Is PepHaus NAD⁺ really $179 a month?

Only on the six-month plan, which is billed as one payment of $1,074.60. The flexible month-to-month rate is $199, and the quarterly plan is $189. PepHaus does say this in the plan selector and again in the closing section — but the price in every headline, including the page title, is the $179.

Is the six-month plan worth prepaying for?

It saves $119.40 across six months, which is real and which PepHaus's own arithmetic states accurately. Whether it is worth it depends on whether you already know the product suits you. Paying $1,074.60 before your first injection commits you to half a year of a therapy you have not tried, at a saving of about ten percent. Starting at $199 and switching later costs you a month or two of the difference and nothing else.

How many milligrams do you get?

The page does not publish it. You are told you receive one multi-dose vial described as a thirty-day supply, that your provider sets the dose and schedule, and that a certificate of analysis showing purity and concentration ships with the vial. So the number exists and is documented — it just is not available until after you have paid. Sellers publishing 1,000 or 1,200 mg on the page let you do the comparison first.

Is compounded NAD⁺ FDA-approved?

No, and PepHaus explains it better than most sellers bother to. Compounded medications are prepared for individual patients by licensed pharmacies against a prescription and are not FDA-approved products — meaning the FDA has not reviewed them for safety, efficacy or quality. PepHaus also states the condition that makes compounding appropriate in the first place: a provider must determine that a commercially available FDA-approved alternative is not clinically suitable for you.

Can I get it in my state?

PepHaus states NAD⁺ is available in all fifty states, with eligibility confirmed during the intake before any charge is made. That is broader than several competitors here, some of which exclude eight to eleven states or decline to publish a list at all.

PepHaūs is an NAD⁺ injection providers service. Its stated availability: All 50 states. 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 medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.

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

PepHaūs publishes a starting figure of $199/mo. Across the 129 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $170, which puts PepHaūs above the median. The other 39 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

PepHaūs review

Well run, headline oversold

A well-documented NAD⁺ service, advertising a price that requires paying for six months at once.

Our verdict

Strip out the headline and PepHaus is a strong operation: named physicians, LegitScript certification, all fifty states, a certificate of analysis in every box, and no charge until a provider prescribes. But every headline on the page says $179 a month, and $179 means handing over $1,074.60 up front for six months. Month to month is $199. PepHaus does state that, twice, in smaller type — which is more than most — and it is still the third number down the page rather than the first.

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: $199/mo
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Availability: All 50 states
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 one multi-dose vial per thirty days. It sits alongside tirzepatide, semaglutide, sermorelin and glutathione, and the company positions NAD⁺ as something patients frequently add to a GLP-1 program rather than a standalone product.

How it works

A five-minute online intake, reviewed by a licensed physician usually within twenty-four hours, with no charge unless you are prescribed. Review is handled by physicians from the Wasef Health Group network, and PepHaus names them: Michael Wasef, MD in internal medicine and the network's founder, Andrew Sakla, DO in internal medicine, and James Teet, DO in family medicine, with three further physicians listed as also caring for patients. Medication is filled by a licensed 503A compounding pharmacy, one preparing each prescription to order, and ships cold and ready to use. One flat price covers the visit, the medication, supplies and expedited shipping on every order and refill, and you can cancel from the dashboard without a phone call.

Pricing transparency

$199 a month is the flexible plan and the number to compare with anyone else. $189 a month is the quarterly plan, saving $30 against three months of flexible. $179 a month is the six-month plan, billed as a single payment of $1,074.60 and saving $119 across the half year. The arithmetic behind all three is accurate, which matters — the saving PepHaus advertises is the saving you get. What it does not do is present the monthly rate first. The page title, the sticky footer, the hero and the comparison against IV clinics all lead with $179, and a reader who takes that figure into a comparison with another seller's monthly price is comparing a prepayment against a subscription.

Branded vs compounded

Compounded NAD⁺, and the disclosure here is one of the most complete we have read: the page states that compounded medications are not FDA-approved products and, further, that they are prescribed only when a licensed provider determines a commercially available FDA-approved alternative is not clinically appropriate. That is the actual legal shape of compounding, and almost nobody else spells it out. Every vial is stated to ship with a certificate of analysis showing purity and concentration. The frustration is that the concentration appears on the paperwork in the box rather than on the page, so the milligram figure that would let you compare $199 with a competitor's $197 is not available before you buy.

Pros and watch-outs

What we like

The compounded disclosure goes further than this category usually bothers to, including why a compounded drug is prescribed at all
Names six physicians and the provider network behind them
LegitScript certified, filled by a licensed 503A pharmacy
Available in all fifty states, with eligibility confirmed before any charge
No charge unless a provider prescribes; cancel from the dashboard
A certificate of analysis in every box, plus syringes and swabs included
Free expedited shipping on every order and refill, with the vial shipped cold and ready to use
Every advertised saving matches the arithmetic

Watch-outs

Every headline says $179/mo, which requires $1,074.60 paid at once for six months
The real month-to-month rate, $199, appears only in the plan selector and the closing paragraph
No milligram dose published — the concentration arrives on paperwork after you buy
The comparison against IV clinics is priced against figures the page itself calls illustrative
Claims of all-day energy and patients feeling switched back on are testimonial language presented as product benefits
The compounding pharmacy is not named

Best for

Someone who wants documented oversight — named clinicians, LegitScript, a certificate of analysis — and is happy to pay $199 a month for it without prepaying half a year.

Who should look elsewhere

A buyer comparing on the advertised number. $179 is not this service's monthly price, and using it against another seller's monthly rate will get you the wrong answer by twenty dollars a month.

How PepHaūs 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 →
System Labs
Knowing exactly how many milligrams you get
See System Labs →

Compare all providers side by side →

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Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of PepHaūs’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

Is PepHaus NAD⁺ really $179 a month?: Only on the six-month plan, which is billed as one payment of $1,074.60. The flexible month-to-month rate is $199, and the quarterly plan is $189. PepHaus does say this in the plan selector and again in the closing section — but the price in every headline, including the page title, is the $179.
Is the six-month plan worth prepaying for?: It saves $119.40 across six months, which is real and which PepHaus's own arithmetic states accurately. Whether it is worth it depends on whether you already know the product suits you. Paying $1,074.60 before your first injection commits you to half a year of a therapy you have not tried, at a saving of about ten percent. Starting at $199 and switching later costs you a month or two of the difference and nothing else.
How many milligrams do you get?: The page does not publish it. You are told you receive one multi-dose vial described as a thirty-day supply, that your provider sets the dose and schedule, and that a certificate of analysis showing purity and concentration ships with the vial. So the number exists and is documented — it just is not available until after you have paid. Sellers publishing 1,000 or 1,200 mg on the page let you do the comparison first.
Is compounded NAD⁺ FDA-approved?: No, and PepHaus explains it better than most sellers bother to. Compounded medications are prepared for individual patients by licensed pharmacies against a prescription and are not FDA-approved products — meaning the FDA has not reviewed them for safety, efficacy or quality. PepHaus also states the condition that makes compounding appropriate in the first place: a provider must determine that a commercially available FDA-approved alternative is not clinically suitable for you.
Can I get it in my state?: PepHaus states NAD⁺ is available in all fifty states, with eligibility confirmed during the intake before any charge is made. That is broader than several competitors here, some of which exclude eight to eleven states or decline to publish a list at all.
Is PepHaūs legit?: PepHaūs is an NAD⁺ injection providers service. Its stated availability: All 50 states. 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 medications it dispenses, whether it bills insurance and how its intake works. Ask for those in writing before you pay.
Is PepHaūs expensive compared with other NAD⁺ injection providers providers?: PepHaūs publishes a starting figure of $199/mo. Across the 129 NAD⁺ injection providers providers we review that publish a single monthly figure, those run $17.97 to $799 with a median of $170, which puts PepHaūs above the median. The other 39 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 →

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