How Much Does NAD+ Therapy Cost?

The short answer: $66 to $369 per supply period, depending on the clinic and how they price their programs.

Every clinic's current NAD+ price, with the date we read it on the clinic's own page, is on our NAD+ injections page.

That range comes from reading the pricing and product pages of every NAD+ clinic in our set (29 of the 31 clinics we rank). Not from a press release or a comparison aggregator. Here is what we found and why the gap is real.

What most clinics actually charge

The majority of online NAD+ clinics land somewhere between $129 and $199 per month for injectable NAD+. That is the cluster. The outliers exist but they are outliers for a reason.

The low end: Fidelity Medical Clinic does not quote a monthly rate at all. Their NAD+ injection page publishes a 3-month supply price of $198, which works out to $66 per month. That is the lowest unit price in our set. The math is ours; the page publishes the supply figure, not the monthly equivalent.

AgelessRx charges $79 for the first month, then $149/mo, on a 3-month plan billed in full (read 16 October 2026); its "$79/mo" headline is that first month. Embody and Welludr (formerly Wellmedr) both list $99/mo; Embody charges $49 for the first month under a sale banner (read 14 October 2026).

The middle: System Labs charges $149/mo for NAD+ injection on its monthly plan after an $89 first month, or $126 a month on a quarterly plan (read 25 October 2026); which of the two its price block shows depends on the visit. HealthRX starts at $161/mo on a month-to-month plan; that drops to $129/mo if you commit to 12 months. Most of the 25 clinics we tracked in September fall somewhere in this $129–$199 band.

The high end: Peter MD charges $369 per kit, which its NAD+ page describes as an "8-10 Week Supply (2 vials)" (read 14 October 2026). That works out to roughly $37 to $46 per week, or about $160 to $200 a month, our arithmetic, which puts it inside the cluster. But the billing unit is different, and that matters when you are comparing quotes.

Why the range is this wide

Three things drive the price gap:

1. Billing unit. Most clinics charge per month. Some charge per 3-month protocol or per kit. Until you know what period the price covers, comparison is guesswork. The five billing patterns are set out below.

2. Whether the price stays the same. Seven of the 27 NAD+ clinics we track advertise a starting price that rises after the first period. At those clinics, the rate you see advertised is not the rate you will pay in month three. The full list and amounts are below.

3. How the NAD+ is delivered. Injectable NAD+ and nasal spray NAD+ are not always the same price. At one clinic in our set, the nasal spray route costs $40/mo more than the injection at every commitment tier. Dose and delivery details in our nasal spray vs. injection comparison.

What the starting price usually excludes

Most clinics include the initial clinical intake in the monthly charge. A few operate on a consult-only model where the consultation and the medication are billed separately. So the posted price is only the medication.

Labs are a separate line item at some clinics and included at others. If you are considering sermorelin alongside NAD+ (many clinics sell both), IGF-1 lab work may or may not be bundled. The clinic pages are not consistent about saying which.

How clinics bill for NAD+: five patterns

The price you see on an NAD+ clinic's landing page is not always the price you'll pay each month, and the monthly price is not always what you'll pay each year. Clinics use at least five distinct billing structures, and choosing the wrong one for your commitment level can cost you hundreds of dollars annually.

Here is how the ten clinics in our database are structured. And what each model means before you sign up.

At a glance

1. Flat-all-inclusive

The simplest structure: one price, everything included, no commitment tiers.

Live Vital charges $149/mo and sells NAD+ injections as a 3-month protocol ($447 total). Shipping, supplies, and provider consultation are included. There is no discount for committing to six or twelve months, but there is also no membership fee and no rate that changes after month one. The NAD+ page does not say whether lab work is required or what it would cost.

This model is easiest to budget: year one and year two cost the same if you continue.

Fidelity Medical Clinic offers the same flat structure at $66 per month. Less than half of Live Vital's rate and the lowest monthly cost in this comparison. There is one structural quirk: the clinic never publishes a per-month price. The listed rate is "$198 for a 3-Month Supply" (a 10 ml vial of NAD+ 100 mg/ml plus supplies for 12 doses, covering three months). The monthly figure of $66 is arithmetic, not a number that appears anywhere on their site. There is no discount for longer commitments, no separate membership charge, and no fee that changes after the first billing period. See the Fidelity Medical Clinic review for the full breakdown.

2. Tiered (commitment discounts)

Several clinics post a headline rate that drops with longer commitments.

HealthRX starts at $161/mo on a monthly plan and drops to $129 per month when you commit to twelve months ($1,548 upfront or per cycle, depending on billing). The discount is real, $384 saved annually, but the headline rate and the lowest rate differ by 20%, so comparing HealthRX to a flat-rate clinic on headline numbers understates the actual gap.

System Labs is harder to pin down. Read on 25 October 2026, its page data prices NAD+ injection at $149 a month after an $89 first month, $379 a quarter ($126 a month) after a $329 first quarter, or $645 for six months. A plain page load shows the monthly plan, a browser visit can show the quarterly one instead, and on 16 October the same block showed $129/mo. The sermorelin FAQ on the same site quotes a different ladder ($109, then $219). We record the monthly rate and note the others; confirm at checkout. System Labs offers six treatments (NAD+ injection, nasal spray, sermorelin injection and ODT, glutathione injection and nasal spray), each priced on its own page.

Pallas Health bills every 4 weeks rather than monthly: $139 for the first month, then $179 per 4-week cycle. 13 charges a year, not 12 (read 16 October 2026; it was $199 on 27 September).

3. Membership-plus-meds

Hone Health separates the membership from the medication cost.

The NAD+ injection protocol is priced at $175/mo for the medication alone. On top of that, Hone charges a monthly membership fee (currently $25–$155/month depending on the tier), and the initial lab panel runs around $65. Calculating year-one cost: $175 × 12 = $2,100 for meds, plus $25 × 12 = $300 minimum membership, plus $65 labs = $2,465 minimum for year one.

That is not necessarily a bad deal if the membership tier you need includes services you would pay for separately. But comparing Hone's headline $175/mo against a flat-rate clinic at $149/mo misses $390+ per year in fixed costs.

Hone is also one of the few clinics that also prescribes sermorelin, which matters if you want to combine protocols.

4. Four-week billing cycles

Luvo Health bills in 4-week cycles rather than calendar months. The distinction is not cosmetic: there are 13 four-week periods in a calendar year, not 12.

At the published rate of $199 per 4-week cycle, the effective annual cost is $199 × 13 = $2,587. Not $199 × 12 = $2,388. Luvo's own documentation notes this explicitly. Comparing Luvo's "per cycle" rate to another clinic's "per month" rate as if they are the same unit overstates the gap by one full cycle per year ($199).

Luvo offers one of the wider treatment menus at this tier: NAD+ injection, oral drops, and nasal spray, plus sermorelin injection and gonadorelin. Its pricing page says plans run from 4 to 24 weeks, with the best value at 24 weeks, but as of October 6, 2026 it no longer publishes the price of each tier: the exact amount is confirmed by a clinician after intake.

For a detailed look at how NAD+ delivery routes compare across clinics, and whether clinics charge differently for nasal spray vs. injection, see our NAD+ nasal spray vs. injection cost breakdown.

5. Promotional-entry pricing

Three clinics advertise a rate that applies only to the first billing period, with the ongoing rate either higher or unpublished.

Sprout Health advertises $199/mo but applies that rate only to the first month. The ongoing rate is $249/mo. A $50 monthly jump that adds $550 to your annual cost if you continue past month one.

MYRNK leads with a $99 first-order price. The ongoing rate is not named on the main funnel page. The public six-month ladder shows $129/mo, but the page also has a fake countdown timer (resets on reload). First-order pricing is aggressive enough to test for a single cycle, but budget planning is not possible until the ongoing rate appears in checkout.

RxSpan MD labels every price on its longevity page "for the first month." For NAD+ injection, the same page's plan chooser does publish the later rates: $249 month to month, or $199, $166 and $150 a month on prepaid 3-, 6- and 12-month plans (read 16 October 2026). For its other treatments, the rate after month one is still not shown.

What matters for your annual budget

A few questions sharpen the comparison:

Are you paying month-to-month or committing? Tiered clinics (HealthRX, Pallas Health) only reach their advertised low rates at longer commitments. If you are testing a protocol, the headline rate is the actual rate.

Is there a fee structure beyond the medication price? Hone Health's membership and lab costs are not visible in the headline price.

Is the billing cycle monthly or 4-weekly? Luvo Health's 13 cycles per year add one full cycle to the annual cost versus a monthly-billing clinic at the same per-period rate.

Does the published rate change after month one? Sprout Health and MYRNK have rates that either jump or are not published after the entry period, and RxSpan MD publishes the later rate only for NAD+ injection.

For a full ranked comparison including clinical quality scores and transparency grades, see our longevity clinic rankings. For a price breakdown by route and commitment length across all clinics, see our NAD+ nasal spray vs. injection cost guide.

Which clinics publish a flat rate that does not rise

Most price comparisons for NAD+ show you a column of numbers. The number is the easy part. The question that decides what you actually spend is whether the number holds.

We classified every clinic we rank that sells NAD+. 29 of the 31 on our roster; Hone Health and Maximus do not offer it, so they are not in this denominator. By what its advertised price covers, reading each clinic's own pricing page rather than taking a headline figure.

Seven publish a single flat rate that is verified at source and does not rise after an introductory period. All three conditions have to hold. That is the strictest thing we can say from our own data, and it is the figure we lead with.

Prices last verified 2026-09-15; Willow, added on 2026-10-09, Nu Image Medical, added on 2026-10-12, and Lttl, added on 2026-10-27, were each read the day they were added. The same count is derived live, from the same fields, at the top of our NAD+ page. Including the definition, the fields behind each condition, and what the figure does not claim.

The seven flat rates

One number, every dose, nothing billed separately, confirmed on the clinic's own page, and no step-up after month one: MyDrHank, Live Vital, Fidelity Medical Clinic, YourEra, Welludr, Care Bare Rx and Willow.

The other twenty-two, in three tiers

A clinic missing the strict test is not automatically opaque. Thirteen of the twenty-two are close to it, and the distance matters:

Thirteen publish one ongoing rate that does not step up after an introductory period, but do not meet the flat-all-inclusive test. Something is billed alongside the headline number. HealthRX, MadeMed, Ivy Rx, Get Heally, Luvo Health, bmiMD, Peter MD, He & She MD, Nu Image Medical, Enhanced, MYRNK, RxSpan MD and Lttl. On these, the figure on the page is still the figure that recurs, with one caveat: RxSpan MD's and Lttl's lowest rates need a year paid up front.

Eight advertise a rate that rises after an introductory period: Precision Telemed, AgelessRx, Pallas Health, Ageless, Wellorithm, Sprout Health, Embody and System Labs. Embody moved here on 14 October 2026, when its NAD+ page began showing $49 for the first month, then $99 a month, under a sale banner. AgelessRx moved here on 16 October 2026: its $79 is the first month of a 3-month plan billed in full, then $149 a month. RxSpan MD and System Labs moved out the same day, on a re-read of their pages. System Labs moved back on 25 October 2026: its NAD+ page data gives $89 for the first month, then $149 a month.

One we could not verify at source: VikingMan.

Seven plus thirteen plus eight plus one is 29, which is every NAD+ clinic on the roster. No clinic is left out of the arithmetic.

Why we count this rather than just listing prices

A cheap introductory rate outranks an honest ongoing one on every comparison table that sorts by advertised price. Sorting that way rewards exactly the clinics that tell you least.

So we classify first and sort second. A clinic publishing $199 that holds is telling you more than a clinic publishing $149 that doesn't say what month two costs. And if you are starting a protocol you intend to stay on, the first is the cheaper decision surprisingly often.

What this measures, and what it does not

This is a count of what clinics publish, not of what they bill. We read pages; we did not sign up at 27 clinics and compare bank statements.

A clinic outside the seven may charge something entirely reasonable in month two. We have no evidence otherwise. What we can say precisely is that seven clinics meet all three conditions at once, thirteen meet the ongoing-rate condition but not the flat-rate one, and eight publish a number that rises.

We also do not yet hold entry or intake fees for most of the roster. One of 31 has a one-time fee recorded. Until that is read at source across all of them, no one, including us, can publish a true first-year total for this category. That is a gap in our data and we would rather name it than paper over it.

Every classification here comes from the clinic's own pricing page, read at source and stamped with the date. The full breakdown is on our price transparency page.

Which advertised prices rise, and to what

We read the pricing page of all 28 online longevity clinics we rank. Seven of them advertise a price that is explicitly an entry rate. A first-month or first-order figure that goes up afterwards.

Four of those seven publish what it goes up to. Three do not.

That second number is the one worth your attention. A price that rises is ordinary. A price that rises to an amount the page will not name is a different proposition, because you cannot compare it against anything before you pay.

The seven rising prices, and what each page says

MYRNK is a different case and is not in the table. Its public product page publishes a recurring rate ($129/mo on the six-month plan, $169/mo month to month). The page our affiliate link lands on shows a $99 first-order price and no second-order figure. We publish both and say which one we rank on.

The four that publish the next rate

Precision Telemed prints the continuing rate beside the entry rate for every product it sells, in its own words. Not a range, not a footnote. Both numbers, per product.

Sprout Health does the same thing for its NAD+ plans: $199 first month then $249/mo, and $175 then $225/mo on the three-month option. You can work out a year's cost from the page.

Pallas Health and System Labs print the second number too: Pallas $179 every 4 weeks after a $139 first month, System Labs $159 a month for sermorelin ODT after a $79 first month (its FAQ gives a different ladder, so check checkout).

Those four are not cheaper than the other three. Sprout is the most expensive ongoing rate in the table. What they are is computable. And if you are choosing a protocol you intend to stay on, computable beats cheap-looking.

Why the three matter more than they look

Take RxSpan MD. Every one of its eight published prices carries the label "(For the first month)". The clinic is being accurate. It is telling you these are entry prices. Until our 16 October read we had not found the second number at all; it now sits in a plan chooser for NAD+ injection only, and the other seven still lack it.

So a reader comparing an RxSpan MD first-month price against a flat-rate clinic's monthly price is not comparing like with like, and nothing on either page tells them so. The only way to know is to read all eight labels and notice what is missing.

That is the work this table does.

What we could not do

We read pages. We did not sign up at any of these seven and record what the second charge actually was. So this measures what each clinic publishes, not what it bills.

A clinic in the three may well charge something entirely reasonable in month two. We have no evidence otherwise. What we can say precisely is that the figure is not on the page where the decision gets made, while four of its competitors put it right there.

How to check any clinic in thirty seconds

On the clinic's own pricing page, look for a second number: "then $X", "renews at $X", or a plan grid where each term carries its own rate. If the only figure is the headline, and especially if it is labelled "first month", you do not yet know what the protocol costs.

Every price here was read on the clinic's own page and carries the date we read it. Where a price depends on how you arrive at the site we publish both figures — and we say which one we rank on, including the one case where that is the campaign figure rather than the public one.

How to find a clean comparison

Eight of the 27 NAD+ clinics we track (listed below) publish a single flat rate, verified at source, that does not rise after an introductory period. Those eight are the straightforward ones to compare.

For a full side-by-side view of scores, current prices, and what each clinic discloses, see our ranked list of online NAD+ clinics. Before you commit to a protocol at any price, read what the human studies report in NAD+ injection side effects, and if needles are the obstacle, how the two routes compare on price in NAD+ nasal spray vs injection.