Is PlexusDx NAD⁺ really $129 a month?

Only on a six-month commitment. Their product page publishes all three tiers: month-to-month $179, three-month $149, six-month $129. The homepage leads with $129. If you sign up the ordinary way and cancel when you like, the rate is $179 — about 39 percent above the advertised figure.

Does the format change the price?

No, and that is genuinely unusual. Injection, nasal spray and Flex Dose Tablet all cost the same, because as their FAQ says, NAD⁺ "is priced by commitment tier, not by formulation." Your provider selects which one you get. Your dose does not change the price either.

Do they say which pharmacy makes it?

Not for your specific prescription. The NAD⁺ page says only "a licensed 503A compounding pharmacy" — one that compounds to order for a named patient. The site's FAQ does name six partners with phone numbers and websites — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills Pharmacy — which is a level of disclosure almost nobody in this category offers, even if it stops short of telling you which one filled your vial.

Is the $99 genetic test worth adding?

We have no basis to say it is. It reports 17 longevity-related insights including FOXO3, and it is sold after your first month rather than bundled. There is no evidence that genotyping at FOXO3 or anything adjacent should change how a compounded NAD⁺ protocol is dosed, and PlexusDx does not claim a trial for it. Treat it as an optional extra, not part of the therapy.

PlexusDx is an NAD⁺ injection providers service. Its stated availability: All 50 states. 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 PlexusDx expensive compared with other NAD⁺ injection providers providers?

PlexusDx publishes a starting figure of $179/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 PlexusDx 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

PlexusDx review

Three formats, one price

Injection, nasal spray or tablet at the same monthly rate, with six partner pharmacies named on the site — and a headline price that is the six-month prepay tier, not what you pay month to month.

Our verdict

PlexusDx gets two hard things right. It names its pharmacy partners, with phone numbers, which almost nobody in this category will do. And it writes the FDA sentence properly, putting "operating in FDA-registered facilities" and "not FDA-approved and have not been evaluated by the FDA" in the same paragraph so the distinction cannot be misread. Then it advertises "Starts at $129/mo" for a rate that requires a six-month commitment, while month-to-month is $179. Both things are true about the same company, and you should shop knowing both.

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 · Nasal spray · Oral precursor
From: $179/mo
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Named
Availability: All 50 states
Updated: September 2026

What it is

A precision-health platform selling prescription weight-loss programs, longevity peptide programs, genetic test kits and blood panels. NAD⁺ is the anchor of the longevity line, sold in three provider-selected formats — injection, nasal spray and what they call a Flex Dose Tablet — at a single price, because as their FAQ puts it, "NAD+ is priced by commitment tier, not by formulation."

How it works

An asynchronous intake — they advertise roughly sixty seconds — reviewed by an independent US-licensed clinician who selects the formulation and starting dose. No bloodwork at intake: the page states "No blood work required at intake." They say care is available in all 50 states and add a real qualifier, that "Five states require a scheduled video consultation." An optional genetics layer, the Precision Peptide Genetic Test covering 17 longevity insights including FOXO3, is a $99 add-on after your first month. Nothing is charged until a provider approves.

Pricing transparency

Three tiers, published in full on the product page: month-to-month $179, three-month $149, six-month $129, all described as all-inclusive of the provider visit, prescription, medication and shipping, with no membership fee. The homepage and the page title both lead with $129, which is the six-month rate — a reader who signs up the ordinary way pays $179, a 39 percent premium over the advertised number. To their credit, the ladder is disclosed rather than hidden, and the commitment tier is the only variable: the format you receive does not change the price, and neither does your dose. "Your monthly price doesn't change as your dose changes. Same price every dose level." No milligram figure is published anywhere — the quick-facts rail on their own page reads "Dose Range: Provider-determined."

Branded vs compounded

Compounded NAD⁺, said plainly and repeatedly. Their disclosure is unusually careful: "Compounded medications are dispensed by state-licensed compounding pharmacies operating in FDA-registered facilities. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality." Several competitors print only the first of those two sentences, which leaves "FDA-registered" doing work it cannot do — a registered facility is not an approved drug. PlexusDx writes both. They also volunteer something no other seller here does: "If you would prefer a branded, FDA-approved prescription medication, your provider may write a prescription that you can fill at the pharmacy of your choice." On the pharmacy itself, the NAD⁺ page says only "a licensed 503A compounding pharmacy," but the site's own FAQ names six partners with contact details — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills Pharmacy. That is a roster rather than an attribution for your specific vial, and it is still more than anyone else publishes.

Pros and watch-outs

What we like

Names six partner pharmacies with phone numbers and websites — effectively unheard of in this category
Writes the facility sentence and the not-FDA-approved sentence together, so the distinction cannot be misread
Publishes the full price ladder rather than only the lowest tier
One price across injection, nasal spray and tablet, and the price does not rise with dose
Tells readers they can ask for a branded FDA-approved medication instead
Qualifies its all-50-states claim by noting five states require a live video consult

Watch-outs

The advertised "Starts at $129/mo" is a six-month prepay rate; month-to-month is $179
No milligram dose published — their own rail says only "Provider-determined"
Six pharmacies are named as partners, but not which one fills your prescription
A $99 genetic add-on sits inside a longevity funnel where its clinical value is undemonstrated
"Most people feel steadier energy by week four to six" is a timeline claim with no trial behind it

Best for

Someone who wants a named supply chain and an honest regulatory paragraph, and who will either commit for six months or go in with their eyes open about the $179 month-to-month rate.

Who should look elsewhere

Anyone shopping on the advertised number. $129 requires half a year up front, and at $179 month to month PlexusDx is mid-to-upper range for a product whose dose it will not publish.

How PlexusDx 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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James Harper

Formats & delivery · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of PlexusDx’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 PlexusDx NAD⁺ really $129 a month?: Only on a six-month commitment. Their product page publishes all three tiers: month-to-month $179, three-month $149, six-month $129. The homepage leads with $129. If you sign up the ordinary way and cancel when you like, the rate is $179 — about 39 percent above the advertised figure.
Does the format change the price?: No, and that is genuinely unusual. Injection, nasal spray and Flex Dose Tablet all cost the same, because as their FAQ says, NAD⁺ "is priced by commitment tier, not by formulation." Your provider selects which one you get. Your dose does not change the price either.
Do they say which pharmacy makes it?: Not for your specific prescription. The NAD⁺ page says only "a licensed 503A compounding pharmacy" — one that compounds to order for a named patient. The site's FAQ does name six partners with phone numbers and websites — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills Pharmacy — which is a level of disclosure almost nobody in this category offers, even if it stops short of telling you which one filled your vial.
Their pharmacies are in FDA-registered facilities. Is the NAD⁺ approved?: No, and PlexusDx says so in the same breath, which is why we credit them for it: "Compounded medications are dispensed by state-licensed compounding pharmacies operating in FDA-registered facilities. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality." A registered facility is a fact about a building. An approved drug is a fact about a medicine. Several sellers print only the first sentence.
Is the $99 genetic test worth adding?: We have no basis to say it is. It reports 17 longevity-related insights including FOXO3, and it is sold after your first month rather than bundled. There is no evidence that genotyping at FOXO3 or anything adjacent should change how a compounded NAD⁺ protocol is dosed, and PlexusDx does not claim a trial for it. Treat it as an optional extra, not part of the therapy.
Is PlexusDx legit?: PlexusDx is an NAD⁺ injection providers service. Its stated availability: All 50 states. 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 PlexusDx expensive compared with other NAD⁺ injection providers providers?: PlexusDx publishes a starting figure of $179/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 PlexusDx 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.