What does bmiMD's NAD⁺ nasal spray cost?

$159 a month with no commitment, $149 on three months, $129 on six and $119 on twelve — so the cheapest rate needs $1,428 up front. Every tier is displayed against a struck-through $198.90 a month, which is the same figure on all four and therefore the price of none of them.

Is it really available in all 50 states?

That is what the page says. Treat it as a claim to confirm rather than a settled fact. State availability for compounded NAD⁺ varies more than most sellers admit, and the same handful of states — Arkansas, Louisiana, Mississippi, South Carolina and California among them — turn up as exclusions across this category again and again. Ask bmiMD to confirm your own state at intake before paying.

How many milligrams are in a dose?

Nothing on the page says, and there is no figure in the page source either. The bottle is described as containing multiple doses. Without a strength, none of the four prices can be compared with any seller that publishes one.

Is the medication compounded?

Yes. The disclosure sits on the linked safety page rather than the product page. Its words are that compounded medications are not reviewed by the FDA for safety or effectiveness. One detail is worth noticing: bmiMD uses the word plainly in its own menu, for "Compounded Semaglutide" and "Compounded Tirzepatide". It never applies it to the NAD⁺ product.

Is bmiMD expensive compared with other NAD⁺ nasal spray sellers providers?

bmiMD publishes a starting figure of $159/mo. Across the 129 NAD⁺ nasal spray sellers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $170, which puts bmiMD below the median, toward the cheaper end. The other 37 NAD⁺ nasal spray sellers 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

bmiMD review

One anchor, four tiers

Four price tiers, all struck through from the same $198.90 nobody is charged — on a page that promises all 50 states and never publishes a dose.

Our verdict

bmiMD runs a tidy operation with a LegitScript seal, a published testing panel and same-day consultations. Its pricing needs unpicking. Four tiers run from $159 a month to $119, and every one is displayed against an identical $198.90 that no tier actually charges. A single regular price shown against a whole ladder is an anchor, not a saving. The other gap is the amount: there is no milligram figure anywhere, so none of those four prices can be compared with a seller that publishes one.

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.

Check availability →

At a glance

Category: NAD⁺ nasal spray
Format: Nasal spray
From: $159/mo
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
LegitScript: Claimed by provider
Updated: September 2026

What it is

A telehealth brand best known for weight loss, selling a prescription NAD⁺ nasal spray under a longevity line. The bottle is labeled "Multiple Doses" and "Rx Only". Care is fully online, with a same-day consultation and unlimited provider messaging.

How it works

You complete a medical intake, a licensed doctor in your state reviews it, and the spray ships if you qualify. The consultation is included in the subscription rather than charged separately. If clinicians decide you are not eligible, the company states a full refund. Support is offered around the clock.

Pricing transparency

Four tiers, and the arithmetic is worth doing. One month is $159, three months $149 a month, six months $129 and twelve months $119. So the cheapest rate needs $1,428 committed up front. Each tier is shown beside a struck-through $198.90 a month and badged "limited time", with no end date given. That figure is the same on all four tiers, which means it is not the price of anything — it is a reference point, and the real ladder runs from $159 down to $119. What no tier tells you is the amount. There is no milligram figure on the page, in the small print or anywhere in the page source, so none of these prices can be turned into a cost per milligram.

Branded vs compounded

Prescription NAD⁺, made in a state-licensed pharmacy that is not named. The compounding disclosure exists but lives on a separate safety page, linked from the product as "Important Safety Information" — its own words are that compounded medications are not reviewed by the FDA for safety or effectiveness. Worth noting that bmiMD labels its weight-loss products "Compounded Semaglutide" and "Compounded Tirzepatide" in its own navigation, and never applies the word to the NAD⁺ product. A published testing panel covers potency to within 10% of target, sterility to USP 797 and endotoxins to USP 85. One line in that panel describes the pH check as ensuring a "smooth, irritation-free injection", on a page selling a nasal spray.

Pros and watch-outs

What we like

LegitScript seal present on the page
Publishes a testing panel — potency, sterility, endotoxins and pH
Consultation included in the subscription, not billed separately
Full refund if clinicians find you are not eligible
A one-month option exists, so the ladder is not commitment-only

Watch-outs

All four tiers struck through from an identical $198.90 nobody pays
Every tier badged "limited time" with no end date
Claims all 50 states, where compounded NAD⁺ availability usually varies
No milligram figure anywhere on the page or in its source
The pharmacy is not named, and the compounding disclosure is on a separate page
A quality-panel line refers to an "irritation-free injection" on a nasal product

Best for

Someone who wants a nasal spray from a larger telehealth brand and will buy the one-month tier rather than the headline.

Who should look elsewhere

Anyone who needs a milligram figure before paying, or a firm answer on their own state before intake.

How bmiMD compares

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

Eden
Knowing the vial size and the real ongoing price
See Eden →
RNK Health
Choosing needle or spray without a price penalty
See RNK Health →
System Labs
Knowing exactly how many milligrams you get
See System Labs →

Compare all providers side by side →

More NAD⁺ nasal spray sellers reviews: YourEraLive VitalHealthRXDirect MedsIvy RxShedRx

Laura Bennett

Evidence & trials · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of bmiMD’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

What does bmiMD's NAD⁺ nasal spray cost?: $159 a month with no commitment, $149 on three months, $129 on six and $119 on twelve — so the cheapest rate needs $1,428 up front. Every tier is displayed against a struck-through $198.90 a month, which is the same figure on all four and therefore the price of none of them.
Is it really available in all 50 states?: That is what the page says. Treat it as a claim to confirm rather than a settled fact. State availability for compounded NAD⁺ varies more than most sellers admit, and the same handful of states — Arkansas, Louisiana, Mississippi, South Carolina and California among them — turn up as exclusions across this category again and again. Ask bmiMD to confirm your own state at intake before paying.
How many milligrams are in a dose?: Nothing on the page says, and there is no figure in the page source either. The bottle is described as containing multiple doses. Without a strength, none of the four prices can be compared with any seller that publishes one.
Is the medication compounded?: Yes. The disclosure sits on the linked safety page rather than the product page. Its words are that compounded medications are not reviewed by the FDA for safety or effectiveness. One detail is worth noticing: bmiMD uses the word plainly in its own menu, for "Compounded Semaglutide" and "Compounded Tirzepatide". It never applies it to the NAD⁺ product.
Is bmiMD expensive compared with other NAD⁺ nasal spray sellers providers?: bmiMD publishes a starting figure of $159/mo. Across the 129 NAD⁺ nasal spray sellers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $170, which puts bmiMD below the median, toward the cheaper end. The other 37 NAD⁺ nasal spray sellers 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⁺ nasal spray.