Cienega Spa review
Five tiers, all priced
Five NAD⁺ options, every one with a dose and a price attached — and the cheapest of them costs two and a half times more per milligram than the dearest.
Our verdict
Cienega publishes what almost no clinic does: a dose and a price for all five of its NAD⁺ options, from a 50 mg shot at $95 to a 1,000 mg infusion at $750. It also tells you the price before you book with nothing due on the day. Run the arithmetic it makes possible and something useful falls out. The 50 mg shot is $1.90 a milligram; the 1,000 mg drip is 75 cents. The entry-level option is the most expensive way to buy the drug, which is worth knowing before a first visit.
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At a glance
- Category
- NAD⁺ IV therapy
- Format
- IV infusion
- From
- $349 per session
- Dose published
- Yes
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
- Availability
- Three locations in Los Angeles — West Hollywood, Santa Monica and Calabasas
- Updated
- September 2026
What it is
A wellness clinic with three Los Angeles locations offering NAD⁺ by intramuscular shot or intravenous drip. The drips are given with half a liter of hydration and electrolytes, and take between two and six hours depending on the dose.
How it works
Walk-in by appointment at West Hollywood, Santa Monica or Calabasas. Sessions are booked online and the page states you see the price before booking with nothing charged on the day. Longer infusions need planning — the 1,000 mg option can run to six hours.
Pricing transparency
Five tiers, all published. The shots are $95 for 50 mg and $170 for 100 mg. The drips are $349 for 250 mg, $449 for 500 mg and $750 for 1,000 mg, each in half a liter of fluid. Because the dose is attached to every price, you can compare them properly, and the comparison is not flattering to the cheap end. Per milligram the 50 mg shot costs $1.90, the 100 mg shot $1.70, and the 1,000 mg infusion 75 cents. Buying the smallest option costs more than twice as much per milligram as buying the largest, so the tier described as ideal for first-timers is also the least efficient purchase on the list.
Branded vs compounded
Compounded NAD⁺, given intramuscularly or intravenously by clinical staff. The compounding pharmacy is not named. Neither route has a controlled outcome trial behind it, and the hydration and electrolytes bundled into the drips are a comfort measure rather than part of any NAD⁺ evidence.
Pros and watch-outs
What we like
- A dose and a price published for all five options
- Price shown before booking, nothing due on the day
- Three Los Angeles locations
- Shots available for people who will not sit for an infusion
- The 1,000 mg tier is 75 cents a milligram, good for the format
Watch-outs
- The 50 mg shot is $1.90 a milligram, the dearest way to buy it here
- Los Angeles only
- The 1,000 mg infusion can take six hours
- The compounding pharmacy is not named
- No controlled outcome trial for either route
Best for
Someone in Los Angeles who wants to see every dose and price before booking anything.
Who should look elsewhere
A first-timer drawn to the $95 shot, which is the most expensive milligram on the menu.
How Cienega Spa 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 →
More NAD⁺ IV providers reviews: YourEraLive VitalHealthRXDirect MedsIvy RxShedRx
Formats & delivery · Reviewed and last verified September 2026
How we assessed this. This review reflects NAD Picks’s own read of Cienega Spa’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
- Which Cienega option is the best value?
- The 1,000 mg infusion at $750, which works out at 75 cents a milligram. The 50 mg shot at $95 is $1.90 a milligram — two and a half times more for the same substance. The cheapest ticket and the cheapest drug are not the same thing here.
- How long does an infusion take?
- The clinic states up to two hours for the 250 mg drip, up to four for 500 mg and up to six for 1,000 mg, depending on tolerance. NAD⁺ infusions are run slowly because pushing them faster is uncomfortable, so plan the time before booking the larger doses.
- Do I pay when I book?
- The page states you see the price before booking and nothing is due that day. That is more transparent than clinics that quote only after an enquiry, and it means you can compare the full menu against other providers first.
- Is Cienega Spa legit?
- Cienega Spa is an NAD⁺ IV providers service. Its stated availability: Three locations in Los Angeles — West Hollywood, Santa Monica and Calabasas. What our record does not establish: which medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is Cienega Spa expensive compared with other NAD⁺ IV providers providers?
- Cienega Spa publishes a starting figure of $349/mo. Across the 129 NAD⁺ IV providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $170, which puts Cienega Spa above the median. The other 37 NAD⁺ IV 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.