Enhance MD review
Labs in, prepay out
The only provider we have found selling NAD⁺ wafers next to injections, with bloodwork included — and the only one whose advertised low price needs a year paid up front.
Our verdict
Enhance MD is the most clinically-shaped NAD⁺ provider in our roster: labs are included, dosing is described as lab-guided, and there is real provider oversight rather than a rubber-stamp questionnaire. Read the pricing table carefully before you commit, though. The $169 figure is a 12-month plan billed every 48 weeks — close to $2,000 in one go — and the honest monthly price is $199. Their NAD⁺ wafers at $99 are the more interesting product for most people.
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At a glance
- Category
- NAD⁺ injections
- Format
- Injection · Oral precursor
- From
- $199/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Labs
- Included
- Availability
- US except AL, AR, GA, HI, LA, MS, MO, ND, SC, TN and WV
- LegitScript
- Claimed by provider
- Updated
- September 2026
Sponsored alternative
Care Bare Rx
Anyone who wants the price up front
Check Care Bare Rx availability →What it is
A physician-led telehealth platform running NAD⁺ alongside GLP-1 and GIP/GLP-1 weight-management programs. NAD⁺ comes in two formats: subcutaneous injections and sublingual wafers. Comprehensive lab work is included in the plan and used to guide dosing.
How it works
Licensed providers assess eligibility, prescribe, and monitor through ongoing virtual visits, with a member portal for lab results and provider messaging. Labs being included rather than an upsell is genuinely unusual here and is the strongest thing about the service — it is the difference between a dose chosen for you and a dose chosen from a form.
Pricing transparency
NAD⁺ injections are $199/month billed every 4 weeks, $189 on a 3-month plan, $179 on 6 months, and $169 on 12 months billed every 48 weeks. NAD⁺ wafers run $99, $94, $89 and $84 across the same four tiers. Labs are included. The tiering is transparent and clearly presented — but the lowest number is a year of commitment, and comparing it against a competitor's monthly price is not a like-for-like comparison.
Branded vs compounded
Compounded NAD⁺, stated as compounded in the USA. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. Their program materials state LegitScript and HIPAA compliance. As with every provider in this category, the page does not state the milligram dose behind the price.
Pros and watch-outs
What we like
- Comprehensive lab work included, used to guide dosing — rare in this category
- Two formats: subcutaneous injections and sublingual wafers
- Wafers at $84–$99/month are cheaper than most injections elsewhere
- Transparent, clearly presented pricing tiers
- Ongoing virtual visits rather than a one-time questionnaire
Watch-outs
- The advertised $169 needs a 12-month plan billed every 48 weeks — the real monthly price is $199
- Not available in 11 states (AL, AR, GA, HI, LA, MS, MO, ND, SC, TN, WV)
- No milligram dose stated for either format
- NAD⁺ sits inside a weight-management platform rather than being the main product
Best for
Someone who wants bloodwork behind the dose rather than a form, and who is comfortable committing for several months to get the better rate.
Who should look elsewhere
Anyone in one of the eleven excluded states, anyone who wants a month-to-month price that competes on cost, or anyone comparing the $169 figure against a competitor's monthly rate — those are not the same thing.
How Enhance MD 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
Flat-rate GLP-1 pricing, not NAD⁺
See CoreAge Rx →
More NAD⁺ injection providers reviews: Gentle PatchesSystem LabsViking ManTru NiagenEmbody
Cost & access · Reviewed and last verified September 2026
How we assessed this. This review reflects NAD Picks’s own read of Enhance MD’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 Enhance MD NAD⁺ cost?
- Injections are $199 per month billed every 4 weeks, falling to $189, $179 and $169 on 3-, 6- and 12-month plans. NAD⁺ wafers are $99, $94, $89 and $84 across the same tiers. Labs are included. The $169 headline requires a 12-month plan billed every 48 weeks, which is close to $2,000 paid at once.
- What are NAD⁺ wafers?
- A sublingual format — dissolved under the tongue rather than injected. Enhance MD is the only provider in our roster offering them, at $84–$99 per month, which undercuts most injection pricing elsewhere. There is no controlled human trial comparing sublingual NAD⁺ with injection, or establishing that either delivers the advertised benefits.
- Are labs really included?
- Their materials state comprehensive lab diagnostics are included and used to inform dosing, and it is presented as part of the plan rather than an add-on. That is the strongest differentiator here — most of this category prescribes from a questionnaire alone.
- Can I use it in my state?
- Not if you are in Alabama, Arkansas, Georgia, Hawaii, Louisiana, Mississippi, Missouri, North Dakota, South Carolina, Tennessee or West Virginia — the program lists all eleven as prohibited. Check before starting an intake.
- Is NAD⁺ their main business?
- No. Enhance MD is primarily a medical weight-management platform running GLP-1 and GIP/GLP-1 protocols, with NAD⁺ as one product line. That is not a mark against the NAD⁺ offering — the lab-guided model is a real strength — but it explains why NAD⁺ is not what the homepage leads with.
- Is Enhance MD legit?
- Enhance MD is an NAD⁺ injection providers service. Its stated availability: US except AL, AR, GA, HI, LA, MS, MO, ND, SC, TN and WV. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. 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.