Cheapest NAD+ Providers in 2026: Ranked and Reviewed

Route drives the price here. Injectable, IV, nasal spray and oral liposomal NAD+ all cost different amounts, and many clinics will not quote a figure until after the consultation. The ranking below follows the NAD+ price each clinic publishes on its own product page. Where a clinic publishes none, it sits at the end of the list, marked as such and ordered on editorial score instead. No FDA-approved finished NAD+ drug exists; compounding pharmacies dispense it. Every clinic here therefore prescribes through a licensed provider. None ships it out as an unregulated supplement.

Lowest verified price: $89/mo215 providers compared

New to NAD+? Read our full NAD+ guide — evidence, dosing, safety and side effects.

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By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

215 cheapest NAD+ providers compared · independently scored against our six-factor methodology.

Quick Picks

Starting price per provider. Prices in USD per month; checked November 2026.
#ProviderScore
1Vita Stack HealthVisit
2AstraVisit
3CoreAge RxVisit
4Remedy WellVisit
5ZoyaVisit

Compare the top providers at a glance

Every row carries a logo, our editorial rating, price, the medications prescribed, and where the seller ships. Scan down a column and the list shortens fast.

  • ★ Editor's Pick
    Vita Stack Health

    people who want low-cost compounded semaglutide or tirzepatide at one price for every dose

    From /mo
    $89
    Coverage
    50 states + DC
    Medications
    NAD+Sermorelin
  • Best Budget
    Astra

    people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly rates

    From /mo
    $90
    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • CoreAge Rx

    flat-priced compounded semaglutide at $79 a month, any dose

    From /mo
    $93
    Coverage
    48 states
    Medications
    NAD+Sermorelin
Show 5 more
  • Remedy Well

    people who want low posted prices on compounded or oral tirzepatide, with peptides from the same clinic

    From /mo
    $99
    Coverage
    48 states + DC
    Medications
    GHK-CuGlutathioneNAD+Sermorelin
  • Nationwide Coverage
    Zoya

    people who want to pick their own compounded tirzepatide pharmacy and price, with no membership fee

    From /mo
    $100
    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • Dose

    budget shoppers who want posted, dose-flat prices for compounded semaglutide or tirzepatide

    From /mo
    $109
    Coverage
    Check intake
    Medications
    GlutathioneNAD+Sermorelin
  • Best Care Team
    Idun Rx

    people who want posted plan prices for compounded or microdosed GLP-1s with a wellness coach

    From /mo
    $109
    Coverage
    Check intake
    Medications
    GlutathioneNAD+PT-141Sermorelin
  • prescription sermorelin, NAD+ or GHK-Cu in a needle-free form; it no longer sells GLP-1 drugs

    From /mo
    $109
    Coverage
    50 states + DC
    Medications
    GHK-CuGlutathioneNAD+PT-141Sermorelin
All 215 providers on this board, in the order this board shows them

The comparison above shows the first 8. This is the full list the filter counts refer to, in the order this board shows them; each name opens that provider’s review.

6weighted dimensions
215cheapest NAD+ providers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →

Detailed Reviews

About the prices below: every dollar figure inside these provider summaries belongs to that clinic’s GLP‑1 weight-loss program. None is a NAD+ price. For NAD+ itself, read the figure next to each clinic in the comparison table above, taken from the clinic’s own product page. A reading of “Check pricing” means the clinic does prescribe NAD+ and publishes nothing for it, so you are quoted after your consultation.

1

Vita Stack Health

Best for: people who want low-cost compounded semaglutide or tirzepatide at one price for every dose

9.3

Vita Stack Health is an online clinic run by VitaStack LLC that offers compounded semaglutide and tirzepatide, plus NAD+ and sermorelin injections, through the DrTelx medical group and three named pharmacies. Semaglutide is $99 a month and tirzepatide $119, the same at every dose, with lower monthly rates on 3-, 6- and 12-month plans paid up front, down to $69 and $89. The visit, medication and shipping are included.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $99 a month, 50% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $119 a month, 56% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves all 50 states and DC
  • ✓Names 3 pharmacies that fill its prescriptions, which most sellers do not
  • ✓We found no FDA warning letters issued to Vita Stack Health

Cons

  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
2

Astra

Best for: people ready to prepay a year of compounded semaglutide or tirzepatide for one of the lowest monthly rates

8.6

Astra is an online clinic that prescribes compounded semaglutide and tirzepatide, brand-name Wegovy, Ozempic and Zepbound, and sermorelin, NAD+ and glutathione, through a named Florida medical group and named 503A pharmacies. Plans are paid up front and renew automatically: semaglutide is $145 a month or $68 a month on a 12-month plan billed $816 at once, and tirzepatide is $250 a month or $118 a month on the 12-month plan, at any dose.

Score Breakdown

Value25%
7.3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $145 a month, 27% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $250 a month, close to the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves all 50 states
  • ✓Names 6 pharmacies that fill its prescriptions, which most sellers do not
  • ✓We found no FDA warning letters issued to Astra

Cons

  • ✗Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
3

CoreAge Rx

Verified partner

Best for: flat-priced compounded semaglutide at $79 a month, any dose

9.0
Score breakdown, pros and cons

CoreAge Rx charges the same amount at every dose of its compounded GLP-1s: semaglutide is $79 a month, tirzepatide $129. Consult and shipping are inside that figure, and there is no membership fee. You pay before a doctor reviews the case, and every prescription sale is final once it reaches the pharmacy.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
9.7
Support10%
7

Pros

  • ✓Semaglutide costs $79 a month, 60% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $129 a month, 52% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves 48 states
  • ✓We found no FDA warning letters issued to CoreAge Rx

Cons

  • ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
4

Remedy Well

Best for: people who want low posted prices on compounded or oral tirzepatide, with peptides from the same clinic

9.0
Score breakdown, pros and cons

Remedy Well is an online clinic that prescribes compounded semaglutide and tirzepatide, mixed with vitamin B12 or glycine, plus tirzepatide tablets, a microdose plan and $59-a-month access memberships for Zepbound and Wegovy. It also sells sermorelin, NAD+, glutathione and GHK-Cu. Semaglutide is $149 a month and tirzepatide $169, each with a discounted first month, or tirzepatide is $399 for a 3-month bundle.

Score Breakdown

Value25%
9.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
9.7
Support10%
7

Pros

  • ✓Semaglutide costs $149 a month, 25% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $149.50 a month, 44% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves 48 states and DC
  • ✓Names 5 pharmacies that fill its prescriptions, which most sellers do not
  • ✓We found no FDA warning letters issued to Remedy Well

Cons

  • ✗Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
5

Zoya

Best for: people who want to pick their own compounded tirzepatide pharmacy and price, with no membership fee

8.7
Score breakdown, pros and cons

Zoya is an online clinic run by Zoya Health LLC of Sacramento that prescribes compounded semaglutide and tirzepatide, plus NAD+, glutathione and sermorelin, with no membership fee. For tirzepatide you choose among six named pharmacies, each with its own price and state list. Semaglutide is $159 a month at any dose; tirzepatide is $179 to $249 a month depending on the pharmacy, or $299 for 12 weeks paid up front through one pharmacy.

Score Breakdown

Value25%
7.9
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7

Pros

  • ✓Semaglutide costs $159 a month, 20% below the $199 median for compounded semaglutide across the sellers we compare
  • ✓Tirzepatide costs $179 a month, 33% below the $269 median for compounded tirzepatide across the sellers we compare
  • ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • ✓The monthly price stays the same as your dose goes up
  • ✓The monthly price includes the medication, clinician visits and shipping
  • ✓Serves all 50 states
  • ✓Names 4 pharmacies that fill its prescriptions, which most sellers do not
  • ✓We found no FDA warning letters issued to Zoya

Cons

  • ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
How we rank, and what counts as “legit”

Scoring for every provider on this page runs against our published six-factor rubric[1]: value, effectiveness, user experience, trust & safety, accessibility and support.

Each of Wegovy, Zepbound, Ozempic and Mounjaro holds its own separate FDA approval under its own NDA number[4][5]. Published Phase 3 efficacy for semaglutide at 2.4 mg (~14.9% mean weight loss across 68 weeks) comes from STEP 1[6]; those for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) come from SURMOUNT-1[7]. In 2025 the SURMOUNT-5 head-to-head set the two against each other[8].

How much of an anti-obesity medication is covered varies widely between state Medicaid programs and between commercial plans[9][10]. Under IRS Publication 502, compounded GLP-1s and brand-name ones alike are generally FSA/HSA eligible where a prescription exists[11].

Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

Frequently Asked Questions

Six weighted dimensions produce the score. Value (25%) and Effectiveness (25%) carry the most, then User Experience (15%) and Trust & Safety (15%), then Accessibility (10%) and Support (10%). Behind them sits our research into pricing data, clinical evidence, user reviews and publicly available information. Those weights then combine into one overall score out of 10.
The six-dimension methodology computes each score on its own, and no commercial relationship ever moves a provider's underlying number. Every provider's full score sits on its card for you to check. Some providers do hold affiliate agreements with us, which means a commission reaches us if you click through and buy. On the lists carrying the highest commercial intent — the weight-loss injection and shot lists, the semaglutide and tirzepatide lists, the compounded and cheapest molecule lists, and the fitness-app list — affiliate partners take the top positions. Every other list runs in score order, or in price order on the cheapest lists. That placement is disclosed here, on our methodology page, and on our affiliate-disclosure page.
Sources & methodology — as of November 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  8. 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
  9. 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  10. 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
  11. 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.