How much does RxSpan MD NAD⁺ cost?

Month to month, $249 for the injection and $249 for the nasal spray, and $199 for the Flex Dose Tablet. Prepaying cuts it hard: the injection drops to $199 a month over three months, $166 over six and $150 over twelve. The tablet drops to $183, $158 and $150 on the same rungs.

Is the nasal spray cheaper than the injection?

No — they cost exactly the same, $249 a month. That is worth knowing, because it removes price from the decision entirely. Neither format has a controlled human outcome trial behind it, so the choice comes down to whether you would rather use a syringe or a spray.

What is a Flex Dose Tablet?

It is how RxSpan MD labels its oral NAD⁺ tablet, and the page publishes no milligram figure to go with the name. Treat an oral NAD⁺ tablet as its own thing rather than as equivalent to NR or NMN: the randomized human trials in this field were run on those precursors, not on swallowed NAD⁺ itself.

Why did the product page look empty?

The catalog loads after the page does. Without JavaScript, the Longevity page returns the words "No products found for Longevity" — a quirk of how the site is built, not a sign the products are gone. In a normal browser all three NAD⁺ formats and their prices appear.

Is RxSpan MD expensive compared with other NAD⁺ injection providers providers?

RxSpan MD publishes a starting figure of $249/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 RxSpan MD 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

RxSpan MD review

Three routes, one catalog

Injection, nasal spray and an oral tablet, each with a published monthly rate and a four-rung prepay ladder. The catalog page shows none of it unless JavaScript runs.

Our verdict

RxSpan MD sells NAD⁺ three ways and publishes a real monthly price for each. $249 for the injection, $249 for the nasal spray, $199 for what they call a Flex Dose Tablet. That the needle and the spray cost the same is genuinely useful. It makes the route a preference rather than a budget decision. Two things hold it back. The prepay ladder is steep enough that the headline monthly rate is the worst deal on the page. And "Flex Dose" is doing a lot of work for a product with no milligram figure attached.

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: $249/mo
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Labs: Not stated
LegitScript: Claimed by provider
Updated: September 2026

What it is

A cash-pay telehealth prescriber with a broad compounded catalog — GLP-1s, sermorelin, hair and skin formulas, sexual health — organized into four categories, with NAD⁺ sitting under Longevity in three formats.

How it works

Standard remote model: choose a product and a plan length, complete an intake, and a licensed provider decides whether to prescribe. Their product notes say plainly that RxSpan MD does not manufacture compounded medications and that the medication you receive will not look like the website image, which is more candor than most catalogs of this kind offer.

Pricing transparency

The monthly rate is $249 for the injection and $249 for the nasal spray, and $199 for the tablet. Commit for longer and the injection falls to $199 a month at three months, $166 at six and $150 at twelve; the tablet falls to $183, $158 and $150. That is a 40 percent gap between what a month-to-month buyer pays and what a year-up-front buyer pays for the identical injection, which is a large amount of money to risk on a product you have not tried. The honest figure to plan around is $249. No milligram dose is published for any of the three formats.

Branded vs compounded

Compounded NAD⁺. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. The site states that it does not manufacture them and that they are dispensed on a prescription, but it does not name the compounding pharmacy.

Pros and watch-outs

What we like

Three formats — injection, nasal spray and oral tablet — from one prescriber
Injection and nasal spray priced identically, so the route is a free choice
A published month-to-month rate, not only a prepay figure
States openly that it does not manufacture the compounded medication
Displays a LegitScript certification seal

Watch-outs

The catalog is invisible without JavaScript — the server page says no products were found
No milligram dose for any format, including the one named "Flex Dose"
The month-to-month rate costs 66 percent more per month than the twelve-month prepay
The compounding pharmacy is not named
An oral NAD⁺ tablet is a different proposition from the precursors with human trial data, and the page does not draw that distinction

Best for

Someone who wants to choose between a needle, a spray and a tablet at one prescriber, with a published price for each before an intake.

Who should look elsewhere

A buyer who will not prepay and cannot stomach the month-to-month premium, or who needs a milligram figure before spending $249.

How RxSpan MD 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 RxSpan MD’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 RxSpan MD NAD⁺ cost?: Month to month, $249 for the injection and $249 for the nasal spray, and $199 for the Flex Dose Tablet. Prepaying cuts it hard: the injection drops to $199 a month over three months, $166 over six and $150 over twelve. The tablet drops to $183, $158 and $150 on the same rungs.
Is the nasal spray cheaper than the injection?: No — they cost exactly the same, $249 a month. That is worth knowing, because it removes price from the decision entirely. Neither format has a controlled human outcome trial behind it, so the choice comes down to whether you would rather use a syringe or a spray.
What is a Flex Dose Tablet?: It is how RxSpan MD labels its oral NAD⁺ tablet, and the page publishes no milligram figure to go with the name. Treat an oral NAD⁺ tablet as its own thing rather than as equivalent to NR or NMN: the randomized human trials in this field were run on those precursors, not on swallowed NAD⁺ itself.
Why did the product page look empty?: The catalog loads after the page does. Without JavaScript, the Longevity page returns the words "No products found for Longevity" — a quirk of how the site is built, not a sign the products are gone. In a normal browser all three NAD⁺ formats and their prices appear.
Is RxSpan MD expensive compared with other NAD⁺ injection providers providers?: RxSpan MD publishes a starting figure of $249/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 RxSpan MD 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.