How much does iThriveMD NAD⁺ cost?

$249.00 for the injection, billed every 28 days with no commitment. The discount cards look like promotions — they are badged 15%, 35% and 50% off — but each is a prepayment: $211.65 buys twelve weeks up front, $161.85 twenty-four, and $124.50 forty-eight. The sublingual wafers are a separate product at $100.00 a month. 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 for the injection, stated on the page as "Full strength dosages (1000mg same price all doses)", which makes the price genuinely comparable at roughly 25 cents a milligram. The wafers are 100 mg each, with a stated schedule: 200 mg daily for the first two weeks, then 100 mg daily. Publishing a milligram figure for both formats is rare in this category.

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 close the gap, but they close it by asking for three months to a year in advance, which is not the same thing as a lower price.

What are NAD⁺ wafers, and what do they cost?

A sublingual format — dissolved under the tongue rather than injected — at $100.00 a month, billed and shipped monthly, with 100 mg per wafer. That is $149 a month less than the injection from the same clinic — a gap wide enough that anyone who reads only the injection price has misjudged what NAD⁺ costs here by a factor of two and a half. It also cuts both ways: there is no controlled human trial comparing sublingual NAD⁺ with injection, or establishing that either delivers the advertised benefits, so the cheaper route is not a demonstrably worse one.

Is iThriveMD expensive compared with other NAD⁺ injection providers?

iThriveMD publishes a starting figure of $249/4 wks. Across the 8 NAD⁺ injection providers we review that publish a starting price on the same billing basis, those run $175/4 wks to $279/4 wks with a median of $229/4 wks, which puts iThriveMD above the median. 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

iThriveMD review

Dose and disclaimer

Expensive at the door, and one of the few providers 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 injection is $249 with nothing paid in advance. That is toward the top of the range, against Fresh Day at $199 and System Labs at $149. The cheaper numbers on the page are all prepayments, and the cheapest asks for 48 weeks at once. The sublingual wafer is a separate product at $100 a month, so here the route you pick moves the bill by $149. Read which number you are signing up for. Then judge $249 against System Labs at $149 for the same stated 1000 mg.

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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

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 their own site assumes you are buying something else too.

Pricing transparency

$249.00 for NAD⁺ injections, billed every 28 days with no long-term commitment. The three cheaper cards carry percentage-off badges — 15%, 35% and 50% — but each one is a prepayment, and the card says so in its own small print: $211.65 is twelve weeks paid up front, $161.85 is twenty-four weeks, and the headline $124.50 is forty-eight weeks paid at once. That is most of a year handed over in advance for a therapy with no controlled human outcome trial behind it. We list $249 because it is the price with no commitment and no other plan attached. At a stated 1000 mg that is around 25 cents a milligram — against System Labs at $149 for the same stated quantity, roughly 15 cents. The sublingual wafers are priced on their own page and are a different proposition entirely: $100.00 a month, billed and shipped monthly, with the same prepay ladder running down to $80.

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, which most of this category will not do at all
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, each with its own published price and its own stated dose — injections at 1000 mg for $249, wafers at 100 mg each for $100
Every discount card states its own terms, so the prepayment is disclosed rather than buried
Free consultation before committing

Watch-outs

$249 with no commitment, against $149 at System Labs and $93 at CoreAge
At 1000 mg that is about 25 cents a milligram, against 15 cents for the same stated dose elsewhere
The attractive prices are prepayments — the $124.50 asks for 48 weeks up front — or assume a separate weight-loss or hormone plan
Billing runs every 28 days, so a "monthly" plan bills thirteen times a year, not twelve
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.

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 →
ShedRx
A mid-range price you can find without an intake
See ShedRx →

Compare all providers side by side →

More NAD⁺ injection providers reviews: ProHealth LongevityDoNotAgeToniiq NAD+Nuform HealthTrava HealthReadyRx

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 for the injection, billed every 28 days with no commitment. The discount cards look like promotions — they are badged 15%, 35% and 50% off — but each is a prepayment: $211.65 buys twelve weeks up front, $161.85 twenty-four, and $124.50 forty-eight. The sublingual wafers are a separate product at $100.00 a month. 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 for the injection, stated on the page as "Full strength dosages (1000mg same price all doses)", which makes the price genuinely comparable at roughly 25 cents a milligram. The wafers are 100 mg each, with a stated schedule: 200 mg daily for the first two weeks, then 100 mg daily. Publishing a milligram figure for both formats is rare in this category.
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 close the gap, but they close it by asking for three months to a year in advance, which is not the same thing as a lower price.
What are NAD⁺ wafers, and what do they cost?: A sublingual format — dissolved under the tongue rather than injected — at $100.00 a month, billed and shipped monthly, with 100 mg per wafer. That is $149 a month less than the injection from the same clinic — a gap wide enough that anyone who reads only the injection price has misjudged what NAD⁺ costs here by a factor of two and a half. It also cuts both ways: there is no controlled human trial comparing sublingual NAD⁺ with injection, or establishing that either delivers the advertised benefits, so the cheaper route is not a demonstrably worse one.
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?: iThriveMD publishes a starting figure of $249/4 wks. Across the 8 NAD⁺ injection providers we review that publish a starting price on the same billing basis, those run $175/4 wks to $279/4 wks with a median of $229/4 wks, which puts iThriveMD above the median. 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.