review
That is what PICK marks. A commercial relationship, not a ranking position. It does not affect the score or where RxSpan MD sits: RxSpan MD is #26 of 31 on the same methodology as every other clinic here. How this works
RxSpan MD operates at rxspanmd.com.
Short answer
RxSpan MD scores 6.1/10 (#26 of 31 clinics). $150/mo on a prepaid 12-month plan ($249 month to month) is a real, ongoing rate on the plan it applies to. Our evidence shows no sign it's a promotional rate that rises later. There is also a flagged concern. See Is RxSpan MD legit? below.
from $150/mo on a prepaid 12-month plan ($249 month to month)Is RxSpan MD legit?
What we checked before publishing this page.
- ✓ A U.S.-licensed clinician reviews your case before anything is prescribed
- ✓ Intake includes a real medical questionnaire, not a rubber stamp
- ✓ Named price on their own site ($150/mo on a prepaid 12-month plan ($249 month to month)), verified 2026-10-26
- ✓ Ranked by the rubric on our editorial policy page. Payout status never enters into it
Watch out for
Every price RxSpan MD publishes on its longevity page is marked "(For the first month)". NAD+ injection $249, NAD+ tablet $199, sermorelin ODT $179, with glutathione, GHK-Cu, MIC B12 and methylene blue lower. Only NAD+ injection has its later months priced, in a plan chooser on the same page ($249 month to month, $150/mo prepaid for 12 months); for everything else you can see what it costs to start and not what it costs to continue. The cheapest NAD+ rate needs a year paid up front. Ask for the recurring figure before you pay. (Source: rxspanmd.com/category/longevity, read 2026-10-16.)
Sources: rxspanmd.com/category/longevity, read 2026-10-16.
Cost
What RxSpan MD actually costs
2 recorded checks since 2026-09-09. Each column is a price we read on RxSpan MD's own page and committed with its date. Not a figure supplied to us.
RxSpan MD's plans and prices
Every plan, product and plan length RxSpan MD lists, as we read them. Extra costs and introductory prices are their own rows. Each plan links to the clinic: affiliate links, which never change a score or a rank.
| Plan | Price | Term | What it covers |
|---|---|---|---|
| NAD+ injection, 12-month plan (prepaid)Visit → | $150/mo | Pre-paid 12-month plan | Includes clinician visits, injection supplies, per RxSpan MD |
| NAD+ injection, 6-month plan (prepaid)Visit → | $166/mo | Pre-paid 6-month plan | Includes clinician visits, injection supplies, per RxSpan MD |
| NAD+ injection, 3-month plan (prepaid)Visit → | $199/mo | Pre-paid 3-month plan | Includes clinician visits, injection supplies, per RxSpan MD |
| NAD+ injection, monthlyVisit → | $249/mo | Monthly | Includes clinician visits, injection supplies, per RxSpan MD |
| Extra costs and introductory prices | |||
| Sermorelin ODT, for the first month | $179 first month | (For the first month); later rate not tied to this product on the page | Introductory price for the first period |
| NAD+ Injection, for the first month | $249 first month | (For the first month) | Introductory price for the first period |
| NAD+ Nasal Spray, for the first month | $249 first month | (For the first month) | Introductory price for the first period |
| NAD+ Flex Dose Tablet, for the first month | $199 first month | (For the first month) | Introductory price for the first period |
| Glutathione, for the first month | $149 first month | (For the first month) | Introductory price for the first period |
RxSpan MD's own figures, read up to 2026-10-16 on rxspanmd.com.
Your first charges with RxSpan MD
What leaves your card and when, on the cheapest plan we price, if a clinician approves you. Figures marked “our arithmetic” are worked out from RxSpan MD's own prices.
- At checkout$1,800The whole 12-month plan(our arithmetic)
- After 12 monthsNot publishedRenewal for the next term. The renewal price isn't published; check before it renews
The plan total is $150 × 12 months, our arithmetic from RxSpan MD's per-month figure.
From RxSpan MD's prices, read 2026-10-16 on rxspanmd.com.
Visit →Affiliate link: we may earn a commission. It never changes a score or rank.
What RxSpan MD's ads say, and what the fine print says
Each row sets a claim from RxSpan MD's sales pages beside its terms or another of its own pages, as we read them. Only the places where the two differ are shown.
| Topic | On the sales page | In the terms or elsewhere on its site |
|---|---|---|
| How you pay | $150/morxspanmd.com, read 2026-10-26 | Charged $1,800 at checkout for the whole 12-month plan (our arithmetic from its prices)rxspanmd.com, read 2026-10-26 |
Visit →Affiliate link: we may earn a commission. It never changes a score or rank.
RxSpan MD’s starting price over time
Every change to the starting price we recorded, oldest first:
| Recorded | Starting price |
|---|---|
| Sep 9, 2026 | $149 |
| Oct 16, 2026 | $150 |
A change can be the clinic moving its price or us correcting an earlier reading. The full series for every clinic is in price-history.csv.
What changed since we last checked
- Oct 16, 2026
- Added to our record: NAD+ injection, 12-month plan (prepaid), $150/mo.
- Added to our record: NAD+ injection, 6-month plan (prepaid), $166/mo.
- Added to our record: NAD+ injection, 3-month plan (prepaid), $199/mo.
- Added to our record: NAD+ injection, monthly, $249/mo.
A change can be RxSpan MD moving a price, or us reading a page we hadn’t read before or correcting an earlier reading. Dates are when the change entered our record.
Before you sign up with RxSpan MD
Each line is from RxSpan MD's own pages or a public record, with the date we read it. Where we hold no reading, the line is left out rather than guessed.
- What the price covers
- Clinician visits: included. RxSpan MD's page: “Price includes consult, medication, supplies, shipping, and support” Injection supplies: included. RxSpan MD's page: “Price includes consult, medication, supplies, shipping, and support” (rxspanmd.com, read 2026-10-07)
The downsides we found
- Doesn't name the pharmacy that fills your prescription.
- No company name published where we looked.
Check your state and budget
From RxSpan MD’s own pages as recorded in its review. A monthly figure for a plan billed every few weeks or months is our arithmetic.
Compare two RxSpan MD plans
| A: NAD+ injection, 12-month plan (prepaid) | B: NAD+ injection, 6-month plan (prepaid) | |
|---|---|---|
| Price as published | $150/mo | $166/mo |
| Works out to a month | $150 | $166 |
| First 12 months | $1,800 ($150 × 12) | $1,992 ($166 × 12) |
| Commitment | Pre-paid 12-month plan | Pre-paid 6-month plan |
| What it covers | Not stated on the row | Not stated on the row |
| Read on | Oct 16, 2026 | Oct 16, 2026 |
Over the first 12 months, B costs $192 more than A, by the arithmetic shown.
Twelve-month figures assume the price holds and you stay the full year; they leave out anything billed separately.
Questions to ask RxSpan MD at intake
Each one is here because RxSpan MD’s pages left it open when we read them.
- How do I cancel, and is anything refunded if I stop partway through a plan? We didn't find RxSpan MD's cancellation terms on the pages we read.
- Do you serve my state? RxSpan MD doesn't publish a list of states it can't serve.
- Do I need lab work before starting, and what does it cost? Its pages don't say whether labs are needed or what they cost.
- What will I pay each month after the introductory price ends? RxSpan MD advertises a first-period price that differs from its ongoing rate.
- Is the longer plan charged up front, and can I switch to month-to-month later? At least one of its plans is billed for several months at once.
- Does my price change when my dose goes up? Its plan prices don't say whether they hold at higher doses.
- How do I reach a clinician between visits, and how fast do they reply? We didn't find a published support or messaging commitment.
Our verdict
Who RxSpan MD is for
RxSpan MD earns 6.1/10 and ranks #26 of 31 online longevity clinics we've scored. Eight longevity treatments priced, and not one ongoing price.
Summarize this page with
Pricing details
$150/mo on a prepaid 12-month plan ($249 month to month) is a real, ongoing rate on the plan it applies to. Our evidence shows no sign it's a promotional rate that rises later.
Every treatment on the longevity page is priced "(For the first month)" (NAD+ injection $249, NAD+ nasal spray $249, NAD+ tablet $199, sermorelin ODT $179, glutathione lower). The same page's plan chooser, for NAD+ injection, shows 12-month plan $150/mo, 6-month $166/mo, 3-month $199/mo and monthly $249/mo, "Pre-paid monthly, quarterly, semi-annually, or annually". So $249 is the month-to-month rate and the longer plans are paid up front. Read 2026-10-16. Until then we showed its lowest first-month price with later months unpublished; the page does publish them for NAD+ injection.
Classified as “One ongoing rate”. See how we classify every clinic's price →
Sources: Pricing verified on rxspanmd.com
Third-party records
What we found outside RxSpan MD's own site. Its Better Business Bureau record.
Better Business Bureau
No BBB profile found for RxSpan MD (checked 2026-10-12).
Choose RxSpan MD if
- + You want this kind of clinic
- + You're looking for nad-injection
- + You're looking for nad-nasal-spray
Skip RxSpan MD if
- − Doesn't name the pharmacy that fills your prescription
- − No company name published where we looked
RxSpan MD pros & cons
What we like
- + 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
What could be better
- − Doesn't name the pharmacy that fills your prescription
- − No company name published where we looked
Quick facts
| Our score | 6.1/10 |
| Starting price | $150/mo on a prepaid 12-month plan ($249 month to month) |
| Treatment types | nad-injection, nad-nasal-spray, nad-tablet, sermorelin-odt, glutathione, ghk-cu, mic-b12, methylene-blue |
| Availability | Not published. Check before you sign up |
| Overall rank | #26 of 31 |
| Price status | Verified 2026-10-26 |
Score breakdown
Sources: Full scoring methodology
How RxSpan MD works
- 1. Online intake. Complete a medical questionnaire and eligibility check (often BMI-based) covering your health history.
- 2. Clinician review. A licensed clinician reviews your information and, if appropriate, prescribes NAD+ or sermorelin with a dose-titration plan.
- 3. Delivery & monitoring. Your medication ships discreetly to your door, with check-ins and dose adjustments along the way.
About the treatments RxSpan MD offers
Sermorelin
Every clinic we review that offers sermorelin, with its price
NAD+
Every clinic we review that offers NAD+, with its price
- How Much Does NAD+ Therapy Cost?
- NAD+ Injection Side Effects: What Is Known
- NAD+ Nasal Spray: What It Is, What the Research Shows, and What Clinics Charge vs Injection
- NAD+ Supplement vs Clinic Protocol
- NMN vs NR: Cost Per Gram Compared
- NMN vs NAD: Supplements, Injections and Evidence
- Best NAD Supplement: NR, NMN and NAD+ Compared
Glutathione
Every clinic we review that offers glutathione, with its price
Methylene blue
Frequently asked questions
How much does RxSpan MD cost?
RxSpan MD starts at $150/mo on a prepaid 12-month plan ($249 month to month) (verified 2026-10-26). Final cost depends on the treatment and dose.
What does RxSpan MD's price include?
Clinician visits: included. RxSpan MD's page: “Price includes consult, medication, supplies, shipping, and support” Injection supplies: included. RxSpan MD's page: “Price includes consult, medication, supplies, shipping, and support” (Read 2026-10-07.)
Is RxSpan MD available in my state?
RxSpan MD does not publish a state-by-state availability list we could verify, so we do not claim one. Confirm with the clinic before you pay.
How do I qualify for online longevity treatment?
You complete a medical questionnaire. A licensed clinician reviews it and, if appropriate, prescribes. There's no questionnaire-only prescription without clinician review.
Alternatives to RxSpan MD
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MadeMed
8.2from $169/mo on a 6-month plan billed $1,014 · sermorelin-injection, sermorelin-oral
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Helpful tools
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Ready to get started with RxSpan MD?
6.1/10 · from $150/mo on a prepaid 12-month plan ($249 month to month) · Not published. Check before you sign up
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One of these earns us a commission if you sign up. Scores are unaffected; partners are listed first at equal displayed scores. How this works →
Price status: Verified 2026-10-26.Scores are derived from our documented methodology and are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.