What does TelePeptide NAD⁺ cost month to month?

$169 a month on the no-commitment plan. Six months is $834 charged up front, an effective $139 a month, and twelve months is $1,548 up front, an effective $129. The $129 shown on their programs page is that annual figure divided out.

Is there a three-month plan?

Not for NAD⁺. Their pricing table shows a three-month tier for the GLP-1 programs and an em dash for NAD⁺ and sermorelin, so the only choices are a rolling month at $169 or six months at $834. That is an unusually wide gap to step across.

Does the nasal spray or sublingual tablet cost less than the shot?

No — the NAD⁺ program covers all three routes at one price, so the shot, the nasal spray and the sublingual tablet cost the same. Whichever you find easiest to stick with is the one to pick, since the decision carries no financial consequence.

Which states does TelePeptide serve?

Forty-eight states plus the District of Columbia. They name the exceptions rather than leaving it vague: residents of Alaska and Mississippi are not served at this time. Naming the gaps is more useful than a blanket coverage claim, and rarer.

Is TelePeptide legit?

TelePeptide is an NAD⁺ injection providers service. Its stated availability: 48 states and DC — not Alaska or Mississippi. 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 TelePeptide expensive compared with other NAD⁺ injection providers providers?

TelePeptide publishes a starting figure of $169/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 TelePeptide 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

TelePeptide review

A real monthly option

A month-to-month NAD⁺ program at $169 with no commitment, three routes on one price, and an advertised $129 that needs $1,548 paid up front.

Our verdict

TelePeptide publishes a proper tier table, which already puts it ahead of most of this category, and the table is where you should start rather than the program page. The program page says "starting at $129/mo" and prints "with annual prepay" in smaller type underneath; the table shows that reaching $129 costs $1,548 in a single charge. What you can buy without committing is $169 a month, no commitment, covering the clinician evaluation, the prescription, the medication and shipping in one price. The middle option is six months at $834 for an effective $139. There is no three-month tier for NAD⁺ — the table shows an em dash — so the jump from flexible to committed is a large one.

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: $169/mo
Dose published: No
Prescription: Required
Compounded: Yes — not FDA-approved
Pharmacy: Not named
Availability: 48 states and DC — not Alaska or Mississippi
LegitScript: Claimed by provider
Updated: September 2026

What it is

A direct-pay telehealth practice trading as TelePep, selling NAD⁺ under its peptide wellness line in three routes on a single price — a self-administered shot, a nasal spray, or a sublingual tablet — alongside sermorelin, hair restoration and a larger compounded GLP-1 business.

How it works

Asynchronous and direct-pay, with no insurance involved and no separate consultation fee: the clinician evaluation is inside the program price. Their billing sequence is patient-friendly and stated plainly — your card is authorized at intake as a temporary hold rather than a charge, and nothing is billed unless a clinician actually issues a prescription. If you are not prescribed, you pay nothing. Where it is less forthcoming is identity: the prescribing medical group is not named on the site, being "available to you on request", and there is no public clinician directory, with your clinician's name reaching you only inside the patient portal.

Pricing transparency

$169 a month with no commitment. Six months is $834 charged up front, an effective $139 a month, and a year is $1,548 up front, an effective $129. NAD⁺ has no three-month option, unlike their GLP-1 programs, so there is nothing between a rolling month and half a year. Every price is described as all-inclusive — clinician evaluation, prescription, medication and shipping, no insurance, no separate consult fee, no fine print — and the pricing page opens by stating the full range across all programs, $89 to $249. The gap between the advertised $129 and the $169 you can start on is $40 a month, and the only way across it is $1,548 in one charge.

Branded vs compounded

Compounded NAD⁺, dispensed by US-licensed 503A or 503B compounding pharmacies — one kind compounds to order, the other makes batches — and neither is named. Their footer disclosure is precise and worth repeating: compounded medications are not FDA-approved drugs, are not generic versions of branded medications, and are not represented as therapeutically equivalent to FDA-approved products. Compounded drugs are also not reviewed by the FDA for safety, efficacy or quality before dispensing. The programs page adds that these programs are not available to all patients and eligibility is decided individually. No milligram dose is published for any of the three routes, so the single price covers an undisclosed quantity whichever route you take.

Pros and watch-outs

What we like

A genuine month-to-month option at $169 with no commitment
A full tier table published on its own page with every upfront charge printed
Shot, nasal spray and sublingual tablet all covered by one price
Card is authorized rather than charged at intake; nothing is billed unless you are prescribed
Names the two states it does not serve rather than claiming national coverage loosely
States that compounded medications are not generics and not therapeutically equivalent to approved drugs

Watch-outs

The programs page headlines $129/mo, which needs $1,548 charged up front
No three-month tier for NAD⁺ — the choice is a rolling month or six months at $834
The prescribing medical group is not named publicly, only "on request"
The compounding pharmacies are not named
No milligram dose published for any of the three routes
Not available in Alaska or Mississippi

Best for

Someone who wants to start without a commitment, try a sublingual or nasal route without a price penalty, and be charged only if a clinician actually prescribes.

Who should look elsewhere

Anyone budgeting from the $129 headline, anyone in Alaska or Mississippi, and anyone who wants to know which medical group and which pharmacy stand behind the prescription before they buy.

How TelePeptide 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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Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of TelePeptide’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 TelePeptide NAD⁺ cost month to month?: $169 a month on the no-commitment plan. Six months is $834 charged up front, an effective $139 a month, and twelve months is $1,548 up front, an effective $129. The $129 shown on their programs page is that annual figure divided out.
Is there a three-month plan?: Not for NAD⁺. Their pricing table shows a three-month tier for the GLP-1 programs and an em dash for NAD⁺ and sermorelin, so the only choices are a rolling month at $169 or six months at $834. That is an unusually wide gap to step across.
Does the nasal spray or sublingual tablet cost less than the shot?: No — the NAD⁺ program covers all three routes at one price, so the shot, the nasal spray and the sublingual tablet cost the same. Whichever you find easiest to stick with is the one to pick, since the decision carries no financial consequence.
When do I get charged?: Only if you are prescribed. Their pricing page states your card is authorized at intake as a temporary hold rather than a charge, and nothing is billed unless a clinician issues a prescription — if you are not prescribed, you pay nothing at all.
Which states does TelePeptide serve?: Forty-eight states plus the District of Columbia. They name the exceptions rather than leaving it vague: residents of Alaska and Mississippi are not served at this time. Naming the gaps is more useful than a blanket coverage claim, and rarer.
Is TelePeptide legit?: TelePeptide is an NAD⁺ injection providers service. Its stated availability: 48 states and DC — not Alaska or Mississippi. 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 TelePeptide expensive compared with other NAD⁺ injection providers providers?: TelePeptide publishes a starting figure of $169/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 TelePeptide 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.