We have read the pricing page of every NAD⁺ seller on this site. On 20 of them, the number in the largest type is not the number you pay from the second month. The typical gap is 25%. The widest is iThriveMD, where the page leads with $124.50 and the rate that repeats is $249 — 100% more.
None of this is hidden, exactly. It is nearly always written down somewhere: in a footnote, in a plan selector already set to the twelve-month option, in small print under a button. It is just not written where the price is.
If you would rather check one seller than read the pattern, every verified figure is in the price table, and what an injection actually costs walks through a single example end to end.
The twelve ways it is done
Reading them all back, the tactics fall into a small number of shapes. Once you can name the shape you can spot it in about five seconds, which is the whole point of this page. Here they are, most common first.
- Quarter paid up front — The advertised figure requires paying roughly three months in one charge. Stop after one month and you cannot have it. (5 of the sellers we checked)
- First month only — The advertised figure is a first month. You pay it once and the standing rate afterwards. (5 of the sellers we checked)
- Six months paid up front — The advertised figure is a half-year prepayment divided by six, presented as a monthly price. (3 of the sellers we checked)
- A year, committed — The advertised figure is the twelve-month tier. It is real, and it is a year of commitment against a competitor's rolling month. (3 of the sellers we checked)
- The numbers disagree — The seller publishes figures that cannot all be true at once, so no single advertised number can be read off the page. (2 of the sellers we checked)
- First order only — A standing discount applied to the first order, so the running rate is the one to budget on. (2 of the sellers we checked)
- A different format — The advertised figure belongs to another delivery route entirely, and is the number an automated price check lifts. (1 of the sellers we checked)
- Subscribe-and-save — The advertised figure needs a recurring plan; the figure we record is the one attached to nothing. (1 of the sellers we checked)
- A price never charged — The prominent figure sits beside the real one as a crossed-out anchor. A price nobody is charged is not a discount. (1 of the sellers we checked)
- Opens on another product — The page loads with a different item selected, so the first figure most visitors see is not the one on our rail. (1 of the sellers we checked)
- No monthly plan exists — The advertised figure requires a prepaid commitment and no month-to-month rate is purchasable at all, so there is no standing price to quote. (1 of the sellers we checked)
The two that catch people hardest
The first month. A seller advertises the introductory rate and the renewal sits below it, correctly stated and easy to miss. You notice in week five. It is also the shape that is easiest to defend, because nothing about it is untrue.
The prepay ladder. Here the advertised figure is real, but only if you hand over three, six or twelve months at once. A page reading “from $124.50” can mean $1,494 today. The monthly-equivalent framing is what does the work: it puts a small number where a reader looks for a small number.
Neither is a lie. Both rely on you not reading the qualifier, and both are worth knowing before you decide anything.
Both are worth knowing before you compare anything — including against an oral precursor, where the arithmetic is different again.
How to check any seller in under a minute
- Find the plan selector and look at which option is already chosen. If it opens on twelve months, the headline is an annual price.
- Look for the word first. “First month”, “first order”, “new patients” all mean the number renews higher.
- Find what the plan renews at, not what it starts at. If the page will not tell you, that is the answer.
- Multiply by twelve. Then check whether the billing cycle is a month or four weeks — four weeks means thirteen charges a year, not twelve.
- Divide by the milligrams, if the seller states any. Most do not, which is its own answer.
What a straight price page looks like
It is worth saying that some of them are fine. A handful publish one number, say what it includes, and state plainly that it does not go up. One prints its whole cadence ladder on the product page rather than at checkout. Another commits in writing that the price does not rise with the dose.
That is the comparison worth making. Not “is this seller cheap”, but “does this seller tell me what I will actually be charged”. The two are not related, and the second is easier to check.
Why we can say this with numbers
Every figure above is read off the seller’s own page and recorded with the date we read it. The counts on this page are computed from that record when the page is built, so they cannot drift away from it. If a seller changes their pricing tomorrow, this page changes with them.
You can see the underlying comparison in the headline-versus-real tool, which lists each seller, what they advertise and what repeats. If you would rather start from what things actually cost, the price table has every verified figure, and the cheapest options are ranked on the rate that repeats rather than the one on the poster. The transparency scorecard puts this alongside the other three things a seller can choose to tell you. The struck-through figure beside the price is a separate trick with its own mechanics — anchor pricing takes it apart — and if you want two named sellers held against each other on all of it, compare any two builds the comparison for whichever pair you pick.