LMy Longevity Picks

Peter MD vs RxSpan MD: Which longevity Clinic Is Better in 2026?

31 clinics scoredPrices checked weekly0 paid rankings

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Short answer

Peter MD wins overall, scoring 6.4/10 vs 6.1/10. Mainly on prescriber & follow-up and real monthly cost.

Our pick: Peter MD

Peter MD wins overall, scoring 6.4/10 vs 6.1/10.

Winner
#23 of 31

Peter MD

6.4

NAD+ as injection or capsule, plus sermorelin and metformin, priced by supply rather than by month.

from $369 for an 8 to 10 week supply (2 vials)

Read Review
#26 of 31

RxSpan MD

6.1

Eight longevity treatments priced, and not one ongoing price.

from $150/mo on a prepaid 12-month plan ($249 month to month)

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Peter MD vs RxSpan MD, side by side

FeaturePeter MDRxSpan MD
Our score6.4/106.1/10
Starting price$369 for an 8 to 10 week supply (2 vials)$150/mo on a prepaid 12-month plan ($249 month to month)
Medication typesnad-injection, nad-capsule, sermorelin-injection, metformin, bloodworknad-injection, nad-nasal-spray, nad-tablet, sermorelin-odt, glutathione, ghk-cu, mic-b12, methylene-blue
Best forNAD+ in two forms, plus metformin—
Overall ranking#23#26
Real monthly cost (25%)6.56.0
Prescriber & follow-up (30%)6.55.5
What they can prescribe (20%)8.08.5
What they disclose (25%)5.05.0

Sources: Peter MD pricing verified on getpetermd.com, RxSpan MD pricing verified on rxspanmd.com

Pros & cons

Peter MD

Pros

  • + NAD+ as both injection and capsule, plus sermorelin and metformin
  • + Publishes the states it cannot ship to, on the product page itself
  • + Comprehensive bloodwork sold openly alongside treatment

Cons

  • − Not available in 2 states
  • − Weaker on What they disclose (5.0/10)
  • − Weaker on Real monthly cost (6.5/10)

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), Peter MD (6.4/10) comes out ahead of RxSpan MD (6.1/10). But the right choice still depends on what matters most to you.

Choose Peter MD if you want nad+ in two forms, plus metformin. From $369 for an 8 to 10 week supply (2 vials).

Read Review →

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 Peter MD.

Peter MDRead Review
RxSpan MD · from $150/mo on a prepaid 12-month plan ($249 month to month)Visit →
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Frequently asked questions

Which is better, Peter MD or RxSpan MD?
Peter MD scores higher overall (6.4/10 vs 6.1/10) and is our recommended pick for most people.
How much does Peter MD cost vs RxSpan MD?
Peter MD is from $369 for an 8 to 10 week supply (2 vials) and RxSpan MD is from $150/mo on a prepaid 12-month plan ($249 month to month). Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between Peter MD and RxSpan MD?
Peter MD (6.4/10, #23 of 31) and RxSpan MD (6.1/10, #26 of 31) are scored independently across our 4 criteria: real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does Peter MD or RxSpan MD take insurance?
Neither Peter MD nor RxSpan MD typically accepts insurance for longevity treatment. Both operate on a cash-pay model, though HSA and FSA funds are often eligible. Confirm at checkout.

Related comparisons

HealthRX vs Peter MD→HealthRX vs RxSpan MD→MadeMed vs Peter MD→MadeMed vs RxSpan MD→Ivy Rx vs Peter MD→Ivy Rx vs RxSpan MD→
Ranked by score

Top picks

HealthRXfrom $161/mo on a 1-month plan, renewing monthly

Published prices on every product

Paid link · ranks 1 of 31 on our methodology either way
Visit →Read review
MadeMedfrom $169/mo on a 6-month plan billed $1,014

Best for clinical specificity

Ranks 2 of 31 · no commercial relationship
Read the MadeMed review
Ivy RxIvy Rxfrom $175 with no billing period stated

Best named clinical oversight

Ranks 3 of 31 · no commercial relationship
Read the Ivy Rx review

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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.