Live Vital vs RxSpan MD: Which longevity Clinic Is Better in 2026?
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Short answer
Live Vital wins overall, scoring 6.8/10 vs 6.1/10. Mainly on what they can prescribe and real monthly cost.
Live Vital wins overall, scoring 6.8/10 vs 6.1/10.
Live Vital · from $149/mo on a 3-month protocol ($447 total)
Names the physician who reviews your intake, and shows the protocol total next to the monthly price.
from $149/mo on a 3-month protocol ($447 total)
Visit →
Eight longevity treatments priced, and not one ongoing price.
from $150/mo on a prepaid 12-month plan ($249 month to month)
Visit →Live Vital vs RxSpan MD, side by side
| Feature | Live Vital | RxSpan MD |
|---|---|---|
| Our score | 6.8/10 | 6.1/10 |
| Starting price | $149/mo on a 3-month protocol ($447 total) | $150/mo on a prepaid 12-month plan ($249 month to month) |
| Medication types | nad-injection, glutathione-injection, peptides | nad-injection, nad-nasal-spray, nad-tablet, sermorelin-odt, glutathione, ghk-cu, mic-b12, methylene-blue |
| Best for | Best for a named prescriber | — |
| Overall ranking | #17 | #26 |
| Real monthly cost (25%) | 7.5 | 6.0 |
| Prescriber & follow-up (30%) | 7.0 | 5.5 |
| What they can prescribe (20%) | 6.5 | 8.5 |
| What they disclose (25%) | 6.0 | 5.0 |
Sources: Live Vital pricing verified on livevital.io, RxSpan MD pricing verified on rxspanmd.com
Pros & cons
Live Vital
Pros
- + NAD+ at $149/mo and glutathione at $99/mo, each with the three-month total shown
- + Names its reviewing physician publicly rather than referring to a network
- + Prepared by a licensed US pharmacy, with unlimited messaging to the care team
Cons
- − Weaker on What they disclose (6.0/10)
- − Weaker on What they can prescribe (6.5/10)
- − Weaker on Prescriber & follow-up (7.0/10)
RxSpan MD
Pros
- + Eight longevity treatments, each with a figure attached
- + Price is stated to include consult, medication, supplies, shipping and support
- + Says plainly that a prescription is not guaranteed
Cons
- − Weaker on What they disclose (5.0/10)
- − Weaker on Prescriber & follow-up (5.5/10)
- − Weaker on Real monthly cost (6.0/10)
The bottom line
After scoring all 31 clinics on our 4-criterion rubric (real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose), Live Vital (6.8/10) comes out ahead of RxSpan MD (6.1/10). But the right choice still depends on what matters most to you.
Choose Live Vital if you want best for a named prescriber. From $149/mo on a 3-month protocol ($447 total).
Visit →Choose RxSpan MD if you want this option. From $150/mo on a prepaid 12-month plan ($249 month to month).
Visit →Editor's overall pick
Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo on a 1-month plan, renewing monthly. Read the review →
Ready to start longevity care?
Our verdict for this matchup is Live Vital.
Frequently asked questions
Which is better, Live Vital or RxSpan MD?
How much does Live Vital cost vs RxSpan MD?
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How we score: every clinic is rated on five weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.