How much does Telezen MD NAD⁺ actually cost?

The injection is $148 for the first month and $198 a month after that. The nose spray is $98 first month and $148 after in the 15 mL size, or $148 then $198 in the 30 mL size. The advertised "$98/month" is month one of the smaller spray and nothing renews at it.

What about the $133 a month plan?

That is the annual plan, and their own footnote explains it: the monthly figures on multi-month plans are an "estimated monthly equivalent cost" and the plans are "paid in full at checkout". $133 a month means $1,598 charged at once. The quarter is $498 and the half-year $898 on the same terms.

Is the $100 off code a discount on the price?

It is a first-order discount, not a price. The site-wide banner reads "$100 off your first order. Code: WELCOME100" and the NAD⁺ page adds "Save $50 on your first order: TELE50ZEN". Both apply once. The price you are agreeing to is the renewal rate underneath them.

Do they say how much NAD⁺ you get?

Yes, which is unusual. The injection is listed at 1000 MG/ML and the sprays at 300 mg in either a 15 mL or a 30 mL bottle. Most of this category prices NAD⁺ without publishing a milligram figure at all, which makes their prices impossible to compare; here you can at least do the arithmetic.

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

TeleZen MD publishes a starting figure of $198/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 TeleZen MD 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

TeleZen MD review

Headline is month one

Advertises $98 a month for NAD⁺ and charges $198. The $98 is the first month of the nasal spray, not the ongoing price of the injection.

Our verdict

The pricing table here is unusually complete. The banner above it is unusually misleading. That is a strange pair to find on one page. Scroll past "Start Today – $98/month" and Telezen MD tells you exactly what everything renews at. The injection is $148 for month one, then $198. The $98 belongs to the smaller nasal spray, which renews at $148. Buy on the headline and you will pay roughly double what you expected by month two. Read the table and you find a seller that publishes strengths, renewal rates, and the fine print about multi-month plans being charged in full at checkout. That is more than most of this category manages.

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: $198/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 broad telehealth storefront — GLP-1 weight loss, hormone therapy, hair growth, prescription skincare — with NAD⁺ sold as a compounded subcutaneous injection at 1000 MG/ML and as a compounded nose spray in two sizes, 300 MG/15 ML and 300 MG/30 ML. A separate NAD⁺ face cream sits under prescription skincare.

How it works

Online medical intake reviewed by a licensed provider, injections self-administered at home with a kit included, and the product stated as compounded in the USA. The page says a medical intake is required to determine eligibility, and it does not claim the treatment is anything the FDA has approved: "The statements on this page have not been evaluated by the Food and Drug Administration. Compounded medications are not FDA-approved."

Pricing transparency

Injection: $148 for the first month, $198 a month afterward. The multi-month alternatives are a $498 quarter ($166 a month), an $898 half-year ($149) and a $1,598 year ($133) — and their own footnote says those figures are "the estimated monthly equivalent cost" and that multi-month plans are "paid in full at checkout", so $133 means $1,598 on the card today. Nose spray: the 300 MG/15 ML bottle is $98 first month and $148 after, the 300 MG/30 ML is $148 first month and $198 after. Two separate first-order discounts run on top — a site-wide "$100 off your first order" code and a "Save $50 on your first order" code on the NAD⁺ page itself. The number that matters for a second month is $198.

Branded vs compounded

Compounded NAD⁺, labeled as such in the product names themselves — "Compounded NAD+ Injection" and "Compounded NAD+ Nose Spray". Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing, and the page says as much. Strengths are published for every option: 1000 MG/ML for the injection and 300 mg in either a 15 mL or 30 mL spray bottle, which is more specific than most sellers get. The compounding pharmacy is not named.

Pros and watch-outs

What we like

Publishes the renewal rate next to the introductory rate, in the same row
States a strength for every NAD⁺ option it sells — 1000 MG/ML injection, 300 mg sprays
Names its own product compounded and says compounded medications are not FDA-approved
Two delivery formats, and the nasal option is genuinely cheaper rather than a same-price alternative
States plainly that multi-month plans are charged in full at checkout

Watch-outs

The hero price, $98/month, is the first month of the cheapest nasal option — the injection renews at $198
Two stacked first-order discount codes push the visible entry price further from the standing rate
The cheapest monthly-equivalent figure, $133, needs $1,598 paid up front
The compounding pharmacy is not named
NAD⁺ sits inside a storefront that leads with weight loss, so the category page is doing the selling

Best for

Someone who wants a nasal spray at a real discount to the needle, and who will read the renewal column before deciding.

Who should look elsewhere

Anyone budgeting from the advertised number. A first month of $98 against a renewal of $198 is a step of a size that is rare even in a category full of introductory pricing, and it is the whole reason to read the table.

How TeleZen MD 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: HealthOnBloom MDLevers HealthAquaVita NextGenNäkyFierce Health

Michael Reyes

Cost & access · Reviewed and last verified September 2026

How we assessed this. This review reflects NAD Picks’s own read of TeleZen 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 Telezen MD NAD⁺ actually cost?: The injection is $148 for the first month and $198 a month after that. The nose spray is $98 first month and $148 after in the 15 mL size, or $148 then $198 in the 30 mL size. The advertised "$98/month" is month one of the smaller spray and nothing renews at it.
What about the $133 a month plan?: That is the annual plan, and their own footnote explains it: the monthly figures on multi-month plans are an "estimated monthly equivalent cost" and the plans are "paid in full at checkout". $133 a month means $1,598 charged at once. The quarter is $498 and the half-year $898 on the same terms.
Is the $100 off code a discount on the price?: It is a first-order discount, not a price. The site-wide banner reads "$100 off your first order. Code: WELCOME100" and the NAD⁺ page adds "Save $50 on your first order: TELE50ZEN". Both apply once. The price you are agreeing to is the renewal rate underneath them.
Do they say how much NAD⁺ you get?: Yes, which is unusual. The injection is listed at 1000 MG/ML and the sprays at 300 mg in either a 15 mL or a 30 mL bottle. Most of this category prices NAD⁺ without publishing a milligram figure at all, which makes their prices impossible to compare; here you can at least do the arithmetic.
Is their NAD⁺ FDA-approved?: No, and they say so: "Compounded medications are not FDA-approved." Compounded drugs are prepared by a pharmacy for an individual patient and are not reviewed by the FDA for safety, efficacy or quality before they are dispensed. That is true of every injectable NAD⁺ sold through US telehealth, not a fault specific to this seller.
Is TeleZen MD expensive compared with other NAD⁺ injection providers providers?: TeleZen MD publishes a starting figure of $198/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 TeleZen MD 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.