What’s included in NAD+ injection pricing?

Most telehealth NAD+ programs bundle several components:

The NAD+ vial

This is your main cost. NAD+ vials come in different concentrations:

A single vial typically lasts 2-4 weeks depending on your prescribed dose and injection frequency.

Consultation fee

Telehealth providers require a medical consultation before prescribing NAD+. This runs $0-$150 depending on the provider:

• AgelessRx — Consultation included with subscription
• Shed — Consultation included
• Defy Medical — $150-$250 initial consult (includes full hormone panel)
• Independent clinics — Varies widely

Some providers waive the consultation fee if you subscribe or purchase a minimum amount.

Supplies

Most programs include insulin syringes (29-31 gauge), alcohol swabs, and a sharps container. If buying separately, these run about $15-$25/month. Most subscriptions include supplies at no extra charge.

Telehealth provider pricing comparison

Prices as of March 2026. Check provider websites for current rates.

Which provider is cheapest?

• Lowest upfront cost: Providers with free consultations (AgelessRx, Shed)
• Lowest per-vial cost: Defy Medical and independent clinics (but higher consult fees)
• Best for beginners: Subscription programs with everything included

Subscription vs one-time purchase

Subscription pricing

• Monthly delivery: $150-$300/month
• Auto-refills: Never run out
• Discounts: 10-20% off one-time pricing
• Free shipping: Usually included
• Flexibility: Cancel or pause anytime (check terms)

One-time purchase

• Single vial: $75-$200
• No commitment: Good for trying it out
• Higher per-unit cost: 10-20% more than subscription
• Shipping fees: May apply ($10-$20)

The math: If you’re using NAD+ consistently, subscriptions save money. If you’re testing it or using it sporadically, one-time purchases make more sense.

How dosage affects cost

Higher doses = more NAD+ per month = higher cost.

Most people start with a standard protocol (100-150mg per injection, 2-3x per week). Starting low and increasing if needed is smarter—both for your body and your wallet.

Hidden costs to watch for

Dose escalation: If you start low and increase your dose over time, your monthly cost increases too. Budget for potential escalation if you’re planning long-term use.

Insurance and HSA/FSA

Insurance: NAD+ injections are almost never covered. They’re considered elective and aren’t FDA-approved. Expect to pay out of pocket.

HSA/FSA: May qualify if prescribed by a licensed provider for a specific medical purpose with documentation. Many people successfully use HSA/FSA funds, but your administrator has final say.

7 ways to save money

1. Subscribe instead of buying one-off — Save 10-20%
2. Buy larger vials — Lower cost per mg
3. Start with minimum effective dose — Many people get results at 100mg
4. Compare telehealth providers — Prices vary 30-50%
5. Ask about package deals — Prepay for 3-6 months
6. Skip unnecessary add-ons — Try NAD+ alone first
7. Check for referral credits — $25-$50 off from some providers

Injections vs IV therapy: cost comparison

Bottom line: Injections cost 70-90% less than IV therapy for ongoing use. Many people use IV for an initial loading phase, then switch to injections for maintenance.

See our NAD+ IV therapy cost guide for detailed IV pricing.

Frequently asked questions

The bottom line

NAD+ injections cost $50-$350/month, with most people paying $150-$250 for a standard protocol. That’s a fraction of IV therapy costs while still bypassing the gut for better absorption than pills.

The real question is whether NAD+ is worth it at any price. For that, see our NAD+ benefits guide to understand what the research actually supports.