Palm Beach Labs Review: One NAD+ Vial, Two Storefronts, Two Prices

Palm Beach Labs sells a compounded NAD+ injection from two different websites, and the two websites disagree about what it costs.

On palmbeachlabs.co the product card reads "NAD+ Injectable — Starting Price At — $169 / mo", with an asterisk after it. On trypalmbeachlabs.com the same injection is $169 for the first month, with $240 struck through beside it, above a line that reads: "Renews at standard rate of $240/mo."¹

Same company. We checked that carefully, because a similar name is not an identity: the second site publishes the same phone number and the same contact address as the first, and its footer sends you to the first site's terms of service, privacy policy, telehealth consent and contact page. It has no legal pages of its own. Both sell the same injection and name the same medical advisor. This is one operator with two front doors.

The asterisk that goes nowhere

Follow the asterisk on palmbeachlabs.co and there is nothing at the end of it. It appears eight times on that page — once beside every product's price — and the page publishes no footnote defining it anywhere in the rendered text. So a reader is told $169 a month, marked with a symbol that promises a qualification, and never given the qualification.

The qualification is on the company's other website: $169 is a first month, and the standing rate is $240. That is a 42 percent increase from month two onward, and it is disclosed — just not on the page that most people will read.

What makes this worth a section rather than a footnote of our own is the sentence sitting in palmbeachlabs.co's own frequently-asked questions, a few hundred pixels below the $169 card. Asked whether it takes insurance, the company answers: "No insurance is needed, we offer transparent out-of-pocket prices. What you see is what you pay!"

What you see is $169. What you pay, from the second month, is $240. Both figures come from the company. Only one of them is on the page making the promise.

We file Palm Beach Labs at $240 a month on our NAD+ price index, because that is the rate a subscriber is on for every month except the first. Anyone comparing a $169 floor against another seller's standing rate is comparing a promotion to a price.

A money-back guarantee the terms do not permit

This is the finding we would most want a reader to have before entering a card number, and it is invisible unless you click.

The product page on trypalmbeachlabs.com hides its detail behind tabs that render nothing at all until you open them. Inside the one labeled "Our Guarantee" is this, in full: you have 60 days to try it, and if you do not see the results described, "simply send us a quick email and we will gladly refund your money. Even if the vial is empty. No Questions Asked!"

Now open the Terms of Service that the same page links to at the bottom. In capital letters, it says that except as set out in a return or refund policy provided on the services, any applicable fees and other charges are not refundable in whole or in part. The only refund the document actually describes is a prorated one, available when a network pharmacy cannot fill a prescribed treatment because of a supply shortage or a regulatory change. There is no 60-day window in it. There is no money-back provision in it. The words do not appear.

There are innocent explanations. A marketing page may have been written ahead of a policy, or the guarantee may be honored in practice as a matter of customer service and never documented. We are not calling it a deception, and a company that pays out on an undocumented promise is doing right by its customers. But a guarantee you can only enforce if the company chooses to honor it is a different product from a guarantee, and the reader deciding whether to risk $169 cannot tell which one is on offer. If the guarantee is real, it belongs in the terms. It is not there today.

There is a second, quieter mismatch in the same place: those terms say Buttoned Up Leads LLC owns and operates palmbeachlabs.co. They do not name trypalmbeachlabs.com — the storefront linking to them.

What the injection actually is, and what nobody has measured

The trypalmbeachlabs.com page is not selling energy. It is selling skin.

It is addressed to women over 40 and promises that a prescription NAD+ injection helps with wrinkles, "jowls", "turkey neck", loose and crepey skin, thinning hair and weak nails. It describes an internal mechanism — cellular exhaustion, mitochondrial decline, collagen that stops being rebuilt — and it describes it fluently.

None of it has been demonstrated in a person. There is no published human pharmacokinetic study of subcutaneous NAD+, no randomized trial of it for skin, hair, energy or aging, and no controlled evidence that injecting NAD+ changes how anyone looks. The single human study of administered NAD+ we can point to is a small pilot in which participants received a six-hour intravenous infusion, and it measured the plasma and urine metabolome rather than any clinical outcome.² Injection is not infusion, and even the infusion literature stops there. What the injection evidence actually shows is the long version, and our page on NAD+ for skin covers the dermatological claims specifically.

One claim on that page deserves to be named directly. Under "About NAD+ Injections", the site states: "100% Bioavailability. Zero Waste." That is a precise pharmacokinetic assertion, expressed as a number, about a route for which no pharmacokinetic study in humans exists. It is not a hedge or a marketing adjective; it is a measurement nobody has taken.

The route with controlled human data behind it is the oral precursor, which this company does not sell. Nicotinamide riboside is orally bioavailable and raises blood NAD+ in people,³ reliably over months of dosing,⁴ and in aged human skeletal muscle.⁵ Even there, the benefits downstream of the biomarker are the weak part: a systematic review of precursor trials found metabolic effects limited and inconsistent despite NAD+ rising.⁶ Compounded NAD+ is not an FDA-approved drug for any indication, which is true of every seller in this category rather than this one alone.

The supplement disclaimer on a prescription page

At the very bottom of trypalmbeachlabs.com, under the phone number, sits this: "These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease."

That is the dietary-supplement disclaimer. It is the sentence a bottle of vitamins carries. The product on the page above it is a compounded prescription medication that requires a clinician's evaluation and is shipped by a licensed pharmacy — a different regulatory category with different rules, and one where "not intended to treat any disease" is an odd thing to say about a drug somebody is prescribing you. Whatever it was meant to accomplish, it tells a reader the wrong thing about what they are buying.

What it publishes well

Two things here are genuinely better than the norm among the operators we have read.

The pharmacies are named. Palm Beach Labs states that it is not a pharmacy and identifies its current partners: Partell Pharmacy and Strive Pharmacy, each with a website and a contact address published beside it. For a compounded product, where sterility and dosing accuracy sit entirely with the compounder, this is the disclosure that matters most, and naming a facility rather than a category is a real distinction from Pepti, which describes its compounders only as a class.

The clinician network is named, as Beluga Health, with its own contact address published. A medical advisor, Dr. Darshan Shah, is named with his training listed — though the company itself is clear that the clinician who reviews your intake is an independent provider in that network, not him.

Against that: no state list is published, only a terms clause about being located in a state where the company operates. No corporate mailing address appears. And the product card gives the NAD+ Injectable as "100 ml" with no strength attached, while glutathione is "200 ml" and the metformin and sermorelin beside them are given in milligrams. A 100 mL vial is not a plausible size for a home subcutaneous injection — for scale, Auren Rx's injection is a 10 mL vial and ReadyRx sells 500 mg and 1,000 mg vials. Whatever that number is, it is not a strength, and without one you cannot work out what a milligram costs here or compare it to anything on our index.

The pharmacy disclosure

One of the two named pharmacies has an FDA warning letter on its record, and because Palm Beach Labs deserves credit for naming it at all, the letter should be stated plainly rather than left for a reader to trip over.

The facility trading as Partell Pharmacy is operated by One Way Drug LLC, doing business as Partell Specialty Pharmacy, at 5835 S. Eastern Avenue, Suite 101, Las Vegas. That entity received an FDA warning letter dated March 13, 2019, and the FDA issued a close-out letter for it on June 23, 2020. We confirmed this is the same facility by matching the street address on the letter to the address the pharmacy publishes on its own website — not by the resemblance of the names, which is how this sort of claim usually goes wrong.

We are not repeating what the letter alleged, and a letter on a record is a disclosure rather than a disqualification: it is a fact a buyer is entitled to know and weigh, alongside the close-out that followed it. You can read it yourself in the FDA's searchable warning-letter index.⁷

Where it lands

Palm Beach Labs names its pharmacies and its clinician network, which puts it ahead of several operators we have read on the disclosure that matters most for a compounded drug. That is worth something and we would not want it lost in what follows.

But a buyer arriving from an ad has to get three things right that the company has made harder than they need to be: that $169 is a first month and $240 is the price, that the guarantee promising a refund "even if the vial is empty" is not in the contract they are agreeing to, and that an injection sold for jowls and crepey skin has no human trial behind any of it. Two of those three are only discoverable by reading a second website, or by clicking a tab that renders nothing until you do.

Ask what a standing month costs, in writing, before you start an intake — and ask whether the 60-day guarantee will be honored, in writing, from the same address. Then ask the prior question, which no price on either site answers. The cheapest way to raise NAD+ on evidence that exists is still an oral precursor, at a fraction of any figure here: is NAD+ therapy worth it, is nicotinamide riboside worth it and NMN vs NR work through it. Providers we do have a commercial relationship with are ranked and disclosed on our NAD+ rankings hub.