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NAD+ Picks
Updated September 2026

iThriveMD review

Dose and disclaimer

Expensive at the door, and one of only four providers we have found that will tell you the milligram dose — with an FDA disclaimer most sellers leave out.

Our verdict

iThriveMD does the two things this category avoids. It states the dose — 1000 mg — and it prints that compounded drugs have not been reviewed or approved by the FDA for safety or effectiveness. The month-to-month price is $249, which is the top of the range we track, though the site pushes a ladder of discounts that take it to $124.50 and a 3-month program from $585. Read which number you are actually signing up for, then judge $249 against System Labs at $149 for the same stated 1000 mg.

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.

At a glance

Category
NAD⁺ injections
Format
Injection · Oral precursor
From
$249/mo
Dose published
Yes
Prescription
Required
Compounded
Yes — not FDA-approved
Pharmacy
Not named
Updated
September 2026

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What it is

A longevity and weight-management clinic selling NAD⁺ two ways — subcutaneous injections and sublingual wafers — alongside GLP-1s, TRT and hormone therapy, glutathione and low-dose naltrexone.

How it works

Provider-dosed and tracked, with a free consultation before you commit. Their model leans on membership: starting a weight-loss or hormone plan unlocks lower pricing across the rest of the menu, with add-ons from $29. That is worth understanding before comparing headline prices, because the cheapest NAD⁺ figure on the site assumes you are buying something else too.

Pricing transparency

$249.00 a month month-to-month for NAD⁺ injections, with promotional tiers shown at 15%, 35% and 50% off ($211.65, $161.85 and $124.50) and a 3-month program starting at $585. We list $249 because that is the price with no commitment and no other plan attached. At a stated 1000 mg, $249 works out around 25 cents a milligram — against System Labs at $149 for the same stated quantity, roughly 15 cents.

Branded vs compounded

Compounded NAD⁺, stated plainly: "Compounded drugs have not been reviewed or approved by the FDA for safety or effectiveness. Results have not been independently verified and may vary from person to person." That second sentence is rarer than the first and worth crediting — it addresses the testimonials directly rather than leaving them to do unearned work.

Pros and watch-outs

What we like

  • States a 1000 mg dose — one of only four providers in our roster that publishes any dose
  • Prints that compounded drugs are not FDA-reviewed or approved for safety or effectiveness
  • Also states results have not been independently verified and may vary
  • Two formats: injection and sublingual wafers
  • Free consultation before committing

Watch-outs

  • $249/month month-to-month is the joint-highest price we track
  • At 1000 mg that is about 25 cents a milligram, against 15 cents for the same stated dose elsewhere
  • The attractive prices are promotional tiers or assume a separate weight-loss or hormone plan
  • The compounding pharmacy is not named

Best for

Someone already buying a weight-loss or hormone plan here, for whom the member price applies, and who wants a stated dose.

Who should look elsewhere

Anyone buying NAD⁺ alone on price. The same published 1000 mg is available elsewhere for $100 a month less.

How iThriveMD compares

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

Compare all providers side by side →

More NAD⁺ injection providers reviews: Gentle PatchesEnhance MDEdenIvy RxRNK HealthShedRx

JH
James Harper

Formats & delivery · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of iThriveMD’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 iThriveMD NAD⁺ cost?
$249.00 a month with no commitment. The site shows discount tiers at 15%, 35% and 50% off — $211.65, $161.85 and $124.50 — and a 3-month program from $585. Membership pricing also applies if you are already on one of their weight-loss or hormone plans, so check which of those you actually qualify for.
What dose do you get?
1000 mg, stated on the product page. That puts iThriveMD among only four providers in our roster that publish any milligram figure at all, and it makes their price genuinely comparable — roughly 25 cents a milligram at $249.
Is it better value than System Labs?
Not on the stated numbers. Both publish 1000 mg a month; System Labs lists $149 against iThriveMD's $249. That is about 15 cents a milligram against 25. The discount tiers change that, but a promotional price is not the standing one.
What are NAD⁺ wafers?
A sublingual format — dissolved under the tongue rather than injected. iThriveMD sells them alongside the injection, as does Enhance MD. There is no controlled human trial comparing sublingual NAD⁺ with injection, or establishing that either delivers the advertised benefits.
Do they disclose that it is compounded?
Yes, and more fully than most: "Compounded drugs have not been reviewed or approved by the FDA for safety or effectiveness. Results have not been independently verified and may vary from person to person." The second sentence is unusual — it speaks to the testimonials rather than letting them stand unqualified.
Is iThriveMD expensive compared with other NAD⁺ injection providers providers?
iThriveMD publishes a starting figure of $249/mo. Across the 22 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $29.99 to $799 with a median of $179, which puts iThriveMD above the median. The other 1 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.