiliate partners and we may earn a commission — we say so on the index above and in our disclosure. What money does not touch is the assessment itself: the four factors below decide what we say about every provider, 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 or lab fee on top of the medication price rank lower than a true flat rate.
Clinical oversight
Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates.
Pharmacy quality
We note whether the compounding pharmacy is identified (e.g. a 503A facility) rather than left vague.
Human support
Included access to nurses or registered dietitians — not just a shipped vial — meaningfully improves the experience.
Read the evidence first
A provider ranking is only half the decision. Understand what NAD+ can and cannot do before you start:
This page is informational and not medical advice. NAD+ is available by prescription after clinician review; compounded NAD+ is not FDA-approved, and injectable or nasal NAD+ has no rigorous clinical-trial evidence for energy or longevity. Talk to a licensed provider about whether it is appropriate for you.