What does Precision Telemed actually cost?

$139.99 for the first month and $149 a month after that, both stated on the page. Judge it on the $149, because that is the rate that repeats. At a 1,000 mg vial that works out around 15 cents per milligram.

Is the NAD⁺ FDA-approved?

No. It is compounded, which means it is prepared by a pharmacy rather than manufactured under an FDA approval, and the FDA does not review it for safety, efficacy or quality before it is dispensed. That is true of every compounded NAD⁺ injection sold.

Do I have to inject myself?

Yes. This is a mail-order program, so the vial arrives at your home with self-injection instructions and ongoing physician support. If you would rather someone else administer it, an IV clinic is the alternative, at several times the price.

Is Precision Telemed expensive compared with other NAD⁺ injection providers providers?

Precision Telemed publishes a starting figure of $149/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 Precision Telemed below the median, toward the cheaper end. The other 37 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

Precision Telemed review

Dose stated, intro price

A 1,000 mg vial at $149 a month, advertised at $139.99. The dose is published, which is rarer than it should be — and the headline is the first month only.

Our verdict

Precision Telemed publishes the two numbers that make a price mean something: 1,000 mg in the vial, $149 a month. That puts it near 15 cents a milligram, which is competitive. The figure on the page is $139.99, and that is the first month. The standing rate is the one above it, and the page does say so plainly rather than burying it. What is missing is the pharmacy: the product is compounded and nobody is named.

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.

Check availability →

At a glance

Category: NAD⁺ injections
Format: Injection
From: $149/mo
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Updated: September 2026

What it is

Mail-order NAD⁺ injections you give yourself at home. The program is a 1,000 mg vial with physician oversight and shipping included. There is no clinic to visit.

How it works

An eligibility check comes first and is free. Board-certified physicians review it, and the site says same-day consults are available. Self-injection instructions come with the vial, and support continues after it ships. Canceling is offered at any time, with no subscription lock stated.

Pricing transparency

$139.99 for the first month, then $149 a month. Both figures are on the page together, which is more honest than most of this category manages — plenty of sellers show only the intro number. At 1,000 mg a vial the standing rate is about 15 cents a milligram. That is a real comparison you can run against other sellers, and it only exists because the dose is published. Shipping is included and the site states HSA and FSA are accepted, so the effective cost may be lower again depending on your plan.

Branded vs compounded

Compounded NAD⁺, which means it is not FDA-approved and the FDA does not review it for safety, efficacy or quality before it is dispensed. The site is clear that a physician prescribes. It does not name the compounding pharmacy. That is the one question worth asking here before you buy, because the name is what lets you check a license or an inspection history.

Pros and watch-outs

What we like

Publishes the milligram dose — 1,000 mg — so the price can be compared
About 15 cents a milligram at the standing rate
Shows the intro price and the standing price together
Free eligibility check, same-day consults stated
Shipping included; HSA and FSA accepted

Watch-outs

The headline $139.99 is the first month only
The compounding pharmacy is not named
Compounded, so not FDA-approved or FDA-reviewed
No published detail on what happens to the price after month one beyond the stated rate

Best for

Someone who wants a large vial at a low cost per milligram and will inject at home.

Who should look elsewhere

Anyone who wants the compounding pharmacy named before paying, or who would rather not self-inject.

How Precision Telemed 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 →

More NAD⁺ injection providers reviews: LaSara Medical GroupMadeMedRewinding RXInvyncibleGenesis Lifestyle MedicineTablet Health

Michael Reyes

Cost & access · Reviewed and last verified September 2026

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

What does Precision Telemed actually cost?: $139.99 for the first month and $149 a month after that, both stated on the page. Judge it on the $149, because that is the rate that repeats. At a 1,000 mg vial that works out around 15 cents per milligram.
Is the NAD⁺ FDA-approved?: No. It is compounded, which means it is prepared by a pharmacy rather than manufactured under an FDA approval, and the FDA does not review it for safety, efficacy or quality before it is dispensed. That is true of every compounded NAD⁺ injection sold.
Do I have to inject myself?: Yes. This is a mail-order program, so the vial arrives at your home with self-injection instructions and ongoing physician support. If you would rather someone else administer it, an IV clinic is the alternative, at several times the price.
Is Precision Telemed expensive compared with other NAD⁺ injection providers providers?: Precision Telemed publishes a starting figure of $149/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 Precision Telemed below the median, toward the cheaper end. The other 37 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.