How much does ARSYNL Rx NAD⁺ cost?

$149 a month on the monthly plan, which is billed monthly with no commitment. Three months is $419 paid at once, about $140 a month, and twelve months is $1,499 paid at once, about $125 a month. The $149 is the number to use when comparing against other sellers, because the other two require paying for the whole block in advance.

How much NAD⁺ is in the vial?

The page states 100 mg/mL in a 10 mL multi-dose vial, which is 1,000 mg a month. At $149 that is a shade under 15 cents per milligram, which is at the low end of what any seller publishing a strength at all works out to. How much of it you use per injection, and how often, is set by the prescribing provider and is not published.

Are the reviews on the page about NAD⁺?

No. The section is introduced as real patients on NAD⁺ therapy in their own words, and the stories that follow are tagged testosterone replacement, hormone therapy, hair regrowth and a testosterone spray. They may well be genuine customers; none of them is describing this product. Treat that section as evidence about the company's service, not about its NAD⁺.

Injection or nasal spray?

ARSYNL sells both, and its own answer is the right one: neither is presented as better, and the choice comes down to preference and provider review. That restraint is correct — the page points to no head-to-head study, and neither does anyone else selling both formats. The nasal spray is priced separately and starts higher than the injection.

Is ARSYNL Rx expensive compared with other NAD⁺ injection providers providers?

ARSYNL Rx publishes a starting figure of $149/mo. Across the 116 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $175, which puts ARSYNL Rx below the median, toward the cheaper end. The other 33 NAD⁺ injection providers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Updated September 2026

ARSYNL Rx review

Cheap, and the math adds up

$149 a month with no commitment, at a published vial strength, with pricing math that survives a calculator.

Our verdict

ARSYNL Rx sells compounded NAD⁺ at $149 a month. That buys a 10 mL vial at 100 mg/mL — 1,000 mg, published — which works out around 15 cents a milligram. It undercuts The Edit and Vytora at $249 and Fresh Day at $199 before you even get to the dose. Every discount it advertises is arithmetically true. The physicians running medical oversight are named with their roles, and the FAQ is notably unwilling to oversell. The weak point is the social proof: a testimonial wall introduced as patients on NAD⁺ therapy, in which not one story is about NAD⁺.

Disclosure: NAD Picks is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.

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At a glance

Category: NAD⁺ injections
Format: Injection · Nasal spray
From: $149/mo
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
LegitScript: Claimed by provider
Updated: September 2026

What it is

A veteran-founded telemedicine company selling compounded NAD⁺ as a subcutaneous injection, with a NAD⁺ nasal spray as a second format. The wider catalog runs hair loss, weight loss, sexual health, metformin, sermorelin and hormone therapy including a testosterone spray, so NAD⁺ is one line in a broad men's and women's health menu rather than the main event.

How it works

A secure online intake covering health history, medications, symptoms and goals, reviewed by a licensed provider who decides whether therapy is appropriate. Medical oversight runs through the Arora Health provider network, and ARSYNL names the physicians behind it: Sean Arora, MD as chief executive and co-founder, Shannon Arora, MD as chief medical officer, and Alex Saucedo, MD as lead medical director. If prescribed, a licensed pharmacy partner prepares the medication and ships it with follow-up check-ins. Injection supplies and written instructions are included, pricing is flat, and there is no separate membership fee.

Pricing transparency

$149 a month on the flexible plan, billed monthly. Three months is $419 paid once, which is $140 a month and a stated saving of $28 — and $149 times three minus $419 is exactly $28. Twelve months is $1,499 paid once, $125 a month, with a stated saving of $289, which is likewise exactly right. Publishing a discount that survives being checked sounds like a low bar; enough sellers in this category fail it that ARSYNL deserves the credit. The figure to compare against another seller is the $149, since the other two are prepayments. Against the published 1,000 mg vial that is roughly 15 cents per milligram.

Branded vs compounded

Compounded NAD⁺. The disclosure is present in the pricing footnote and repeated as a direct FAQ answer: compounded medications are not FDA-approved and are not evaluated by the FDA for safety or efficacy. That is the correct statement — compounding pharmacies are licensed and inspected, but nothing they prepare passes FDA review before it reaches a patient. The vial strength is published as 100 mg/mL in a 10 mL multi-dose vial, so 1,000 mg a month, with the per-injection dose and frequency set by the prescriber. ARSYNL states LegitScript certification and HIPAA compliance. The pharmacy partner is not named.

Pros and watch-outs

What we like

$149 a month, month-to-month with no commitment — against $199 at Fresh Day and $249 at The Edit
Publishes the vial strength — 100 mg/mL in 10 mL — so the price divides into about 15 cents per milligram
Every advertised saving matches the arithmetic exactly
Names three physicians and their roles, plus the provider network behind them
LegitScript certified, with HIPAA compliance stated
Injection supplies and written guidance included, with no membership fee
An unusually restrained FAQ that refuses to claim the nasal spray is better than the injection

Watch-outs

The testimonial section is headed as patients on NAD⁺ therapy, but every story shown is about testosterone, hormone therapy or hair loss
One testimonial praises products made in FDA-registered facilities, which describes a building rather than the drug
The per-injection dose and frequency are provider-set and not published
The 12-month plan asks for $1,499 up front for a therapy with no controlled human outcome trial behind it
The pharmacy partner is not named

Best for

A cost-driven buyer who wants a published vial strength, a named medical leadership team and a monthly plan with no commitment. On price per disclosed milligram, few sellers in this category do better.

Who should look elsewhere

Anyone who wants to read about other people's NAD⁺ experience before deciding. The reviews on this page are about ARSYNL's other products, and they should not be read as evidence for this one.

How ARSYNL Rx compares

A few alternatives worth a look, depending on what you’re optimizing for.

Care Bare Rx
Anyone who wants the price up front
See Care Bare Rx →
Breeze Meds
The lowest listed injection price
See Breeze Meds →
CoreAge Rx
The lowest published NAD⁺ price
See CoreAge Rx →

Compare all providers side by side →

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Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of ARSYNL Rx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

How much does ARSYNL Rx NAD⁺ cost?: $149 a month on the monthly plan, which is billed monthly with no commitment. Three months is $419 paid at once, about $140 a month, and twelve months is $1,499 paid at once, about $125 a month. The $149 is the number to use when comparing against other sellers, because the other two require paying for the whole block in advance.
How much NAD⁺ is in the vial?: The page states 100 mg/mL in a 10 mL multi-dose vial, which is 1,000 mg a month. At $149 that is a shade under 15 cents per milligram, which is at the low end of what any seller publishing a strength at all works out to. How much of it you use per injection, and how often, is set by the prescribing provider and is not published.
Who actually prescribes it?: Licensed physicians and nurse practitioners through the Arora Health provider network. ARSYNL names three of them with their roles — Sean Arora, MD as chief executive and co-founder, Shannon Arora, MD as chief medical officer, and Alex Saucedo, MD as lead medical director. Naming the clinicians responsible for oversight is rare enough in this category to be worth pointing out.
Are the reviews on the page about NAD⁺?: No. The section is introduced as real patients on NAD⁺ therapy in their own words, and the stories that follow are tagged testosterone replacement, hormone therapy, hair regrowth and a testosterone spray. They may well be genuine customers; none of them is describing this product. Treat that section as evidence about the company's service, not about its NAD⁺.
Injection or nasal spray?: ARSYNL sells both, and its own answer is the right one: neither is presented as better, and the choice comes down to preference and provider review. That restraint is correct — the page points to no head-to-head study, and neither does anyone else selling both formats. The nasal spray is priced separately and starts higher than the injection.
Is ARSYNL Rx expensive compared with other NAD⁺ injection providers providers?: ARSYNL Rx publishes a starting figure of $149/mo. Across the 116 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $175, which puts ARSYNL Rx below the median, toward the cheaper end. The other 33 NAD⁺ injection providers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

Check availability →

Or compare every NAD⁺ injection provider.