How much does Levers NAD⁺ cost?

$197 a month on the recurring plan, or $247 if you buy a single month outright. Multi-month plans go lower — down to $774 for six months, about $129 a month — but those are paid up front for the whole block, so they are not a like-for-like comparison against another seller's monthly price.

How many milligrams do you get?

1200 mg a month as standard, delivered as one 6 mL vial at 200 mg/mL. In California, South Carolina and Indiana the plan is 1000 mg a month, supplied as 10 mL at 100 mg/mL. Levers suggests two to three injections a week at 200–300 mg, with a stated maximum of 500 mg a week for experienced users.

Why is the dose different in three states?

Levers does not explain the reason on the page, only that patients in California, South Carolina and Indiana receive 1000 mg at a lower concentration. What matters for a buyer is that the difference is disclosed at all. A seller shipping a smaller quantity into certain states at the same price, without saying so, would be invisible to you — and you would be comparing the wrong number.

Is it worth paying for six months up front?

The six-month plan is $774 on the subscribe rate, about $129 a month against $197 monthly, so the saving is real. Weigh it against two things: the medication has a beyond-use date, which is why Levers ships the block in two-month stages rather than all at once, and the month-by-month timeline the page uses to justify staying on it points to no study at all. Committing for half a year is a bet on that timeline being right.

Is compounded NAD⁺ from Levers FDA-approved?

No. It is compounded by a 503A pharmacy against an individual prescription. Those pharmacies are licensed and regulated by state boards and held to USP standards, and Levers describes its partner as LegitScript certified — but none of that is FDA approval. The FDA does not review compounded drugs for safety, efficacy or quality before they reach you.

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

Levers Health publishes a starting figure of $197/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 Levers 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

Levers Health review

Dose fully disclosed

A dose disclosure with nothing left out. Milligrams, concentration, volume, weekly schedule, and a state-by-state variation.

Our verdict

Almost every seller here asks you to buy a price with no quantity behind it. Levers does the opposite. 1200 mg a month, 200 mg per milliliter, 6 mL in the vial. Two to three injections a week at 200–300 mg, and a different concentration in the three states whose rules differ. At $197 a month on the subscribe plan that is about 16 cents a milligram, close to ARSYNL Rx at roughly 15. It is one of the few figures in this category you can calculate at all. The claims around the product run ahead of the evidence, as they do everywhere here. The numbers are the honest part of this page.

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: $197/mo
Dose published: Yes
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 subcutaneous injection you give yourself at home, shipped as a single multi-dose vial per month of supply. NAD⁺ sits in a longevity line alongside sermorelin, glutathione and a copper peptide skin cream, next to a weight-loss business running tirzepatide, semaglutide and microdosed GLP-1 protocols.

How it works

You check out first and complete a short medical intake afterward, and Levers states you are not charged unless a licensed doctor approves you. Orders ship from a 503A compounding pharmacy the company describes as LegitScript certified. Every plan includes unlimited provider support and free shipping, and the plans are HSA and FSA eligible. There is no separate membership fee and no in-person visit.

Pricing transparency

One month is $247 as a single purchase, or $197 a month if you take the recurring plan — a $50 gap that applies to every order rather than just the first. Longer commitments drop the rate further: two months at $397, four at $697 and six at $967, with the subscribe versions at $327, $556 and $774, which works out to $129 a month at the longest tier. Those are prepayments for multiple months of medication rather than a lower standing price, so the figure to compare against another seller is $197. Against Levers' stated 1200 mg monthly supply that is roughly $0.16 per milligram.

Branded vs compounded

Compounded NAD⁺, dispensed through 503A pharmacies, which compound against an individual prescription, regulated by state boards of pharmacy and held to USP compounding standards. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. The formulation is published in full: 200 mg/mL at 6 mL per 1200 mg, or 100 mg/mL at 10 mL per 1000 mg for patients in California, South Carolina and Indiana. Levers also publishes a beyond-use date policy — 90 days from compounding, guaranteed at least 60 days from arrival — which is why the longer plans ship in two-month increments rather than all at once. Batches are described as tested for potency, sterility, pH and endotoxins. The pharmacies themselves are not named.

Pros and watch-outs

What we like

Publishes milligrams, concentration, vial volume, weekly dose range and a maximum — nothing else here comes close
States a lower dose and different concentration for California, South Carolina and Indiana rather than shipping the same vial everywhere
About $0.16 per milligram on the monthly plan — a figure most sellers give you no way to compute at all
Publishes a beyond-use date policy and explains why multi-month plans ship in stages
Ships from a 503A pharmacy described as LegitScript certified
Not charged unless a provider approves you

Watch-outs

The single-month price is $247; the $197 rate requires taking the recurring plan
A month-by-month timeline of expected benefits is presented as what to expect, with no trial behind it
Claims injectable NAD⁺ gives the highest uptake available — a mechanism argument, not a measured outcome
The comparison against other clinics giving "just 250–500mg a month" is Levers' characterization of competitors, unsourced
The compounding pharmacies are not named

Best for

Anyone who has decided on an injection and wants to know exactly what is in the vial and what it costs per milligram. On the disclosure that matters most in this category, Levers is the benchmark.

Who should look elsewhere

Someone looking for evidence that the product delivers the month-by-month results the page describes. The dose transparency is real; the outcome claims around it are not better supported here than anywhere else.

How Levers 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 →

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Rachel Kim

Biochemistry & mechanism · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of Levers 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 Levers NAD⁺ cost?: $197 a month on the recurring plan, or $247 if you buy a single month outright. Multi-month plans go lower — down to $774 for six months, about $129 a month — but those are paid up front for the whole block, so they are not a like-for-like comparison against another seller's monthly price.
How many milligrams do you get?: 1200 mg a month as standard, delivered as one 6 mL vial at 200 mg/mL. In California, South Carolina and Indiana the plan is 1000 mg a month, supplied as 10 mL at 100 mg/mL. Levers suggests two to three injections a week at 200–300 mg, with a stated maximum of 500 mg a week for experienced users.
Why is the dose different in three states?: Levers does not explain the reason on the page, only that patients in California, South Carolina and Indiana receive 1000 mg at a lower concentration. What matters for a buyer is that the difference is disclosed at all. A seller shipping a smaller quantity into certain states at the same price, without saying so, would be invisible to you — and you would be comparing the wrong number.
Is it worth paying for six months up front?: The six-month plan is $774 on the subscribe rate, about $129 a month against $197 monthly, so the saving is real. Weigh it against two things: the medication has a beyond-use date, which is why Levers ships the block in two-month stages rather than all at once, and the month-by-month timeline the page uses to justify staying on it points to no study at all. Committing for half a year is a bet on that timeline being right.
Is compounded NAD⁺ from Levers FDA-approved?: No. It is compounded by a 503A pharmacy against an individual prescription. Those pharmacies are licensed and regulated by state boards and held to USP standards, and Levers describes its partner as LegitScript certified — but none of that is FDA approval. The FDA does not review compounded drugs for safety, efficacy or quality before they reach you.
Is Levers Health expensive compared with other NAD⁺ injection providers providers?: Levers Health publishes a starting figure of $197/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 Levers 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.