NAD+ sellers compete on delivery format and plan structure, and the format decides whether two advertised figures can be compared at all.
NAD+ reaches buyers three ways: an at-home injection, a clinic IV drip, and an oral capsule sold as a supplement. Those are three different purchases with three different pricing units. A drip is billed per session and a telehealth plan is billed per month. Setting one against the other flatters whichever is quoted in the smaller unit.
This board covers the at-home injectable channel, because that is the one where a price, a pharmacy and a state list can all be checked against a seller's own site. Clinic pricing and shelf supplements are a different market and are not folded in to pad the table.
Within that channel, the recurring problem is a promotional first month sitting beside a struck-through renewal rate. The ongoing figure is the one that matters after week five, and it is often the harder of the two to find. Each row here carries the qualifier that says which figure is which.
NAD+ providers, reviewed
1. Trellis Vitality
Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.
$129/mo — per month, protocol
Strengths
- Names its dispensing pharmacy, VialsRX in Houston, with a street address and phone number
- Includes at-home biomarker panels and a 90-day re-test rather than relying on scale weight alone
- No membership or consult fee is layered on top of the monthly peptide price
- Accepts HSA/FSA funds
Trade-offs
- Several headline statistics — a stated biomarker-improvement rate and an average annual-savings figure — are unsourced and cannot be independently checked
- Its cited patient-satisfaction rating names no review platform, so it cannot be verified against a public record
- The prescribing network it uses also serves several unrelated telehealth brands, so the clinical layer is not exclusive to Trellis
- Refunds are decided per order rather than under a stated policy
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Trellis Vitality2. Auren Rx
Auren Rx names both its prescribing group, Wasef Health, and its dispensing pharmacy, VialsRX in Houston, with street addresses and phone numbers, and lets a subscriber pause an auto-refill plan on NAD+, sermorelin, glutathione or GHK-Cu instead of forcing a full cancellation.
$179/mo — per month, auto-refill membership (vs. $209/mo with no commitment)
Strengths
- Names its prescribing group and pharmacy with full street addresses and phone numbers, rare in this category
- Carries a verifiable LegitScript seal
- The first visit is free and nothing is charged until a clinician reviews and approves the order
- An auto-refill plan can be paused rather than fully canceled
Trade-offs
- Its homepage headline price applies to a microdose track; the standard compounded dose costs more
- NAD+ is advertised at one price on the homepage and a different one on its own product page
- The listed New York address is a mail-forwarding suite, not a clinic
Auren Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Auren Rx3. The Edit
The Edit names its dispensing pharmacy, The Pharmacy Hub in Miami, up front, and prices NAD+, sermorelin, glutathione and GHK-Cu the same at every dose, with nothing charged until a clinician review is complete.
$249/mo — per month, clinician-dosed protocol
Strengths
- Names its dispensing pharmacy, The Pharmacy Hub in Miami, rather than describing it generically
- Charges the same price at every dose across its four peptide lines
- Publishes prices on the treatment page itself, in both English and Spanish
- Carries a verifiable LegitScript seal
Trade-offs
- Its standing monthly rates sit above the first-order promo figure shown in the marketing hero
- Longer plans are billed as one upfront charge rather than a lower recurring monthly rate
- Terms note that state availability is confirmed during consultation and may vary, despite advertising all 50 states
The Edit is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit The Edit4. CoreAge Rx
CoreAge Rx runs a flat-price compounded model — one dose, one price, no ladder that climbs as you titrate up — and ships to all 50 states with a LegitScript seal on its NAD+ and sermorelin lines.
$93/mo — starting at
Strengths
- LegitScript-verified pharmacy standards, applied across its peptide catalog as well as its GLP-1 line
- One price per compound regardless of dose, so titrating up does not raise the monthly cost
- Ships to all 50 states with 24/7 support
Trade-offs
- The compounding pharmacy that fills prescriptions is not named on the site
- A newer brand with a thinner independent-review history than longer-running competitors
CoreAge Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit CoreAge Rx5. Joi + Blokes
Joi + Blokes names all seven pharmacies that may fill an order, with street addresses, and prices sermorelin and NAD+ as plain monthly figures with no plan term attached.
$150/mo — per month, no plan term stated
Strengths
- Names every pharmacy that may fill an order — seven of them — with a street address for each, in its own terms of service
- Quotes sermorelin and NAD+ as flat monthly figures with no prepayment tier to decode
- Warns New York and New Jersey shoppers up front that their pricing differs, rather than surfacing it at checkout
- Sells biomarker panels separately, so lab work is a stated purchase rather than a hidden condition
Trade-offs
- The storefront names no operating company, only the brand, so there is no registered entity a buyer can look up
- Only two of the compounds compared on this site are sold; the peptide menu is narrow
- A GHK-Cu skin cream appears in the navigation without a price on the shop pages
- Lab panels are billed on top of the monthly figure rather than included in it
Joi + Blokes is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Joi + Blokes6. Trava Health
Trava Health attaches a named dose to every peptide price it publishes — 3 mg of sermorelin, 100 mg of NAD+ — which almost nothing else on this roster does, and it names its four fulfilling pharmacies.
$158.93/mo — per month at 100 mg; a quarterly package is advertised at a lower total
Strengths
- Prints the dose beside the price on every peptide product page, so the figure describes a specific quantity
- Names its four fulfilling pharmacies and its laboratory partners in its terms of service
- Tells shoppers on the product page itself that the price moves with the dose, instead of leaving that to checkout
- Publishes a quarterly saving as a dollar figure rather than a percentage
Trade-offs
- A site-wide banner describes its medications as tested in FDA approved labs, wording that is easy to read as FDA approval of the product; a compounded preparation is not an approved drug
- The quarterly package is advertised as a saving without the resulting per-month figure being stated
- No state coverage list is published
- The peptide menu is three compounds, so a shopper comparing a wider protocol will need a second seller
Trava Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Trava Health7. Yucca Health
Yucca Health pairs a 24-hour provider review with free expedited shipping, and lists NAD+ and sermorelin alongside its GLP-1 line, with coverage across all 50 states.
$192/mo — starting at, 3-month plan
Strengths
- States a 24-hour provider-review turnaround up front
- Free expedited shipping is included rather than sold as an add-on
- Coverage is licensed across all 50 states
Trade-offs
- The compounding pharmacies it uses are described only generically, never named
- Program details beyond price and shipping are thin on the public site
Yucca Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Yucca Health8. Pepti
Pepti prints one all-in monthly figure for every treatment it sells, in two formats side by side, and it is the only roster row that publishes both a fifty-state footprint and a price for epitalon.
$249/mo — vial price, an average four-week supply; the pen format is $319
Strengths
- Prints an all-in monthly figure on every treatment card and states that no membership fee sits on top of it
- Names the unit each figure covers, so a four-week supply is never left to be guessed at
- Quotes a pen and a vial price side by side, which makes the format premium visible instead of buried in checkout
- States its own coverage as all 50 states and Washington, D.C. in its site footer
Trade-offs
- Bloodwork is a separate charge rather than part of the monthly figure, though recent labs can be uploaded instead
- The 503A/503B compounding pharmacy it uses is described but never named
- The PT-141 card gives no supply length, so its figure is the only one on the catalog that cannot be read as four weeks
- CJC-1295, ipamorelin and TB-500 are sold only inside combination vials
Pepti is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Pepti9. Live Vital
Live Vital lists one of the deeper peptide menus in this roster — tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu, MOTS-C, glutathione and NAD+ — alongside its GLP-1 line, with coverage across all 50 states.
Does not publish a NAD+ price.
Strengths
- Lists tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu and MOTS-C on one menu — the broadest span in this roster
- Operates across all 50 states
- States plainly that its non-GLP-1 peptides lack FDA approval, rather than staying silent on the point
Trade-offs
- The pharmacy that fills prescriptions is described only as "a licensed US pharmacy," not named
- Its published tesamorelin and MOTS-C prices sit on pages that have been unlinked from the site's main navigation
- Most of the menu, beyond tesamorelin and MOTS-C, carries no independently verified price
Live Vital is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Live Vital10. AgelessRx
AgelessRx publishes a short, deliberately curated peptide menu and names four compounds it has decided not to sell yet — but every headline figure on it is a first-month rate with a higher number behind it.
$149/mo — per month after the first; the first month is $79 on a three-month plan billed in full
Strengths
- Names BPC-157, TB-500, MOTS-c and KPV on its own peptide page as compounds it has chosen not to sell yet, which is rare candor in this category
- Publishes the ongoing rate alongside the introductory one on three of its five peptide pages
- Sells PT-141 and sermorelin in both an injection and a nasal spray rather than a single format
- Says a plan can be paused or canceled at any time
Trade-offs
- Every headline figure on the site is a first-month rate, and the ongoing rate runs $50 to $70 higher
- The GHK-Cu cream page prints the same figure as both a first-month price and an ongoing one, so the two disagree on one page
- The glutathione page gives only the three-month-plan rate, leaving the plain monthly price unpublished
- The compounding pharmacy that fills prescriptions is not named, and no state list is published
- A competition ranking is quoted on the site as a credential; it is marketing, not an independent assessment of the products sold
AgelessRx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit AgelessRx11. System Labs
System Labs is a peptide-only storefront with no GLP-1 line, selling NAD+, glutathione, sermorelin and a topical GHK-Cu cream, LegitScript-verified but without a named pharmacy partner or a published state list.
$149/mo — per month, ongoing rate (after a $89 first-month intro)
Strengths
- Carries a LegitScript verification seal
- Sells a genuinely peptide-focused menu rather than treating peptides as a GLP-1 add-on
- Its GHK-Cu cream is priced flat, with no strikethrough figure or first-month teaser
Trade-offs
- The compounding pharmacy is described only as "US-based," never named
- Which states it ships to is not published anywhere on the site
- Most of its other peptide prices are shown as a struck-through renewal rate beside a first-month promo, so the ongoing cost takes a second look to find
System Labs is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit System Labs12. Ivy Rx
Ivy Rx is one of the few sellers here that prints a full plan table — one, three and six months, with the per-month figure for each — so the discount for prepaying is visible rather than implied.
$179/mo — starting rate, per month
Strengths
- Prints a three-row plan table on its sermorelin page giving the total and the per-month figure for one, three and six months
- Operates as a professional entity rather than a plain trading company, a structure its own terms of service name
- Includes free temperature-controlled shipping in the published price
Trade-offs
- The headline sermorelin figure is the six-month prepaid rate; a buyer paying month to month pays about a quarter more
- Its glutathione and BPC-157 pages give a figure against a vial size without saying what period it covers, so neither can be compared against a monthly rate
- The compounding pharmacy is described as FDA-registered but is not named
- No state coverage list is published
Ivy Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Ivy Rx13. Longevixx
Longevixx runs the widest single peptide menu on this roster — twenty programs, each quoted as a monthly figure — and it is the only seller here that lists PT-141, epitalon and semax at all.
$199/mo — starting rate, per month
Strengths
- Publishes a monthly figure beside every one of its twenty peptide programs, not a starting price for the catalog as a whole
- The only seller here listing PT-141, epitalon and semax, three compounds nothing else on this roster carries
- Charges nothing when a request is turned down
Trade-offs
- Semax, KPV, TB-500 and CJC-1295 are sold only inside combination vials, so the figure beside each is the price of a pairing rather than of that peptide alone
- Its terms limit service to the states where the company operates without naming them, so coverage cannot be checked before signup
- The compounding pharmacy that fills prescriptions is not named on the site
- Every figure is a starting rate, and the catalog does not say what moves a program above it
Longevixx is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Longevixx14. Rehydra+ Wellness
Rehydra+ Wellness grew out of a mobile IV-therapy business and now sells a broad peptide catalog — BPC-157, KPV, MOTS-C, tesamorelin, sermorelin and GHK-Cu — with prices posted openly on its storefront, though it names neither a legal entity nor the pharmacy that fills its orders.
$279/mo — starting at
Strengths
- Publishes a phone and text line plus a named staff email, unusual for this category
- Its catalog spans six named peptides beyond a GLP-1 and testosterone line
- Consultations are free and financed payment plans are offered
Trade-offs
- No legal entity is named anywhere on the site; the terms identify only the brand
- Says it serves 20 states but never lists which ones, so coverage cannot be confirmed before intake
- Its LegitScript badge is a self-hosted image linking to a generic checker page rather than a confirmable certification record
- Neither the compounding pharmacy nor the prescriber network is named
Rehydra+ Wellness is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Rehydra+ WellnessFrequently asked questions
Are NAD+ injections FDA approved?
No. NAD+ sold through these programs is a compounded preparation, not an FDA-approved drug. Oral NAD+ precursors sold on shelves are marketed as dietary supplements, which is a different category again.
Is an IV drip the same product as the injection compared here?
It is the same compound delivered a different way, sold on a different pricing unit, usually in a clinic. The research article on injection, IV and oral NAD+ covers what actually differs between them.
Why is one seller so much less expensive than another?
Read the qualifiers side by side. Differences usually come from plan length, a promotional first month, or a dose track rather than from the compound itself.
Does the top row mean the best NAD+ program?
It means that row scored highest on the inputs printed on the board, with price breaking a tie. It is a measure of what a seller discloses and charges, not a verdict on what a buyer will experience.
What does the date beside a price mean?
It is the day that figure was last checked against the seller's own site. This category reprices often, so the date travels with the number.
Are any of these NAD+ providers paid partners?
None of them today. All 14 NAD+ providers on this board are compared under the same rules, whether or not a link to them ever earns a commission.
How is this board scored?
Four yes-or-no facts, printed above in full. A warning letter, where one exists, is disclosed on that provider's own review and never moves this score.