What does ReadyRx NAD⁺ cost?

Month to month, $190 for the 500 mg vial, $240 for the 1,000 mg vial and $190 for the 4,500 mg nasal spray. The page shows $170, $220 and $170 as first-month prices. On a quarterly plan paid up front the same products are $150, $200 and $150 a month.

Why does the price show as $170 if it is $190?

Their pricing script applies a coupon by default — the code is built into the page rather than entered by you — and that coupon takes $20 off the first month only. The card itself prints "$190/month after" underneath, so the information is there; it is the headline that is the discounted one.

Is the 1,000 mg vial better value than the 500 mg?

On arithmetic, yes: $240 for 1,000 mg is 24 cents a milligram against 38 cents for 500 mg at $190. Whether you need the larger vial is a question for the prescribing clinician, and no controlled human trial establishes what dose of injected NAD⁺ produces any of the advertised benefits.

Is the nasal spray's 4,500 mg comparable to a 4,500 mg injection?

No. Milligrams in a bottle are not milligrams in your bloodstream, and how much intranasally delivered NAD⁺ is absorbed has not been published for this product or any other. Compare the spray to other sprays, not to a vial.

Is their NAD⁺ FDA-approved?

No. Their FAQ says medications are sourced through "FDA-registered, U.S.-based compounding pharmacies", and registration describes the facility rather than the medicine. Compounded drugs are not FDA-approved and the FDA does not review them for safety, efficacy or quality before dispensing.

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

ReadyRx publishes a starting figure of $190/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 ReadyRx 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

ReadyRx review

Price arrives by API

Sells NAD⁺ by the vial — 500 mg, 1,000 mg, or a 4,500 mg nasal spray. The price is not on the page until the site fetches it for you.

Our verdict

ReadyRx specifies its NAD⁺ better than most sellers do. Seeing what it charges is the catch. The prices are blank until the page fetches them, and the fetch quietly applies a discount code no visitor typed. So you read "$170/first month" when the standing rate is $190. Look past that and the offer is clear. 500 mg and 1,000 mg vials at $190 and $240 a month. A 4,500 mg nasal spray at $190. Third-party testing named test by test, and the renewal price printed under every introductory figure.

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
From: $190/mo
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Labs: Not stated
LegitScript: Claimed by provider
Updated: September 2026

What it is

A longevity and preventative-care telehealth platform selling semaglutide, tirzepatide, metformin, sermorelin, glutathione and NAD⁺. NAD⁺ comes as a subcutaneous injection in a 500 mg or 1,000 mg vial and as a nasal spray in a 15 mL bottle stated at 4,500 mg.

How it works

Online intake, clinician-led prescribing, free shipping and unlimited physician messaging, with peer support groups offered alongside. Every medication is described as batch-tested by a third party on four named checks — potency, sterility, pH and endotoxicity — each with a one-line explanation of what it is for. Naming the tests rather than gesturing at "lab tested" is a small thing that most of this category does not bother with.

Pricing transparency

The 500 mg vial is $190 a month and the 1,000 mg vial is $240. The nasal spray, a 15 mL bottle, is $190. What the page shows instead is $170 and $220 and $170 — a first-month figure produced by a coupon the site applies to itself by default — with the true rate printed directly beneath as "$190/month after". Quarterly plans paid up front bring the 500 mg vial to $150 a month, the 1,000 mg to $200 and the spray to $150, and the page footnotes that those apply to quarterly plans paid up front. The month-to-month numbers, $190 and $240, are the ones to budget from.

Branded vs compounded

Compounded NAD⁺ from what they describe as FDA-registered, US-based compounding pharmacies — a registration that describes the facility, not the drug. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing, and the page does not say so. The pharmacy is not named. On dosing, though, they are specific in a way most are not: "NAD+ injections are available as 500mg and 1,000mg vials, as well as 4,500mg nasal sprays", which is the number that makes a price mean something.

Pros and watch-outs

What we like

Publishes vial sizes — 500 mg, 1,000 mg, and a 4,500 mg nasal spray — so cost per milligram is calculable
Prints the renewal rate under every introductory figure
Names the four batch tests it runs and explains what each checks
Two formats and two injectable strengths, priced separately rather than one price for everything
Free shipping and unlimited physician messaging included

Watch-outs

Prices are absent from the page source and arrive by an API call, so they are invisible to anything but a full browser
A discount code is applied automatically, making the headline a first-month rate nobody opted into
"FDA-registered" pharmacies describes the facility; the NAD⁺ itself is compounded and the page never says so
The compounding pharmacy is not named
No state list, so eligibility is unknown until you start an intake

Best for

Someone choosing between a 500 mg and a 1,000 mg vial who wants the strengths and the batch testing spelled out before paying.

Who should look elsewhere

Anyone who wants the regulatory status of a compounded drug stated on the page selling it, or who needs to know their state is covered before starting an intake.

How ReadyRx 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: AVArxRehydra+ WellnessPallas HealthIdgie HealthWellMedRxTelePeptide

Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of ReadyRx’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 ReadyRx NAD⁺ cost?: Month to month, $190 for the 500 mg vial, $240 for the 1,000 mg vial and $190 for the 4,500 mg nasal spray. The page shows $170, $220 and $170 as first-month prices. On a quarterly plan paid up front the same products are $150, $200 and $150 a month.
Why does the price show as $170 if it is $190?: Their pricing script applies a coupon by default — the code is built into the page rather than entered by you — and that coupon takes $20 off the first month only. The card itself prints "$190/month after" underneath, so the information is there; it is the headline that is the discounted one.
Is the 1,000 mg vial better value than the 500 mg?: On arithmetic, yes: $240 for 1,000 mg is 24 cents a milligram against 38 cents for 500 mg at $190. Whether you need the larger vial is a question for the prescribing clinician, and no controlled human trial establishes what dose of injected NAD⁺ produces any of the advertised benefits.
Is the nasal spray's 4,500 mg comparable to a 4,500 mg injection?: No. Milligrams in a bottle are not milligrams in your bloodstream, and how much intranasally delivered NAD⁺ is absorbed has not been published for this product or any other. Compare the spray to other sprays, not to a vial.
Is their NAD⁺ FDA-approved?: No. Their FAQ says medications are sourced through "FDA-registered, U.S.-based compounding pharmacies", and registration describes the facility rather than the medicine. Compounded drugs are not FDA-approved and the FDA does not review them for safety, efficacy or quality before dispensing.
Is ReadyRx expensive compared with other NAD⁺ injection providers providers?: ReadyRx publishes a starting figure of $190/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 ReadyRx 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 →

Or compare every NAD⁺ injection provider.