Compound board · September 2026

Best NAD+ Providers

NAD+ sellers compete on delivery format and plan structure, and the format decides whether two advertised figures can be compared at all.

NAD+ reaches buyers three ways: an at-home injection, a clinic IV drip, and an oral capsule sold as a supplement. Those are three different purchases with three different pricing units. A drip is billed per session and a telehealth plan is billed per month. Setting one against the other flatters whichever is quoted in the smaller unit.

This board covers the at-home injectable channel, because that is the one where a price, a pharmacy and a state list can all be checked against a seller's own site. Clinic pricing and shelf supplements are a different market and are not folded in to pad the table.

Within that channel, the recurring problem is a promotional first month sitting beside a struck-through renewal rate. The ongoing figure is the one that matters after week five, and it is often the harder of the two to find. Each row here carries the qualifier that says which figure is which.

What this board covers

Providers selling injectable NAD+ to US patients through a telehealth intake, prescribed and shipped rather than administered in a clinic. A seller that lists NAD+ without publishing a price still appears, marked as publishing none, so a shopper can see the silence rather than guess at it.

Limited evidence

Quick picks

Top picks for nad-plus
#ProviderScoreBest forFrom/moVisit
1Trellis Vitality10.0body-composition tracking with named-pharmacy oversight on NAD+, glutathione and tesamorelin$129/mo per month, protocol

Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Trellis Vitality
2Auren Rx7.5knowing exactly which prescribing group and pharmacy handle an order, down to the address and phone number$179/mo per month, auto-refill membership (vs. $209/mo with no commitment)

Auren Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Auren Rx
3The Edit7.5flat, openly published pricing on four peptides from a brand that names its pharmacy$249/mo per month, clinician-dosed protocol

The Edit is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit The Edit

Compare every NAD+ provider

14 providers are in this comparison, and 13 of them publish a NAD+ price today. Trellis Vitality scores highest on pharmacy transparency, price and state coverage.

Full comparison matrix, every provider selling nad-plus
ProviderRatingFrom/moCompoundsStatesVisit
Trellis Vitality10.0$129/mo per month, protocol3All 50 states

Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Trellis Vitality
Auren Rx7.5$179/mo per month, auto-refill membership (vs. $209/mo with no commitment)4All 50 states

Auren Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Auren Rx
The Edit7.5$249/mo per month, clinician-dosed protocol4All 50 states

The Edit is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit The Edit
CoreAge Rx5.0$93/mo starting at2All 50 states

CoreAge Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit CoreAge Rx
Joi + Blokes5.0$150/mo per month, no plan term stated2Not published

Joi + Blokes is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Joi + Blokes
Trava Health5.0$158.93/mo per month at 100 mg; a quarterly package is advertised at a lower total3Not published

Trava Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Trava Health
Yucca Health5.0$192/mo starting at, 3-month plan2All 50 states

Yucca Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Yucca Health
Pepti5.0$249/mo vial price, an average four-week supply; the pen format is $31912All 50 states

Pepti is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Pepti
Live Vital5.0not published9All 50 states

Live Vital is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Live Vital
AgelessRx2.5$149/mo per month after the first; the first month is $79 on a three-month plan billed in full5Not published

AgelessRx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit AgelessRx
System Labs2.5$149/mo per month, ongoing rate (after a $89 first-month intro)4Not published

System Labs is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit System Labs
Ivy Rx2.5$179/mo starting rate, per month3Not published

Ivy Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Ivy Rx
Longevixx2.5$199/mo starting rate, per month13Not published

Longevixx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Longevixx
Rehydra+ Wellness2.5$279/mo starting at7Not published

Rehydra+ Wellness is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Rehydra+ Wellness

How to read this board

NAD+ providers, reviewed

1. Trellis Vitality

Trellis Vitality frames its program around body-composition tracking rather than scale weight, pairing NAD+, glutathione and tesamorelin with at-home biomarker panels and a 90-day re-test, and names its dispensing pharmacy, VialsRX in Houston, by address.

$129/mo per month, protocol

Strengths

  • Names its dispensing pharmacy, VialsRX in Houston, with a street address and phone number
  • Includes at-home biomarker panels and a 90-day re-test rather than relying on scale weight alone
  • No membership or consult fee is layered on top of the monthly peptide price
  • Accepts HSA/FSA funds

Trade-offs

  • Several headline statistics — a stated biomarker-improvement rate and an average annual-savings figure — are unsourced and cannot be independently checked
  • Its cited patient-satisfaction rating names no review platform, so it cannot be verified against a public record
  • The prescribing network it uses also serves several unrelated telehealth brands, so the clinical layer is not exclusive to Trellis
  • Refunds are decided per order rather than under a stated policy

Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Trellis Vitality

2. Auren Rx

Auren Rx names both its prescribing group, Wasef Health, and its dispensing pharmacy, VialsRX in Houston, with street addresses and phone numbers, and lets a subscriber pause an auto-refill plan on NAD+, sermorelin, glutathione or GHK-Cu instead of forcing a full cancellation.

$179/mo per month, auto-refill membership (vs. $209/mo with no commitment)

Strengths

  • Names its prescribing group and pharmacy with full street addresses and phone numbers, rare in this category
  • Carries a verifiable LegitScript seal
  • The first visit is free and nothing is charged until a clinician reviews and approves the order
  • An auto-refill plan can be paused rather than fully canceled

Trade-offs

  • Its homepage headline price applies to a microdose track; the standard compounded dose costs more
  • NAD+ is advertised at one price on the homepage and a different one on its own product page
  • The listed New York address is a mail-forwarding suite, not a clinic

Auren Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Auren Rx

3. The Edit

The Edit names its dispensing pharmacy, The Pharmacy Hub in Miami, up front, and prices NAD+, sermorelin, glutathione and GHK-Cu the same at every dose, with nothing charged until a clinician review is complete.

$249/mo per month, clinician-dosed protocol

Strengths

  • Names its dispensing pharmacy, The Pharmacy Hub in Miami, rather than describing it generically
  • Charges the same price at every dose across its four peptide lines
  • Publishes prices on the treatment page itself, in both English and Spanish
  • Carries a verifiable LegitScript seal

Trade-offs

  • Its standing monthly rates sit above the first-order promo figure shown in the marketing hero
  • Longer plans are billed as one upfront charge rather than a lower recurring monthly rate
  • Terms note that state availability is confirmed during consultation and may vary, despite advertising all 50 states

The Edit is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit The Edit

4. CoreAge Rx

CoreAge Rx runs a flat-price compounded model — one dose, one price, no ladder that climbs as you titrate up — and ships to all 50 states with a LegitScript seal on its NAD+ and sermorelin lines.

$93/mo starting at

Strengths

  • LegitScript-verified pharmacy standards, applied across its peptide catalog as well as its GLP-1 line
  • One price per compound regardless of dose, so titrating up does not raise the monthly cost
  • Ships to all 50 states with 24/7 support

Trade-offs

  • The compounding pharmacy that fills prescriptions is not named on the site
  • A newer brand with a thinner independent-review history than longer-running competitors

CoreAge Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit CoreAge Rx

5. Joi + Blokes

Joi + Blokes names all seven pharmacies that may fill an order, with street addresses, and prices sermorelin and NAD+ as plain monthly figures with no plan term attached.

$150/mo per month, no plan term stated

Strengths

  • Names every pharmacy that may fill an order — seven of them — with a street address for each, in its own terms of service
  • Quotes sermorelin and NAD+ as flat monthly figures with no prepayment tier to decode
  • Warns New York and New Jersey shoppers up front that their pricing differs, rather than surfacing it at checkout
  • Sells biomarker panels separately, so lab work is a stated purchase rather than a hidden condition

Trade-offs

  • The storefront names no operating company, only the brand, so there is no registered entity a buyer can look up
  • Only two of the compounds compared on this site are sold; the peptide menu is narrow
  • A GHK-Cu skin cream appears in the navigation without a price on the shop pages
  • Lab panels are billed on top of the monthly figure rather than included in it

Joi + Blokes is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Joi + Blokes

6. Trava Health

Trava Health attaches a named dose to every peptide price it publishes — 3 mg of sermorelin, 100 mg of NAD+ — which almost nothing else on this roster does, and it names its four fulfilling pharmacies.

$158.93/mo per month at 100 mg; a quarterly package is advertised at a lower total

Strengths

  • Prints the dose beside the price on every peptide product page, so the figure describes a specific quantity
  • Names its four fulfilling pharmacies and its laboratory partners in its terms of service
  • Tells shoppers on the product page itself that the price moves with the dose, instead of leaving that to checkout
  • Publishes a quarterly saving as a dollar figure rather than a percentage

Trade-offs

  • A site-wide banner describes its medications as tested in FDA approved labs, wording that is easy to read as FDA approval of the product; a compounded preparation is not an approved drug
  • The quarterly package is advertised as a saving without the resulting per-month figure being stated
  • No state coverage list is published
  • The peptide menu is three compounds, so a shopper comparing a wider protocol will need a second seller

Trava Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Trava Health

7. Yucca Health

Yucca Health pairs a 24-hour provider review with free expedited shipping, and lists NAD+ and sermorelin alongside its GLP-1 line, with coverage across all 50 states.

$192/mo starting at, 3-month plan

Strengths

  • States a 24-hour provider-review turnaround up front
  • Free expedited shipping is included rather than sold as an add-on
  • Coverage is licensed across all 50 states

Trade-offs

  • The compounding pharmacies it uses are described only generically, never named
  • Program details beyond price and shipping are thin on the public site

Yucca Health is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Yucca Health

8. Pepti

Pepti prints one all-in monthly figure for every treatment it sells, in two formats side by side, and it is the only roster row that publishes both a fifty-state footprint and a price for epitalon.

$249/mo vial price, an average four-week supply; the pen format is $319

Strengths

  • Prints an all-in monthly figure on every treatment card and states that no membership fee sits on top of it
  • Names the unit each figure covers, so a four-week supply is never left to be guessed at
  • Quotes a pen and a vial price side by side, which makes the format premium visible instead of buried in checkout
  • States its own coverage as all 50 states and Washington, D.C. in its site footer

Trade-offs

  • Bloodwork is a separate charge rather than part of the monthly figure, though recent labs can be uploaded instead
  • The 503A/503B compounding pharmacy it uses is described but never named
  • The PT-141 card gives no supply length, so its figure is the only one on the catalog that cannot be read as four weeks
  • CJC-1295, ipamorelin and TB-500 are sold only inside combination vials

Pepti is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Pepti

9. Live Vital

Live Vital lists one of the deeper peptide menus in this roster — tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu, MOTS-C, glutathione and NAD+ — alongside its GLP-1 line, with coverage across all 50 states.

Does not publish a NAD+ price.

Strengths

  • Lists tesamorelin, CJC-1295, ipamorelin, BPC-157, TB-500, GHK-Cu and MOTS-C on one menu — the broadest span in this roster
  • Operates across all 50 states
  • States plainly that its non-GLP-1 peptides lack FDA approval, rather than staying silent on the point

Trade-offs

  • The pharmacy that fills prescriptions is described only as "a licensed US pharmacy," not named
  • Its published tesamorelin and MOTS-C prices sit on pages that have been unlinked from the site's main navigation
  • Most of the menu, beyond tesamorelin and MOTS-C, carries no independently verified price

Live Vital is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Live Vital

10. AgelessRx

AgelessRx publishes a short, deliberately curated peptide menu and names four compounds it has decided not to sell yet — but every headline figure on it is a first-month rate with a higher number behind it.

$149/mo per month after the first; the first month is $79 on a three-month plan billed in full

Strengths

  • Names BPC-157, TB-500, MOTS-c and KPV on its own peptide page as compounds it has chosen not to sell yet, which is rare candor in this category
  • Publishes the ongoing rate alongside the introductory one on three of its five peptide pages
  • Sells PT-141 and sermorelin in both an injection and a nasal spray rather than a single format
  • Says a plan can be paused or canceled at any time

Trade-offs

  • Every headline figure on the site is a first-month rate, and the ongoing rate runs $50 to $70 higher
  • The GHK-Cu cream page prints the same figure as both a first-month price and an ongoing one, so the two disagree on one page
  • The glutathione page gives only the three-month-plan rate, leaving the plain monthly price unpublished
  • The compounding pharmacy that fills prescriptions is not named, and no state list is published
  • A competition ranking is quoted on the site as a credential; it is marketing, not an independent assessment of the products sold

AgelessRx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit AgelessRx

11. System Labs

System Labs is a peptide-only storefront with no GLP-1 line, selling NAD+, glutathione, sermorelin and a topical GHK-Cu cream, LegitScript-verified but without a named pharmacy partner or a published state list.

$149/mo per month, ongoing rate (after a $89 first-month intro)

Strengths

  • Carries a LegitScript verification seal
  • Sells a genuinely peptide-focused menu rather than treating peptides as a GLP-1 add-on
  • Its GHK-Cu cream is priced flat, with no strikethrough figure or first-month teaser

Trade-offs

  • The compounding pharmacy is described only as "US-based," never named
  • Which states it ships to is not published anywhere on the site
  • Most of its other peptide prices are shown as a struck-through renewal rate beside a first-month promo, so the ongoing cost takes a second look to find

System Labs is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit System Labs

12. Ivy Rx

Ivy Rx is one of the few sellers here that prints a full plan table — one, three and six months, with the per-month figure for each — so the discount for prepaying is visible rather than implied.

$179/mo starting rate, per month

Strengths

  • Prints a three-row plan table on its sermorelin page giving the total and the per-month figure for one, three and six months
  • Operates as a professional entity rather than a plain trading company, a structure its own terms of service name
  • Includes free temperature-controlled shipping in the published price

Trade-offs

  • The headline sermorelin figure is the six-month prepaid rate; a buyer paying month to month pays about a quarter more
  • Its glutathione and BPC-157 pages give a figure against a vial size without saying what period it covers, so neither can be compared against a monthly rate
  • The compounding pharmacy is described as FDA-registered but is not named
  • No state coverage list is published

Ivy Rx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Ivy Rx

13. Longevixx

Longevixx runs the widest single peptide menu on this roster — twenty programs, each quoted as a monthly figure — and it is the only seller here that lists PT-141, epitalon and semax at all.

$199/mo starting rate, per month

Strengths

  • Publishes a monthly figure beside every one of its twenty peptide programs, not a starting price for the catalog as a whole
  • The only seller here listing PT-141, epitalon and semax, three compounds nothing else on this roster carries
  • Charges nothing when a request is turned down

Trade-offs

  • Semax, KPV, TB-500 and CJC-1295 are sold only inside combination vials, so the figure beside each is the price of a pairing rather than of that peptide alone
  • Its terms limit service to the states where the company operates without naming them, so coverage cannot be checked before signup
  • The compounding pharmacy that fills prescriptions is not named on the site
  • Every figure is a starting rate, and the catalog does not say what moves a program above it

Longevixx is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Longevixx

14. Rehydra+ Wellness

Rehydra+ Wellness grew out of a mobile IV-therapy business and now sells a broad peptide catalog — BPC-157, KPV, MOTS-C, tesamorelin, sermorelin and GHK-Cu — with prices posted openly on its storefront, though it names neither a legal entity nor the pharmacy that fills its orders.

$279/mo starting at

Strengths

  • Publishes a phone and text line plus a named staff email, unusual for this category
  • Its catalog spans six named peptides beyond a GLP-1 and testosterone line
  • Consultations are free and financed payment plans are offered

Trade-offs

  • No legal entity is named anywhere on the site; the terms identify only the brand
  • Says it serves 20 states but never lists which ones, so coverage cannot be confirmed before intake
  • Its LegitScript badge is a self-hosted image linking to a generic checker page rather than a confirmable certification record
  • Neither the compounding pharmacy nor the prescriber network is named

Rehydra+ Wellness is not a paid partner; this link may earn a commission if that changes. Full disclosure.

Visit Rehydra+ Wellness

What to watch for

How this NAD+ board is scored

Every score above comes from four yes-or-no facts, each worth an equal quarter of the total. A provider that clears all four scores 10.0; clearing none scores 0.0. Nothing else moves the number.

  1. Names its compounding pharmacy. The pharmacy that fills the prescription is disclosed by name, not left as "our pharmacy partners."
  2. Publishes a price. A monthly figure appears on the site itself, with its billing cycle or plan term attached.
  3. Ships to all 50 states. Nationwide coverage, not a partial state list a shopper has to check before starting an intake.
  4. Includes labs in the price. Baseline bloodwork is bundled into the published price rather than billed as a separate line item.

A price shown here is always the provider's own published figure for NAD+specifically, never a number carried over from something else they sell. An FDA warning letter, where one exists, is disclosed on that provider's review — it never changes this score or this position, because most letters concern marketing and labeling claims, not the contents of a vial.

Frequently asked questions

Are NAD+ injections FDA approved?

No. NAD+ sold through these programs is a compounded preparation, not an FDA-approved drug. Oral NAD+ precursors sold on shelves are marketed as dietary supplements, which is a different category again.

Is an IV drip the same product as the injection compared here?

It is the same compound delivered a different way, sold on a different pricing unit, usually in a clinic. The research article on injection, IV and oral NAD+ covers what actually differs between them.

Why is one seller so much less expensive than another?

Read the qualifiers side by side. Differences usually come from plan length, a promotional first month, or a dose track rather than from the compound itself.

Does the top row mean the best NAD+ program?

It means that row scored highest on the inputs printed on the board, with price breaking a tie. It is a measure of what a seller discloses and charges, not a verdict on what a buyer will experience.

What does the date beside a price mean?

It is the day that figure was last checked against the seller's own site. This category reprices often, so the date travels with the number.

Are any of these NAD+ providers paid partners?

None of them today. All 14 NAD+ providers on this board are compared under the same rules, whether or not a link to them ever earns a commission.

How is this board scored?

Four yes-or-no facts, printed above in full. A warning letter, where one exists, is disclosed on that provider's own review and never moves this score.