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Provider ranking · Updated 2026

Best NAD+ Therapy Providers (2026): Doctor-Reviewed, Ranked

NAD+ is a coenzyme central to cellular energy that a growing number of telehealth clinics now offer as an injection, IV, nasal spray, or oral protocol. We compared the providers that actually offer it on the things that matter once the marketing fades: a transparent price, genuine clinical review, and real human support. CoreAge Rx earns our top spot for value — a flat $93/month with doctor-reviewed protocols, 503A compounding, and included nurse and dietitian consults.

By Marcus Hale, Longevity Research Editor

FTC disclosure. CoreAge Rx is The NAD Review's featured partner: if you start treatment through our link we may earn a commission, at no extra cost to you. The other providers below are shown for honest comparison — we have no affiliate relationship with them and do not link out to them. Our #1 pick reflects price, oversight, and support, not the commission. See our full disclosure.

Our #1 pick

$93 / month, flat

CoreAge Rx

Doctor-reviewed NAD+ with a flat monthly price and built-in human support.

Featured partner · #1

$93 / month, flat

U.S.-licensed clinicians review an online intake; the NAD+ protocol is filled by a 503A compounding pharmacy. CoreAge offers both an NAD+ injection and an NAD+ nasal spray ("Hello Energy"), each at a flat $93/month. Every plan includes 1:1 consults with nurses and registered dietitians, an automatic refund if you are not approved, and roughly 2-business-day shipping after approval. Monthly recurring, with no separate membership or lab fee.

Strengths

  • Transparent flat $93/month — no separate membership, lab, or hidden fees
  • Doctor-reviewed protocols filled by a 503A compounding pharmacy
  • Two formats at the same price: NAD+ injection and NAD+ nasal spray
  • Included 1:1 support from nurses and registered dietitians
  • Automatic refund if you are not approved for treatment

Trade-offs

  • Single-category focus — not a full hormone-optimization clinic
  • Like all compounded NAD+, it is not an FDA-approved product, and injectable/nasal NAD+ has no rigorous trial evidence (see our evidence review)
Start with CoreAge Rx — $93/moAutomatic refund if you are not approved · ~2-business-day shipping

The rest of the field

Three real telehealth providers that verifiably offer an NAD+ program, each checked against their own site in 2026. We only state a price where the provider published one we could confirm.

HydraMed

Higher flat monthly price with a free intake consult and no membership.

$299 / month (or $369 one-time), 1000 mg vial

Online intake with a licensed provider; once approved, compounded NAD+ (a 1000 mg, 5 mL vial) ships from the pharmacy. The plan is flat — no membership tier — and bundles a free online consultation, free shipping, and virtual support, with a cheaper one-time option for a single vial.

Strengths

  • Genuinely flat monthly price with no separate membership
  • Free online consultation and shipping included; one-time purchase option available

Trade-offs

  • Substantially higher than CoreAge's $93/month
  • Single injection format; no included nurse or dietitian program

Shown for honest comparison. We have no affiliate relationship with HydraMed and do not link out to them. Verified on the provider's site: https://hydramed.com/rx/nad/injections

Invigor Medical

Established telehealth clinic; NAD+ priced higher with consult and supplies bundled.

Starting at $340 / month (includes doctor consult and supplies)

Virtual visit with a licensed provider, then NAD+ plus injection supplies shipped to your door, prescribed 100% online by U.S. doctors. The advertised price bundles the consult and supplies; Invigor publicly names its compounding-pharmacy partners.

Strengths

  • Consult and injection supplies bundled into the advertised price
  • Long-running telehealth clinic that openly names its pharmacy partners

Trade-offs

  • Starting price is well above CoreAge's flat $93
  • Pricing can vary by dose; an upfront initial-order fee has been reported elsewhere

Shown for honest comparison. We have no affiliate relationship with Invigor Medical and do not link out to them. Verified on the provider's site: https://invigormedical.com/plans/buy-nad-injections/

Hone Health

Lab-gated optimization platform that prices NAD+ on top of a recurring membership.

$165 / month medication + membership ($25 or $155/mo); $65 initial biomarker panel

Hone is a biomarker-driven optimization platform. NAD+ injections require an initial lab panel (discounted to $65) and a physician video consult, then are billed at $165/month on top of an ongoing membership ($25/month Basic or $155/month Premium). The medication price alone does not reflect the true monthly cost.

Strengths

  • Baseline and ongoing lab testing for users who want data-driven monitoring
  • Physician video consult and a personalized plan included with onboarding

Trade-offs

  • Stacked cost: the $165 medication is charged on top of a recurring membership
  • Lab-gated onboarding is heavier than a single-product NAD+ plan
  • Total monthly outlay can far exceed CoreAge once membership and labs are added

Shown for honest comparison. We have no affiliate relationship with Hone Health and do not link out to them. Verified on the provider's site: https://honehealth.com/longevity/nad/

Side by side

The honest comparison at a glance. “Flat pricing” means a single all-in monthly figure with no separate membership or lab fee.

ProviderPriceFlat pricingConsult incl.PharmacyLabs requiredNurse/RD support
CoreAge RxFeatured$93/mo flatFlat pricing: yesConsult included: yes503ANoNurse and dietitian support: yes
HydraMed$299/moFlat pricing: yesConsult included: yesUnspecifiedNoNurse and dietitian support: no
Invigor MedicalFrom $340/moFlat pricing: noConsult included: yesNetworkOptionalNurse and dietitian support: no
Hone Health$165/mo + membershipFlat pricing: noConsult included: yesNetworkYesNurse and dietitian support: no

Prices and program details were verified on each provider's own site in 2026 and can change without notice. “Optional” labs means the provider may offer or suggest testing but does not gate the basic plan on it. Confirm current terms with the provider before starting.

Why CoreAge Rx ranks first

CoreAge wins on the fundamentals rather than on any claim that NAD+ is a miracle. The price is genuinely flat — $93/month with no membership or lab surcharge to discover later, and the same price covers either the injection or the “Hello Energy” nasal spray. The intake is reviewed by U.S.-licensed clinicians, the protocol is filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with nurses and registered dietitians. If you are not approved, you are refunded automatically.

We are also honest about the science: NAD+'s clinical evidence is modest, and injectable and nasal NAD+ specifically have no rigorous randomized-trial evidence. Compounded NAD+ is not an FDA-approved product. This ranking is about provider quality, value, and experience — not a promise that NAD+ shots boost energy or longevity. Read the full picture in our NAD+ therapy evidence review before deciding.

How we rank

We do not run sponsored reviews or accept payment to move a provider up the list. Rankings weigh four factors, with price transparency carrying the most weight because hidden recurring fees are the most common way NAD+ programs end up costing more than they first appear.

Price transparency

We reward a single, all-in monthly price. Plans that stack a membership or lab fee on top of the medication price rank lower than a true flat rate.

Clinical oversight

Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates.

Pharmacy quality

We note whether the compounding pharmacy is identified (e.g. a 503A facility) rather than left vague.

Human support

Included access to nurses or registered dietitians — not just a shipped vial — meaningfully improves the experience.

Read the evidence first

A provider ranking is only half the decision. Understand what NAD+ can and cannot do before you start:

This page is informational and not medical advice. NAD+ is available by prescription after clinician review; compounded NAD+ is not FDA-approved, and injectable or nasal NAD+ has no rigorous clinical-trial evidence for energy or longevity. Talk to a licensed provider about whether it is appropriate for you.