How much does RxPepsDirect's NAD⁺ cost?

$100 for a 1,000 mg vial — 10 mL at 100 mg/mL — plus a one-time $39 visit fee that covers the provider review and up to three peptides on the same order. There is no monthly subscription. Their own protocol is 20 mg per injection, five days a week, which is fifty doses per vial.

Why does a stated milligram figure matter so much?

Because without it a price is not a price. A seller charging $169 a month is not comparable to one charging $99 until you know how much NAD⁺ each one ships, and almost none of them will tell you. RxPepsDirect publishes vial size, concentration and per-shot dose, which makes it one of the few sellers you can actually run a cost-per-milligram calculation against.

Is their NAD⁺ FDA-approved?

No. Their disclaimer states "Compounded medications are not FDA-approved." Elsewhere the site says the pharmacy "meets the highest FDA standards for compounding quality and safety" — that is a statement about the facility, not the drug. The FDA does not review compounded medications for safety, efficacy or quality before they are dispensed, here or anywhere else in this category.

Do the published batch reports mean it works?

No. Sterility and endotoxin testing tells you the vial was prepared correctly and is not contaminated. It says nothing about whether injected NAD⁺ produces the energy, clarity or longevity benefits it is marketed for — no controlled human outcome trial has shown that. Treat the reports as quality assurance, which is genuinely valuable, and not as efficacy data.

Can I buy if I am not in one of their 29 jurisdictions?

No. The site states it prescribes NAD⁺ Injectable only where its medical team is licensed, which it puts at 29 jurisdictions including the District of Columbia. That is narrower than most sellers we cover, several of which claim all 50 states.

Is RxPepsDirect legit?

RxPepsDirect is an NAD⁺ injection providers service. Its stated availability: 29 jurisdictions, including DC. 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 RxPepsDirect expensive compared with other NAD⁺ injection providers providers?

RxPepsDirect publishes a starting figure of $100/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 RxPepsDirect below the median, toward the cheaper end. 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

RxPepsDirect review

Publishes its numbers

Publishes a vial size, a concentration, a per-injection dose, the pharmacy that fills it and the independent lab reports for the batches — a combination almost nothing else in this category offers — and charges per vial rather than per month.

Our verdict

Everything this category hides, RxPepsDirect prints. The vial is 10 mL at 100 mg/mL, 1,000 mg total, for $100. The protocol is 20 units daily, Monday to Friday — 20 mg a shot, fifty shots a vial. Optimal Balance Pharmacy is named as the compounder, Eagle Analytical Services as the independent tester, and every batch report is published rather than summarized. There is no subscription: one $39 visit fee, then you pay the pharmacy directly. It is an unusually legible NAD⁺ purchase. What it does not do — what nothing in this category does — is show you a controlled trial that any of it works.

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: $100 per 1,000mg vial
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Named
Availability: 29 jurisdictions, including DC
Updated: September 2026

What it is

A prescription peptide service operated by Peptide RX LLC, selling roughly seventy compounded formulations across injectable, oral, topical and nasal formats. NAD⁺ Injectable sits in the longevity line. The model is explicitly disintermediated: you pay a flat fee for the medical visit, and the pharmacy bills you separately at what the site calls wholesale — "pay what Optimal Balance Pharmacy actually charges."

How it works

Browse a catalog with dose and price shown before intake, build a protocol, then submit a two-minute adaptive health questionnaire that removes contraindicated items automatically before a provider sees it — their examples are "Active cancer + GH peptides = auto-removed" and "SSRI + Methylene Blue = auto-removed." A licensed provider countersigns within 24 hours, then Optimal Balance Pharmacy texts a payment link and ships pre-reconstituted by FedEx overnight with syringes and swabs. The site states it prescribes NAD⁺ Injectable in 29 jurisdictions.

Pricing transparency

$100 for one 1,000 mg vial, plus a flat $39 visit fee that covers the consultation and up to three different peptides on the same order. There is no monthly charge — "No subscription. No tiers." On their own published protocol of 20 mg daily Monday to Friday, a vial is fifty doses, so a month of five-day-a-week use runs a little over twenty doses and a vial lasts longer than a month. Very few NAD⁺ sellers let you say anything that concrete about what a price buys, and it exists only because the seller published the numbers. Compare it against sellers charging $99 to $249 a month for an unstated quantity.

Branded vs compounded

Compounded NAD⁺, stated as such, and the supply chain is named end to end. Optimal Balance Pharmacy is a 503A compounding facility in Texas; Eagle Analytical Services performs sterility testing (ScanRDI or Celsis) and bacterial endotoxin testing (USP <85>) on every batch. The site publishes a running tally — 73 reports, 72 of 72 sterility passes, 72 of 72 endotoxin passes, zero failures — with lot numbers and dates, and says "Every report is published. None are withheld." Two cautions. Their line that the pharmacy "meets the highest FDA standards for compounding quality and safety" is a claim about a facility; the drug itself remains unapproved, and their own disclaimer concedes it: "These statements have not been evaluated by the FDA. Compounded medications are not FDA-approved." And NAD⁺ is a coenzyme, not a peptide — the product page gets this right and calls it "a coenzyme," but it is sold from a catalog headed "See every peptide we prescribe," so the framing around it is looser than the page itself.

Pros and watch-outs

What we like

Publishes vial size, concentration and per-injection milligrams, which almost no seller in this category does
Names the compounding pharmacy (Optimal Balance Pharmacy, 503A, Texas) and the independent testing lab (Eagle Analytical Services)
Publishes every batch report with lot numbers rather than summarizing results
No subscription and no membership — a flat $39 visit fee, then pharmacy pricing
Intake screens out contraindicated combinations automatically before a provider reviews
States a specific 29-jurisdiction footprint instead of claiming blanket coverage

Watch-outs

29 jurisdictions is a narrow footprint — most readers outside them cannot buy at all
"Meets the highest FDA standards" describes the facility; the compounded drug is still not FDA-approved
NAD⁺ is a coenzyme, and it is sold from a catalog that calls everything in it a peptide
Per-vial pricing makes the running cost harder to compare against monthly sellers until you do the arithmetic
The published dosing protocol is the seller's, not the output of a trial — transparency about a dose is not evidence for it

Best for

A buyer who wants to know exactly what is in the vial, who compounded it and whether that lot passed sterility testing — and who is in one of the 29 jurisdictions they serve.

Who should look elsewhere

Anyone in the other 21 states, and anyone who reads a published batch report as proof the therapy works. It proves the vial was made properly, which is a different question.

How RxPepsDirect 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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Laura Bennett

Evidence & trials · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of RxPepsDirect’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 does RxPepsDirect's NAD⁺ cost?: $100 for a 1,000 mg vial — 10 mL at 100 mg/mL — plus a one-time $39 visit fee that covers the provider review and up to three peptides on the same order. There is no monthly subscription. Their own protocol is 20 mg per injection, five days a week, which is fifty doses per vial.
Why does a stated milligram figure matter so much?: Because without it a price is not a price. A seller charging $169 a month is not comparable to one charging $99 until you know how much NAD⁺ each one ships, and almost none of them will tell you. RxPepsDirect publishes vial size, concentration and per-shot dose, which makes it one of the few sellers you can actually run a cost-per-milligram calculation against.
Is their NAD⁺ FDA-approved?: No. Their disclaimer states "Compounded medications are not FDA-approved." Elsewhere the site says the pharmacy "meets the highest FDA standards for compounding quality and safety" — that is a statement about the facility, not the drug. The FDA does not review compounded medications for safety, efficacy or quality before they are dispensed, here or anywhere else in this category.
Do the published batch reports mean it works?: No. Sterility and endotoxin testing tells you the vial was prepared correctly and is not contaminated. It says nothing about whether injected NAD⁺ produces the energy, clarity or longevity benefits it is marketed for — no controlled human outcome trial has shown that. Treat the reports as quality assurance, which is genuinely valuable, and not as efficacy data.
Can I buy if I am not in one of their 29 jurisdictions?: No. The site states it prescribes NAD⁺ Injectable only where its medical team is licensed, which it puts at 29 jurisdictions including the District of Columbia. That is narrower than most sellers we cover, several of which claim all 50 states.
Is RxPepsDirect legit?: RxPepsDirect is an NAD⁺ injection providers service. Its stated availability: 29 jurisdictions, including DC. 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 RxPepsDirect expensive compared with other NAD⁺ injection providers providers?: RxPepsDirect publishes a starting figure of $100/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 RxPepsDirect below the median, toward the cheaper end. 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.