LMy Longevity Picks

Precision Telemed vs Ageless: Which longevity Clinic Is Better in 2026?

31 clinics scoredPrices checked weekly0 paid rankings

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Short answer

Precision Telemed wins overall, scoring 7.8/10 vs 6.9/10. Mainly on what they disclose and real monthly cost.

Our pick: Precision Telemed

Precision Telemed wins overall, scoring 7.8/10 vs 6.9/10.

Winner
#4 of 31

Precision TelemedPrecision Telemed

7.8

Publishes what you pay in month two, next to what you pay in month one. The one disclosure almost nothing else here makes.

from $149/mo after a $139.99 first month

Read Review
#16 of 31

Ageless

6.9

Sells NAD+ as both an injection and a troche, at a price that is settled after review rather than at checkout.

from $199/mo at a time-limited discount, set after clinical review

Read Review

Precision Telemed vs Ageless, side by side

FeaturePrecision TelemedAgeless
Our score7.8/106.9/10
Starting price$149/mo after a $139.99 first month$199/mo at a time-limited discount, set after clinical review
Medication typesnad-injection, sermorelin-injection, peptidesnad-injection, nad-troche
Best forBest for knowing month two's price—
Overall ranking#4#16
Real monthly cost (25%)8.07.0
Prescriber & follow-up (30%)7.56.5
What they can prescribe (20%)7.07.0
What they disclose (25%)8.57.0

Sources: Precision Telemed pricing verified on precisiontelemed.com, Ageless pricing verified on tryageless.com

Pros & cons

Precision Telemed

Pros

  • + States the ongoing rate beside the entry rate on every product page: NAD+ $139.99 then $149/mo, sermorelin $149.99 then $179.99/mo
  • + Compounded in 503A and 503B pharmacies, with board-certified physician oversight included in the price
  • + No membership fee, free shipping, cancel anytime, and no dose-based price increases

Cons

  • − Weaker on What they can prescribe (7.0/10)
  • − Weaker on Prescriber & follow-up (7.5/10)
  • − Weaker on Real monthly cost (8.0/10)

Ageless

Pros

  • + NAD+ in two routes. A 1200 mg injection and a 200 mg troche
  • + Product page states dose, volume and supply length explicitly
  • + Says the final price depends on the prescribed dose rather than implying the headline is fixed

Cons

  • − Weaker on Prescriber & follow-up (6.5/10)
  • − Weaker on Real monthly cost (7.0/10)
  • − Weaker on What they can prescribe (7.0/10)

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), Precision Telemed (7.8/10) comes out ahead of Ageless (6.9/10). But the right choice still depends on what matters most to you.

Choose Precision Telemed if you want best for knowing month two's price. From $149/mo after a $139.99 first month.

Read Review →

Choose Ageless if you want this option. From $199/mo at a time-limited discount, set after clinical review.

Read Review →

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 Precision Telemed.

Frequently asked questions

Which is better, Precision Telemed or Ageless?
Precision Telemed scores higher overall (7.8/10 vs 6.9/10) and is our recommended pick for most people. Precision Telemed also has the lower starting price at $149/mo after a $139.99 first month.
How much does Precision Telemed cost vs Ageless?
Precision Telemed is from $149/mo after a $139.99 first month and Ageless is from $199/mo at a time-limited discount, set after clinical review. 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 Precision Telemed and Ageless?
Precision Telemed (7.8/10, #4 of 31) and Ageless (6.9/10, #16 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 Precision Telemed or Ageless take insurance?
Neither Precision Telemed nor Ageless 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 Precision Telemed→HealthRX vs Ageless→MadeMed vs Precision Telemed→MadeMed vs Ageless→Ivy Rx vs Precision Telemed→Ivy Rx vs Ageless→
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.