Provider review, September 2026
Insta RX publishes two NAD+ figures on two of its own pages, and the higher one is conditioned on a twelve-month prepayment stated only in an asterisk. The paragraph under that heading describes a different drug entirely.
Insta RX also sells 1 compound this site boards without publishing a price for it: Sermorelin.
Insta RX is not a paid partner; this link may earn a commission if that changes. Full disclosure.
One page prices NAD+ injections or nasal spray at a monthly figure and says the price is the same at every dose. The product page prices an NAD+ injection substantially higher, also expressed per month.
Both are published, on the same site, read the same day. Neither page acknowledges the other.
Both are recorded here. A reader who quotes one without knowing about the other will be wrong about this seller by a wide margin.
The product page's figure carries an asterisk. The footnote reads that it is for a twelve-month prepayment.
That is not a monthly rate in any useful sense — it is the per-month arithmetic of a year bought at once — and it is recorded as not monthly for that reason.
A reader who does not scroll to the footnote sees only a monthly-looking number with no commitment attached.
Directly beneath the NAD+ product heading, the page describes a next-generation compounded injection combining two incretin pathways for appetite regulation and weight care.
That is a description of a GLP-1 and GIP medication. It is not a description of NAD+, which is a coenzyme sold for cellular energy.
It appears to be copy pasted from another product. The figure and the heading are still the seller's, and a reader has no way to tell which part of the page to believe.
Insta RX says it does not produce compounded medications and that it offers compounded medicines exclusively from U.S. pharmacies.
It encourages users to discuss the risks and benefits of compounded medication with their provider, which is the right note to strike.
No operating company, no state list and no named pharmacy appear on any page read, and no certificate of analysis is reachable.
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.
Read the full Trellis Vitality review
Trellis Vitality is not a paid partner; this link may earn a commission if that changes. Full disclosure.
Visit Trellis VitalityBoth are published. One page carries a lower monthly figure for the injection or nasal spray; the product page carries a higher figure footnoted as a twelve-month prepayment.
It means the figure is for a twelve-month prepayment. That is the only place on the page the condition appears.
Because the paragraph under the NAD+ heading describes a compounded GLP-1 and GIP injection. It reads as copy from another product left in place.
No company is published on any page read.
Insta RX is not a paid partner; this link may earn a commission if that changes. Full disclosure.