How much does HealthRX NAD⁺ cost?

The injection is $161 a month month-to-month, or $145, $137 and $129 a month on three-, six- and twelve-month plans — the last of which is $1,546 paid at once. The nasal spray is $134 month-to-month, dropping to $120, $114 and $107 on the same terms. The “from $120” you may see first is the three-month nasal rate.

Do they say how much NAD⁺ you actually get?

Yes, which is unusual here. The injection plan states 1,000 mg of NAD⁺ per month, compounded by a US-licensed pharmacy. At $161 that is roughly 16 cents a milligram. The nasal spray states a 15 mL bottle at 300 mg/mL; that tells you what is in the bottle, not how much of it reaches your bloodstream, and nobody has measured the latter in a person.

Is the injection or the nasal spray the better buy?

On arithmetic alone the injection, because you can price it: 1,000 mg a month for $161. The spray is cheaper per month at $134 and its bottle holds more milligrams on paper, but intranasal absorption of NAD⁺ has never been established in humans, so a cost per milligram of the bottle is not a cost per milligram delivered. If the needle is the obstacle, the spray is the reason to keep reading rather than the answer.

A telehealth platform whose main business is medical weight loss with compounded GLP-1 medications, running a longevity line alongside it. NAD⁺ is one product in that line rather than the company's focus, which is worth knowing but is not a mark against the NAD⁺ offering itself.

Is HealthRX expensive compared with other NAD⁺ injection providers providers?

HealthRX publishes a starting figure of $161/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 HealthRX 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.

PartnerUpdated September 2026

HealthRX review

Calls it investigational

Publishes a monthly milligram total and a real month-to-month price. It also writes a sentence few sellers will: that the product is investigational, and not FDA-approved for any use.

Our verdict

HealthRX does the two things that make a NAD⁺ price mean something. It tells you the quantity — 1,000 mg a month for the injection. And it lets you buy a single month, at $161, with no term to commit to. That is around 16 cents a milligram, the same band as System Labs at about 15 and well under iThriveMD at 25. The language lifts it further. The product pages call NAD⁺ a compounded, investigational wellness option, and state it is not FDA-approved for any use. The nasal spray is $134 a month at 15 mL and 300 mg/mL — though what reaches your bloodstream from a spray has never been measured in a person. Two caveats. The pharmacy is not named. And the prepay ladder runs to $129 a month if you hand over $1,546 at once.

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At a glance

Category: NAD⁺ injections
Format: Injection · Nasal spray
From: $161/mo
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Availability: All 50 states claimed; no list published
LegitScript: Claimed by provider
Updated: September 2026

What it is

A physician-supervised telehealth platform whose main business is medical weight loss — compounded semaglutide and tirzepatide — with a longevity line alongside it carrying NAD⁺ in two formats, sermorelin, low-dose naltrexone, rapamycin, methylene blue and metformin. NAD⁺ comes as a subcutaneous injection or a nasal spray, each with its own product page and its own price.

How it works

An online medical intake reviewed by licensed providers, with the prescription written only if a provider judges it appropriate — their pages say approval is never automatic. Strength is set by the provider rather than chosen from a menu, and a pharmacist intake has to be completed after purchase. There is no insurance billing.

Pricing transparency

The injection is $161 a month billed monthly, falling to $145 on a three-month plan ($434), $137 on six months ($821) and $129 on twelve ($1,546). The nasal spray is $134 a month, then $120, $114 and $107 on the same three terms. Both cadence tables are printed on the product pages rather than revealed at checkout, and a genuine one-month option exists at the top of each — which is less common here than it should be. One figure to ignore: the “Plans from $120/month” in their matching widget is the three-month nasal rate, and is not what either format costs month to month.

Branded vs compounded

Compounded NAD⁺ at a stated 1,000 mg a month for the injection, and a 15 mL nasal bottle at 300 mg/mL, prepared by a licensed compounding pharmacy which the pages do not name. Their own copy states the product is not FDA-approved for any use, describes it as an investigational wellness option, and adds that compounded medications are not reviewed by the FDA for safety or effectiveness. That is a more complete disclosure than most of this category manages, and it is on the product page rather than buried in a footer.

Pros and watch-outs

What we like

States the monthly quantity — 1,000 mg for the injection — so the price can be turned into a cost per milligram
Sells a real month-to-month plan, not only prepaid terms
Calls NAD⁺ investigational and states plainly that it is not FDA-approved for any use
Prints the whole cadence ladder on the product page instead of at checkout
Nasal spray priced separately and lower than the injection, with its concentration and bottle size stated
LegitScript certified

Watch-outs

The compounding pharmacy is not named
The lowest advertised figure, $120, is the three-month nasal rate and not a month-to-month price for anything
Strength is set by the provider, so the 1,000 mg monthly total is what you are told rather than what you choose
NAD⁺ sits inside a weight-loss platform rather than being the main product
No published human trial shows an intranasal NAD⁺ dose reaches the bloodstream, whatever the bottle contains

Best for

Someone who wants the milligrams stated and the option to buy one month before committing, and who values a seller willing to use the word investigational in its own marketing.

Who should look elsewhere

Anyone who needs the compounding pharmacy named, or who is comparing the $120 headline against another seller's monthly rate — those are not the same kind of number.

How HealthRX 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: Neo Soma HealthcareRylo HealthVytora HealthArc-1Remi MedsHealthOn

Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of HealthRX’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 HealthRX NAD⁺ cost?: The injection is $161 a month month-to-month, or $145, $137 and $129 a month on three-, six- and twelve-month plans — the last of which is $1,546 paid at once. The nasal spray is $134 month-to-month, dropping to $120, $114 and $107 on the same terms. The “from $120” you may see first is the three-month nasal rate.
Do they say how much NAD⁺ you actually get?: Yes, which is unusual here. The injection plan states 1,000 mg of NAD⁺ per month, compounded by a US-licensed pharmacy. At $161 that is roughly 16 cents a milligram. The nasal spray states a 15 mL bottle at 300 mg/mL; that tells you what is in the bottle, not how much of it reaches your bloodstream, and nobody has measured the latter in a person.
Is the NAD⁺ FDA-approved?: No, and HealthRX says so itself: its pages state NAD⁺ injection is not FDA-approved for any use, call it a compounded investigational wellness option, and note that compounded medications are not reviewed by the FDA for safety or effectiveness. Every injectable NAD⁺ product we cover is compounded and none is FDA-approved — the difference here is that the seller writes it down.
Is the injection or the nasal spray the better buy?: On arithmetic alone the injection, because you can price it: 1,000 mg a month for $161. The spray is cheaper per month at $134 and its bottle holds more milligrams on paper, but intranasal absorption of NAD⁺ has never been established in humans, so a cost per milligram of the bottle is not a cost per milligram delivered. If the needle is the obstacle, the spray is the reason to keep reading rather than the answer.
Who is HealthRX?: A telehealth platform whose main business is medical weight loss with compounded GLP-1 medications, running a longevity line alongside it. NAD⁺ is one product in that line rather than the company's focus, which is worth knowing but is not a mark against the NAD⁺ offering itself.
Is HealthRX expensive compared with other NAD⁺ injection providers providers?: HealthRX publishes a starting figure of $161/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 HealthRX 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.