Last Updated
March 2026
NAD+ therapy has become one of the fastest-growing areas of longevity medicine, and with that growth comes significant variation in pricing, protocol quality, and what is actually included in a program. Monthly quotes can differ by hundreds of dollars for what appears to be the same therapy.
Before enrolling in any NAD+ program, this checklist helps you ask the right questions and compare programs on the factors that actually matter for safety and outcomes.
Why Pricing Varies So Much
NAD+ therapy pricing varies dramatically because programs differ across several dimensions that are not always visible in a quoted monthly rate:
- Delivery method (IV infusion vs. subcutaneous injection vs. oral/nasal)
- Whether clinical oversight and follow-up are included or billed separately
- Frequency and duration of the protocol
- Whether labs are bundled or billed as add-ons
- Pharmacy source and compounding standards
A lower monthly quote can reflect reduced clinical oversight rather than genuine cost efficiency. This checklist helps you evaluate total value, not just the headline number.
Pre-Enrollment Checklist
1. What Exactly Is Included in the Monthly Price
- Does the quoted price include the medication/supply cost only, or does it also include clinician consultations?
- Are follow-up check-ins included, or are they billed per visit?
- Are supplies (syringes, alcohol wipes, sharps disposal) included for at-home injection protocols?
- Are lab panels included or optional add-ons?
2. What Is the Delivery Method and Protocol
- Is this IV infusion (highest bioavailability, clinic-based), subcutaneous injection (at-home, high bioavailability), or oral/nasal precursor (lower bioavailability, most convenient)?
- What is the starting dose and escalation protocol?
- What is the recommended treatment frequency, daily, weekly, monthly loading, or maintenance?
- Is the protocol individualized based on labs and symptoms, or is it a one-size program?
3. Clinician Oversight and Follow-Up
- Who reviews your intake and approves your prescription, a licensed physician, NP, or PA?
- What credentials does the supervising clinician hold in longevity or functional medicine?
- How frequently are follow-up check-ins scheduled?
- What is the response time if you have questions or side effects during treatment?
- Is there a dedicated clinical support line or only async messaging?
4. Lab Requirements and Monitoring
- Does the program require baseline labs before starting?
- What labs are included: metabolic panel, NAD+ levels, inflammatory markers?
- Are follow-up labs scheduled to assess response?
- Are labs processed in-house or do you need to visit an external lab?
5. Medication Source and Quality
- Is the NAD+ formulation sourced from an FDA-registered compounding pharmacy?
- Is the pharmacy PCAB-accredited (Pharmacy Compounding Accreditation Board)?
- What is the storage requirement for at-home protocols, does it require refrigeration?
- Is the purity and potency of the compounded product tested by a third party?
Cost Comparison Framework
| Line Item | Included? | If Not: Additional Cost |
|---|---|---|
| Initial clinician consultation | Ask provider | $50–$200 |
| Monthly medication supply | Core cost | Variable |
| Follow-up check-ins | Ask provider | $50–$150 per visit |
| Baseline lab panel | Ask provider | $100–$300 |
| Injection supplies | Ask provider | $20–$50/month |
| Ongoing monitoring labs | Ask provider | $100–$200 quarterly |
Red Flags to Watch For
- No baseline lab requirement before prescribing, a responsible program always screens first
- No clear information about the prescribing clinician's credentials or state licensure
- Pharmacy source not disclosed or not accredited
- No follow-up cadence defined in the program structure
- Cancellation terms buried in fine print with significant penalties
- Quoted price excludes clinician fees entirely, meaning no real medical oversight
Delivery Method Comparison
| Method | Bioavailability | Convenience | Typical Cost Range |
|---|---|---|---|
| IV Infusion | Highest (100%) | Clinic-based | $300–$1,000+ per session |
| Subcutaneous Injection | High | At-home daily | $200–$500/month |
| Nasal Spray | Moderate | At-home daily | $100–$300/month |
| Oral Precursor (NMN/NR) | Lower | Daily supplement | $50–$150/month |
Frequently Asked Questions
Is NAD+ therapy covered by insurance?
Most NAD+ therapy programs operate on cash-pay models and are not covered by standard health insurance. Some HSA/FSA accounts may be applicable, check with your plan administrator.
How long does it take to see results?
Many individuals report energy and recovery improvements within 2–4 weeks of starting subcutaneous or IV protocols. Oral precursors typically require longer timeframes to establish elevated NAD+ levels.
Do I need labs before starting?
A responsible provider will require baseline labs. This is non-negotiable for safe, individualized dosing. Programs that skip this step are providing minimal clinical oversight regardless of their marketing.
How do I know if a compounding pharmacy is reputable?
Look for FDA-registered status and PCAB accreditation. Ask the program directly which pharmacy compounds their NAD+ and whether third-party potency testing is performed.
Can I combine NAD+ therapy with other longevity protocols?
Many longevity programs stack NAD+ with peptide therapy, hormone optimization, or GLP-1 protocols. Combinations should always be supervised by a clinician who can monitor for interactions and adjust dosing.
Compare NAD+ Therapy Programs Side-by-Side
Our independent comparison evaluates NAD+ providers on protocol quality, clinical oversight, pharmacy standards, and pricing transparency, so you can enroll with confidence.
Compare NAD+ Providers →Providers at Every Price Range
BettermeRx
BettermeRx backs its NAD+ therapy with something almost no competitor offers: a 100% Success Guarantee. If you don't get results, you get your money back. Starting at $99/month with a limited-time $69 saving on the 1000mg injection plan, BettermeRx combines two delivery formats across three plans (injection 1000mg, injection 500mg, nasal spray 900mg) with real provider support and fast UPS/FedEx shipping.
He & She MD
He & She MD is the rare NAD+ provider that treats delivery method as a personal choice, not a pricing lever. Choose a subcutaneous injection, a topical cream, or a nasal spray, and pay the exact same $149/mo either way, locked on a 12-month supply. There is no membership fee and no hidden costs — the price you see is the price you pay. It is the only provider in the category offering three delivery formats at one identical price, so the decision is about comfort, not cost.
Remote Pharmacy
Remote Pharmacy offers 500mg and 1,000mg NAD+ injections from $99, with an online medical consultation, prescription, and free 1–2 day shipping included.
Sources & References
- Yoshino J et al. NAD+ Intermediates: The Biology and Therapeutic Potential. Cell Metab 2018- Cell Metabolism
- Martens CR et al. Chronic Nicotinamide Riboside Supplementation is Well-tolerated in Healthy Middle-Aged and Older Adults. Nat Commun 2018- Nature Communications
- Rajman L, Chwalek K, Sinclair DA. Therapeutic Potential of NAD-Boosting Molecules. Cell Metab 2018- Cell Metabolism
- Camacho-Pereira J et al. CD38 Dictates Age-Related NAD Decline and Mitochondrial Dysfunction. Cell Metab 2016- Cell Metabolism