NativeMed review
Four prices, one product
Publishes per-batch potency, sterility, pH and endotoxin results for its compounded lots — then quotes four different prices for the same NAD⁺ and never says what concentration it is testing to.
Our verdict
NativeMed does something almost nobody here does: it shows you the quality tests. Potency, sterility, pH and endotoxin, each with a plain-English explanation of what the test rules out. Then it tells you the potency test "confirms that the medication has plus or minus 10% of the appropriate concentration of the active ingredient" — without ever printing what that concentration is. And it quotes $159, $186, $189 and $199 for the same product on the same page. The lab work looks serious. The pricing page looks like nobody read it twice.
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; commissions do not change evidence scores or editorial verdicts. How we make money.
FDA warning letter on record — public record, does not change our verdict.
At a glance
- Category
- NAD⁺ injections
- Format
- Injection
- From
- $189/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 store selling compounded semaglutide and tirzepatide, generic sildenafil, tadalafil and trazodone, and NAD⁺ injections. NAD⁺ is the only longevity line in the catalog and is sold as a subcutaneous injection, with plans sized by volume rather than by dose.
How it works
A three-minute questionnaire, provider review, then shipping — "Take our easy 3-minute questionnaire, Medical provider will determine a treatment plan, Receive your prescribed medications (upon eligibility), Enjoy ongoing care, support, and treatment optimization." The site states that medication ships "from a state-licensed pharmacy within our trusted network" and that NativeMed itself neither manufactures nor dispenses. No clinician is named. State availability is not published.
Pricing transparency
Read this one carefully, because the page does not make it easy. The plan chart lists a Monthly PLAN at $189/mo and a 3-MONTH PLAN at $479, which it renders as $159/mo. The price widget at the top of the same page reads "Sale price $159.00 first month then $186/mo," footnoted as a first-month discount on a three-month plan — so $186 and $189 are two different numbers for what ought to be the same ongoing rate. A listing further down shows $159 against a struck-through $199. The figure that survives all of it is $189 a month if you buy month to month, which is where we set the rail; $159 is an introductory month on a quarterly commitment. At $189, NativeMed sits just above Renlo at $179 and just below Eden at $186 and Care Bare at $199 — mid-range for a product whose quantity it does not disclose.
Branded vs compounded
Compounded NAD⁺, and the page says so twice in useful language: "Compounded in the U.S.A" beside the buy button, and in the FAQ, "NAD+ injections offered through NativeMed's network are compounded by state-licensed pharmacies and are not FDA-approved to diagnose, treat, or prevent any specific condition." The footer adds "The FDA does not review or approve any compounded medications for safety or effectiveness." That is honest writing. What sits next to it is stranger. The quality section advertises that every compounded lot is third-party tested through "FDA- and DEA-registered labs" across four markers: Potency, Sterility, pH and Endotoxicity. Potency is specified tightly — within plus or minus 10 percent of the appropriate concentration, tested every three to six months. But the plan copy will not say what that concentration is, calling it only "one powerful concentration that fits all routines." A potency guarantee against an undisclosed target is not a number a buyer can use. The pharmacy is not named. The product also carries cosmetic-style badges — Cruelty Free, Paraben Free, Silicon Free, Sulfate Free, Gluten Free — on a prescription injectable, which is retail signaling rather than clinical information.
FDA warning letter on record
The FDA issued a warning letter naming NativeMed LLC dba NativeMed, the company behind nativemed.net — the site this review covers.
- Letter 728287, issued June 8, 2026 — read it on fda.gov
We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove NativeMed from our rankings, and it does not change our verdict — read the letter and decide for yourself.
Pros and watch-outs
What we like
- Publishes four named quality tests with plain-English explanations of what each one rules out
- States in its FAQ that the NAD⁺ is compounded and not FDA-approved, in its own words
- Footer disclaimer is explicit that the FDA does not review compounded medications for safety or effectiveness
- LegitScript seal present on the site
- Plans are described as a subscription that can be canceled at any time
Watch-outs
- Four prices for the same product on one page — $159, $186, $189 and $199
- The advertised $159 is a first-month discount on a three-month plan, not a monthly rate
- Potency is guaranteed to within 10 percent of a concentration the page never discloses
- Plans are sized in milliliters with no concentration, so the volume tells you nothing about the dose
- No pharmacy named, no clinician named, no state availability published
- Cruelty Free, Paraben Free and Gluten Free badges on a prescription injectable
Best for
A buyer who values seeing sterility and endotoxin testing disclosed at all, and who will do the work of figuring out which of the four published prices applies to the plan they actually want.
Who should look elsewhere
Anyone comparing on cost at a glance. The number on the tile is not the number on the twelfth invoice, and the page gives you three candidates for what that number is.
How NativeMed 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 →
More NAD⁺ injection providers reviews: AgelessRxGet Thin MDPreventiveMDYourHealthRxNeo Soma HealthcareRylo Health
Cost & access · Reviewed and last verified September 2026
How we assessed this. This review reflects NAD Picks’s own read of NativeMed’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 is NativeMed's NAD⁺ a month?
- $189 if you buy month to month — that is the rate on their own plan chart, labeled Monthly PLAN. The $159 shown at the top of the page is a first-month discount attached to a three-month plan, which is also billed as $479 up front. A third figure, $186/mo, appears in the price widget as the rate after that discounted first month. Plan on $189 unless you are committing to a quarter.
- How many milligrams are in a dose?
- Not published. Their plans are sized by volume — a 2.5 mL plan and a 5 mL plan — and the concentration is never given, described only as "one powerful concentration that fits all routines." Volume without concentration is not a dose, so the price cannot be compared against any other seller's on a per-milligram basis.
- They test every batch. Does that mean the product is verified?
- It means the vial was made to specification and is not contaminated, which is worth something. Their four tests cover potency, sterility, pH and endotoxins, and the explanations are clear. But the potency test is described as confirming the medication is within 10 percent of "the appropriate concentration of the active ingredient," and the page never says what that concentration is — so you are told the target was hit without being told the target. None of it speaks to whether injected NAD⁺ produces the benefits it is sold for.
- Is their NAD⁺ FDA-approved?
- No, and they say so: "NAD+ injections offered through NativeMed's network are compounded by state-licensed pharmacies and are not FDA-approved to diagnose, treat, or prevent any specific condition," with the footer adding that the FDA does not review or approve compounded medications for safety or effectiveness. That applies to every injectable NAD⁺ product sold through US telehealth.
- Why review a provider you earn nothing from?
- Because a board made only of companies that pay us would not be a comparison. We hold no affiliate relationship with NativeMed and earn nothing if you start care with them. They qualify the same way everyone here does: a NAD⁺ price published before intake.
- Is NativeMed legit?
- FDA has a warning letter on record against NativeMed LLC dba NativeMed, the company behind nativemed.net, issued June 8, 2026 as letter 728287; it is linked further down this page. On this desk a warning letter discloses, it does not disqualify — it is a public record to read before you decide. NativeMed is an NAD⁺ injection service. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. What our record does not establish: which states it serves, which medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is NativeMed expensive compared with other NAD⁺ injection providers?
- NativeMed publishes a starting figure of $189/mo. Across the 109 NAD⁺ injection providers we review that publish a starting price on the same billing basis, those run $17.97/mo to $649/mo with a median of $158.93/mo, which puts NativeMed above the median. The other 41 NAD⁺ injection providers we review do not have a comparable published starting price in our records, so they are excluded. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.