How much does Fierce Health NAD⁺ cost?

$250 a month. Three months paid in full is $750, which is the same $250 a month, and six months in full is $1,400, or roughly $233 a month. Seasonal site-wide promotions run from time to time and change what you pay at checkout, but the standing price is $250.

What dose do you get?

Fierce Health does not publish one. The page says NAD⁺ is typically given as a subcutaneous injection once a week and that the exact dosage and administration instructions will be provided with your package. Two sellers in this roster publish 1000 to 1200 mg a month for less money; without a figure here, there is no way to know whether $250 is good value or twice the going rate.

Does NAD⁺ slow down aging?

Not on any evidence we can find. We searched PubMed on September 13, 2026 for controlled human trials of injected NAD⁺ — a general search for subcutaneous NAD⁺ injection trials in humans, a search restricted to the randomized controlled trial publication type, and a search for NAD⁺ injection trials in fatigue. The first returned six records, none of them a trial of injected NAD⁺; the second returned three, which were a phase I trial of a SIRT1-activating drug, a disulfiram implant study and a 1976 comparison of anticoagulants; the third returned nothing at all. There is no trial showing that injected NAD⁺ slows aging or reduces the risk of age-related disease, and a product page should not state it as established.

What is NAD⁺ base versus NAD⁺ sodium?

They are two forms the raw material can come in — the free acid, and its sodium salt. Fierce Health states it uses the base with no added ingredients. It is the sort of formulation detail almost nobody in this category publishes, and it deserves credit. It also underlines the gap: the page will tell you which chemical form it uses but not how much of it you are buying.

Are the listed side effects really side effects?

Read that section carefully. It describes a rush of energy as your mitochondria engage and headaches as your brain metabolism improves. Those are benefits written in the shape of warnings. A nausea or flushing response to a fast injection is a real and commonly reported effect; framing a headache as evidence of improvement is marketing, not safety information.

Is Fierce Health expensive compared with other NAD⁺ injection providers providers?

Fierce Health publishes a starting figure of $250/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 Fierce Health above the median. 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

Fierce Health review

Biggest claims, hidden dose

A LegitScript-certified seller making anti-aging claims that run far ahead of the evidence — and refusing to publish the dose until after you have paid.

Our verdict

Fierce Health says its NAD⁺ slows aging and cuts the risk of age-related disease. It will not tell you how many milligrams are in the vial until the package arrives. Those two decisions belong to different companies. The mechanics underneath are real enough — LegitScript certification, US-licensed providers, a creditable note that the formulation is NAD⁺ base rather than NAD⁺ sodium. But it is $250 a month. That is above the market, to be told the dose later.

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
From: $250/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 service selling compounded NAD⁺ as a weekly subcutaneous injection, inside a longevity menu that also runs glutathione, methylene blue, ivermectin and an ivermectin plus mebendazole combination, alongside a GLP-1 weight-loss business.

How it works

A free consultation is offered before you buy, and treatment is prescribed after evaluation by a licensed physician as part of a Fierce Health program. Prescriptions are filled by partner pharmacies, which are not named. The company states it ships to most US states and refunds you if it cannot reach yours. The NAD⁺ plan is described as including ongoing provider support, a personalized protocol and the ability to adjust or pause from your account.

Pricing transparency

$250 a month, billed monthly. The longer options are unusual: three months paid in full is $750, which is $250 a month and therefore no discount whatsoever, and six months in full is $1,400, or about $233 a month. A seller charging the same rate for a quarterly prepayment as for a monthly plan is at least not pretending the commitment saves you anything, but it does mean there is no reason to take it. A site-wide seasonal promotion was running when we checked; promotions come and go, and $250 is the standing price.

Branded vs compounded

Compounded NAD⁺. The footer states that compounded medications are not reviewed by the FDA for safety or efficacy, which is correct — compounded drugs are prepared by a licensed pharmacy against a prescription and never pass FDA review before dispensing. One detail here is better than anything its competitors publish: the FAQ states the formulation uses NAD⁺ base rather than NAD⁺ sodium, with no added ingredients. That is a real chemistry disclosure. What is missing is the number that would let you use it. No milligram strength appears on the page; the site says the exact dosage will be supplied with the package.

Pros and watch-outs

What we like

States the formulation is NAD⁺ base rather than NAD⁺ sodium, with no added ingredients — a genuinely specific disclosure
LegitScript certified and staffed by US-licensed providers
Free consultation offered before any purchase
States it will refund you if it cannot ship to your state
The footer names the compounded status and the absence of FDA review
Plans can be adjusted or paused from the account without a phone call

Watch-outs

No milligram dose published — you are told it after the package arrives
$250 a month is at the top of the compounded injection market
The three-month prepayment costs exactly the same per month as paying monthly
Claims the product slows down the aging process and reduces the risk of age-related disease — no trial supports either
Says NAD⁺ crosses the blood-brain barrier to eliminate chronic brain fog, stated as fact
Two benefit cards on the page carry identical copy under different headings
Side effects are reframed as signs the product is working
Partner pharmacies are not named

Best for

Someone who values LegitScript certification and a free pre-purchase consultation, and who intends to ask the provider for the milligram strength during that call rather than waiting for the box.

Who should look elsewhere

A reader who buys on evidence. The claims on this page run a long way ahead of the published record, and the one number that would let you judge the price is withheld until after the sale.

How Fierce Health 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 →

More NAD⁺ injection providers reviews: PartiqlarLive VitalHealthRXDirect MedsEdenIvy Rx

Laura Bennett

Evidence & trials · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of Fierce Health’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 Fierce Health NAD⁺ cost?: $250 a month. Three months paid in full is $750, which is the same $250 a month, and six months in full is $1,400, or roughly $233 a month. Seasonal site-wide promotions run from time to time and change what you pay at checkout, but the standing price is $250.
What dose do you get?: Fierce Health does not publish one. The page says NAD⁺ is typically given as a subcutaneous injection once a week and that the exact dosage and administration instructions will be provided with your package. Two sellers in this roster publish 1000 to 1200 mg a month for less money; without a figure here, there is no way to know whether $250 is good value or twice the going rate.
Does NAD⁺ slow down aging?: Not on any evidence we can find. We searched PubMed on September 13, 2026 for controlled human trials of injected NAD⁺ — a general search for subcutaneous NAD⁺ injection trials in humans, a search restricted to the randomized controlled trial publication type, and a search for NAD⁺ injection trials in fatigue. The first returned six records, none of them a trial of injected NAD⁺; the second returned three, which were a phase I trial of a SIRT1-activating drug, a disulfiram implant study and a 1976 comparison of anticoagulants; the third returned nothing at all. There is no trial showing that injected NAD⁺ slows aging or reduces the risk of age-related disease, and a product page should not state it as established.
What is NAD⁺ base versus NAD⁺ sodium?: They are two forms the raw material can come in — the free acid, and its sodium salt. Fierce Health states it uses the base with no added ingredients. It is the sort of formulation detail almost nobody in this category publishes, and it deserves credit. It also underlines the gap: the page will tell you which chemical form it uses but not how much of it you are buying.
Are the listed side effects really side effects?: Read that section carefully. It describes a rush of energy as your mitochondria engage and headaches as your brain metabolism improves. Those are benefits written in the shape of warnings. A nausea or flushing response to a fast injection is a real and commonly reported effect; framing a headache as evidence of improvement is marketing, not safety information.
Is Fierce Health expensive compared with other NAD⁺ injection providers providers?: Fierce Health publishes a starting figure of $250/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 Fierce Health above the median. 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.