How much does Sprout Health NAD⁺ cost?

$199 for the first month, then $249 on renewal. Their page puts it in one line: "$199 your first month, then auto renews at $249 every 4 weeks." We record $249, because that is the charge that repeats.

Is it billed monthly?

No — every four weeks. That is thirteen billing cycles in a year rather than twelve, so at $249 the real annual cost is about $3,240. The page describes this as "straightforward, monthly pricing" elsewhere, so it is worth reading the renewal line carefully before you sign up.

How much NAD⁺ do you actually get?

They publish it: each vial contains 1,000 mg of sterile NAD⁺, and the typical protocol is two doses a week from a 5 mL vial. That puts Sprout in the minority of sellers whose price can be compared on amount rather than on trust.

Is their NAD⁺ FDA-approved?

No. Their own disclaimer reads: "Compounded NAD+ is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness, or quality." State licensing of the compounding pharmacy is a statement about the facility, not about the drug.

Does the honest pricing mean the claims are reliable?

No, and the two sit uncomfortably close together on this site. The same pages that print the renewal price and the FDA disclaimer also claim 100% bioavailability, mental fog lifting within days and faster muscle repair. Disclosure about money is not evidence about effect.

Is Sprout Health legit?

FDA has a warning letter on record against Sprout Health Partners LLC dba Sprout Health, the company behind joinsprouthealth.com, issued September 9, 2025 as letter 715879; it is linked further down this page. On this desk a warning letter discloses, it does not disqualify — it is a public record to read before you decide. Sprout Health is an NAD⁺ injection service. Its stated availability: NAD⁺ excludes Arkansas, Kansas and New Mexico. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. 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 Sprout Health expensive compared with other NAD⁺ injection providers?

Sprout Health publishes a starting figure of $249/4 wks. Across the 8 NAD⁺ injection providers we review that publish a starting price on the same billing basis, those run $175/4 wks to $279/4 wks with a median of $229/4 wks, which puts Sprout Health above the median. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.

PartnerUpdated October 2026

Sprout Health review

Bills every four weeks

Top-of-market at $249, with the introductory month and the renewal printed in the same sentence. The billing cycle is not a month.

Our verdict

Sprout Health charges $199 for the first month and then, in its own words, "auto renews at $249 every 4 weeks". That sentence does two useful things at once. It gives you the standing price, not just the hook. And it tells you the renewal runs on a four-week cycle, not a calendar month — thirteen charges a year instead of twelve. At $249 that is roughly $3,240 a year. Top of the range we verify. They also publish a real dose — 1,000 mg per 5 mL vial, two doses a week — which is more than most sellers charging half as much will do. What sits badly next to that candor is the benefits copy, which claims things no NAD⁺ trial supports.

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; commissions do not change evidence scores or editorial verdicts. How we make money.

Check availability →

FDA warning letter on record — public record, does not change our verdict.

At a glance

Category: NAD⁺ injections
Format: Injection
From: $249/4 wks
Dose published: Yes
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Availability: NAD⁺ excludes Arkansas, Kansas and New Mexico
LegitScript: Claimed by provider
FDA: Warning letter on record
Updated: October 2026

What it is

A cash-pay telehealth service running compounded GLP-1 medications alongside a compounded NAD⁺ injection line, sold as a self-administered at-home injection with a full starter kit.

How it works

Online questionnaire, licensed US clinician review, medication compounded by state-licensed US pharmacies and shipped with everything needed to inject at home. The first consultation is free and you pay nothing if a clinician decides NAD⁺ is not appropriate. Their terms note that a prescription goes to a partner pharmacy "unless you specify a different licensed pharmacy of your choice", which is a genuinely unusual concession — most telehealth sellers route you to their pharmacy and do not offer an alternative.

Pricing transparency

The NAD⁺ landing page states both numbers: "Starting at $249 / month" in the hero, "Now from $199 first month" beneath it, and then "$199 your first month, then auto renews at $249 every 4 weeks" in the included-items block. We record $249. The four-week cycle is the detail to carry: billed every 28 days, that is thirteen charges in a year, so the annual cost is nearer $3,240 than the $2,988 twelve months at $249 would suggest. Their own homepage shows only the $199 in the NAD⁺ block, which is where an automated price check picks up the intro figure and stops. Against the roster, $249 ties with The Edit and iThriveMD at the top — but Sprout is one of the few in that bracket to publish a dose, at 1,000 mg per 5 mL vial with two doses a week, so the premium is at least measurable.

Sources and price checks

Price information checked October 6, 2026. Confirm the current total before paying.

Public product and billing pages rechecked October 6, 2026. This is desk research, not a patient experience or a completed order.

NAD⁺ renewal, vial and state restrictionsChecked October 6, 2026

Branded vs compounded

Compounded NAD⁺, prepared by unnamed US state-licensed compounding pharmacies, sterile and preservative-free, 1,000 mg per vial. They print the regulatory position on the homepage rather than hiding it in a footer: "Compounded NAD+ is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness, or quality." That is the right sentence. It is worth setting against the marketing on the same site, where a pharmacy being state-licensed describes the facility that mixes the drug — not a review of the drug itself.

FDA warning letter on record

The FDA issued a warning letter naming Sprout Health Partners LLC dba Sprout Health, the company behind joinsprouthealth.com — the site this review covers.

Letter 715879, issued September 9, 2025 — read it on fda.gov

We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove Sprout Health from our rankings, and it does not change our verdict — read the letter and decide for yourself.

Pros and watch-outs

What we like

States the renewal price ($249) in the same sentence as the introductory one ($199)
Publishes a real dose — 1,000 mg per 5 mL vial, two doses a week — which most sellers at this price will not
Says plainly that compounded NAD⁺ is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness or quality
Free initial consultation with nothing to pay if a clinician declines to prescribe
Terms allow you to nominate your own licensed pharmacy instead of their partner

Watch-outs

$249 is at the very top of the published range we verify
Renewal is every four weeks, not monthly — thirteen charges a year, and the page does not do that arithmetic for you
The homepage NAD⁺ block shows only the $199 introductory figure
Claims "100% bioavailability" and that fog lifts "within days" — neither established by any NAD⁺ trial
The compounding pharmacy is not named
The NAD⁺ FAQ excludes Arkansas, Kansas and New Mexico

Best for

Someone who wants a stated milligram dose and a stated renewal price, and for whom a top-of-market rate is not the deciding factor.

Who should look elsewhere

Anyone comparing on cost — the same format is available from verified sellers at a third of this — or anyone who will be irritated by a four-week billing cycle described as monthly pricing.

How Sprout Health 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 →
ShedRx
A mid-range price you can find without an intake
See ShedRx →

Compare all providers side by side →

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Michael Reyes

Cost & access · Reviewed and last verified October 2026

How we assessed this. This review reflects NAD Picks’s own read of Sprout Health’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 Sprout Health NAD⁺ cost?: $199 for the first month, then $249 on renewal. Their page puts it in one line: "$199 your first month, then auto renews at $249 every 4 weeks." We record $249, because that is the charge that repeats.
Is it billed monthly?: No — every four weeks. That is thirteen billing cycles in a year rather than twelve, so at $249 the real annual cost is about $3,240. The page describes this as "straightforward, monthly pricing" elsewhere, so it is worth reading the renewal line carefully before you sign up.
How much NAD⁺ do you actually get?: They publish it: each vial contains 1,000 mg of sterile NAD⁺, and the typical protocol is two doses a week from a 5 mL vial. That puts Sprout in the minority of sellers whose price can be compared on amount rather than on trust.
Is their NAD⁺ FDA-approved?: No. Their own disclaimer reads: "Compounded NAD+ is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness, or quality." State licensing of the compounding pharmacy is a statement about the facility, not about the drug.
Does the honest pricing mean the claims are reliable?: No, and the two sit uncomfortably close together on this site. The same pages that print the renewal price and the FDA disclaimer also claim 100% bioavailability, mental fog lifting within days and faster muscle repair. Disclosure about money is not evidence about effect.
Is Sprout Health legit?: FDA has a warning letter on record against Sprout Health Partners LLC dba Sprout Health, the company behind joinsprouthealth.com, issued September 9, 2025 as letter 715879; it is linked further down this page. On this desk a warning letter discloses, it does not disqualify — it is a public record to read before you decide. Sprout Health is an NAD⁺ injection service. Its stated availability: NAD⁺ excludes Arkansas, Kansas and New Mexico. It displays a LegitScript certification claim, which we record as a claim and not as a verified fact: LegitScript's public checker is gated and returns the same page for any domain put into it, so no one can reproduce a check from it. 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 Sprout Health expensive compared with other NAD⁺ injection providers?: Sprout Health publishes a starting figure of $249/4 wks. Across the 8 NAD⁺ injection providers we review that publish a starting price on the same billing basis, those run $175/4 wks to $279/4 wks with a median of $229/4 wks, which puts Sprout Health above the median. 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.