Best NAD+ Providers in 2026 — Ranked & Reviewed
Energy, cellular repair and cognitive support are the usual reasons NAD+ is prescribed, usually by subcutaneous injection, and increasingly by nasal spray or in an oral liposomal form. Of every peptide in our catalog it is the one most widely offered. No FDA-approved finished drug exists for it; compounding pharmacies dispense it instead, which puts sourcing and clinical oversight squarely in the hands of whichever provider you pick. Every clinic below works through a licensed provider, and all are scored on the six dimensions used across this site.
Lowest verified price: $93/mo143 providers compared
New to NAD+? Read our full NAD+ guide — evidence, dosing, safety and side effects.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
143 nad+ providers compared · independently scored against our six-factor methodology.
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
knowing which pharmacy fills the vial: it names RedRock Pharmacy
From /moCheck pricingCoverage50 statesMedicationsGlutathioneNAD+Sermorelin - Best Budget
semaglutide at $99/month, 48% below the typical price
From /mo$93Coverage50 statesMedicationsNAD+Sermorelin - Nationwide Coverage
starting below a standard dose, with microdose tiers
From /moCheck pricingCoverage50 statesMedicationsGlutathioneNAD+Sermorelin
Show 5 moreShow fewer
semaglutide at $99/month, 48% below the typical price
From /moCheck pricingCoverage50 statesMedicationsBPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelinbloodwork inside the $99/month rather than billed on top
From /moCheck pricingCoverage36 statesMedicationsBPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cNAD+PT-141retatrutideSermorelinTB-500Tesamorelinknowing which pharmacy fills the vial: it names Boudreaux
From /moCheck pricingCoverage50 statesMedicationsGlutathioneNAD+Sermorelinsemaglutide at $99/month, 48% below the typical price
From /moCheck pricingCoverage50 statesMedicationsNAD+semaglutide at $105/month, 44% below the typical price
From /moCheck pricingCoverage42 statesMedicationsNAD+Sermorelin
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
★ Editor's Pick knowing which pharmacy fills the vial: it names RedRock Pharmacy | Check pricing | GlutathioneNAD+Sermorelin | 50 states | Visit → | |
Best Budget semaglutide at $99/month, 48% below the typical price | $93 | NAD+Sermorelin | 50 states | Visit → | |
Nationwide Coverage starting below a standard dose, with microdose tiers | Check pricing | GlutathioneNAD+Sermorelin | 50 states | Visit → | |
 semaglutide at $99/month, 48% below the typical price | Check pricing | BPC-157CJC-1295 / IpamorelinGHK-CuGlutathioneIpamorelinMOTS-cNAD+TB-500Tesamorelin | 50 states | Visit → | |
 bloodwork inside the $99/month rather than billed on top | Check pricing | BPC-157GHK-CuGlutathioneGonadorelinkpvMOTS-cNAD+PT-141retatrutideSermorelinTB-500Tesamorelin | 36 states | Visit → | |
 knowing which pharmacy fills the vial: it names Boudreaux | Check pricing | GlutathioneNAD+Sermorelin | 50 states | Visit → | |
 semaglutide at $99/month, 48% below the typical price | Check pricing | NAD+ | 50 states | Visit → | |
 semaglutide at $105/month, 44% below the typical price | Check pricing | NAD+Sermorelin | 42 states | Visit → |
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.
Embody
Verified partnerBest for: knowing which pharmacy fills the vial: it names RedRock Pharmacy
Embody sells compounded semaglutide and tirzepatide by injection, plus a compounded oral tirzepatide gum that is unique in the category. Flat-rate pricing is aggressive, coverage runs to all 50 states, and clinician messaging is available 24/7 under a board-certified internal medicine CMO.
Score Breakdown
Pros
- ✓Semaglutide costs $79 a month, 57% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $129 a month, 48% below the $250 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 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 Embody
- ✓Offers both oral and injectable options, so the format is your choice
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
CoreAge Rx
Verified partnerBest for: semaglutide at $99/month, 48% below the typical price
Shipping is free, 2-day, and reaches all 50 states. CoreAge Rx sells LegitScript-verified compounded semaglutide plus tirzepatide, with licensed physicians behind it and 24/7 support. Its own claim: nobody in the compounded GLP-1 space prices more competitively.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $149 a month, 40% below the $250 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
- ✓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
bmiMD
Verified partnerBest for: starting below a standard dose, with microdose tiers
Score breakdown, pros and cons
bmiMD is a medical weight loss clinic that prescribes GLP-1 medications through telehealth.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $139 a month, 44% below the $250 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
- ✓We found no FDA warning letters issued to bmiMD
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
Live Vital
Verified partnerBest for: semaglutide at $99/month, 48% below the typical price
Score breakdown, pros and cons
Billed in 3-month blocks, the compounded GLP-1 semaglutide starts at $99/mo and compounded tirzepatide at $183/mo. Dr. Patrick Taylor, MD founded the practice and every plan is written by a doctor, filled at a licensed US pharmacy and delivered to the door. Messaging the care team has no cap and nothing locks you in. Peptide and hormone therapy round out the menu. Telehealth reaches all 50 states.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $183 a month, 27% below the $250 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 includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to Live Vital
Cons
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its retatrutide, semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
- ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Pepti
Best for: bloodwork inside the $99/month rather than billed on top
Score breakdown, pros and cons
One flat charge holds regardless of dose: $99 a month for injectable semaglutide, $199 for tirzepatide, each figure covering shipping, refill management, baseline labs, physician review and the drug itself. Registered in Delaware, the platform reaches 36 states with doctor-prescribed compounded peptides and GLP-1s, and its catalog passes 120 products spanning skin, cognitive, recovery, TRT and hormone, and weight-loss categories, bloodwork at home included. Insurance is not billed. Pepti prescribes nothing itself; it is the platform.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $199 a month, 20% below the $250 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, shipping and lab work
- ✓We found no FDA warning letters issued to Pepti
Cons
- ✗Serves only 36 states, so check that yours is one of them
- ✗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
- ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Comparing NAD+ sellers
No peptide-adjacent therapy appears on more telehealth menus than NAD+. It reaches buyers as a subcutaneous injection, as an IV infusion, as oral precursors, and as a nasal spray. Those four are distinct products at distinct prices, and a list that mixes them says very little.
What to check
- The route changes the dose and the bill. At home, the usual form is a subcutaneous injection. An IV infusion is given in a clinic and costs a great deal more. Nasal products and the oral precursors NR and NMN are supplements rather than the compounded drug. Deciding the route comes before reading any price.
- Milligrams per vial, then price. Two clinics can advertise an identical monthly price against very different strengths. Milligrams per vial, and vials per month, are what turn a price into something comparable.
- How the evidence gets described. Mechanistic support for this molecule is genuine and the clinical-outcome evidence is thin. Presented as proven anti-aging therapy, it has been oversold by the seller. Sites drawing a line between what is established and what is not are describing the same compound accurately.
Red flags
- Vials sold with no prescriber involved. A vial marked 'not for human consumption' and sold 'for research use only' sits outside the drug approval system, where identity, purity and sterility are nobody's stated responsibility. In the US, every peptide on this page needs a prescription. Where no licensed clinician writes one, the product is not the one described here.
- The 503A or 503B pharmacy is never named. No finished product for these peptides carries FDA approval, which leaves compounding as the only lawful route to a dose. Plenty of clinics name the pharmacy behind the vial. Where a clinic does not, the supply chain ends at its own claim.
- 'FDA-approved' attached to a compounded peptide. Compounding does not bring FDA approval with it, and a seller saying otherwise has committed a marketing violation rather than a slip of wording. A few of these molecules did hold an approval once, under a discontinued brand and for a separate indication. That history says nothing about the compounded vial on sale now.
- Results promised with no trial behind them. For most molecules in this category the evidence is mechanistic or early phase; randomized outcome trials are rare. A clinic promising a defined outcome for fat loss, for muscle, or for anti-aging has moved past what the literature carries. Our evidence review for each molecule sets out what exists.
- IGF-1 never drawn on a hormone-axis peptide. Raising IGF-1 is what a growth-hormone secretagogue is for, and it is also the number that shows when a dose has gone too far. A clinic measuring it at neither baseline nor follow-up has no way to tell those two states apart.
Every seller listed above is scored on these criteria under our six-dimension methodology, with prices re-checked against the seller’s own live site.
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].
Frequently Asked Questions
Glossary
The words sellers use, defined. Tap any term.
- 503A pharmacy · Pharmacy and drug forms
- 503A vs 503B (pharmacy compounding) · Pharmacy and drug forms
- 503B outsourcing facility · Pharmacy and drug forms
Sources & methodology — as of September 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 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.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
- 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.