10 Best NAD+ Deals & Intro Offers of October 2026
Quick answer
As of October 2026, our top-rated place to get NAD+ online with an intro offer is Direct Meds (7.3/10, from $199/mo), followed by Yucca Health (from $158/mo) and Precision Telemed (from $139.99/mo). Across the 18 providers we compared, starting prices run $40–$229/mo (median $139).
- Our #1 pick1
Direct MedsNo Price Jump After Month 1Same Price at Every Dose- From $199/mo for NAD+ Injections
- Offer: Up to $100 off shown as strike-through pricing; no first-month rate
- Price includes provider visits and shipping
7.3Good - 2
Yucca HealthNo Price Jump After Month 1Same Price at Every Dose- From $158/mo for NAD+ Injection
- Offer: $158/mo on 3-month plan ($475)
- Price includes provider visits and shipping
7.0Good - 3
Precision TelemedSame Price at Every Dose- From $139.99/mo for NAD+ Injections
- Offer: $139.99 first month
- Price includes provider visits and shipping
6.9Good - 4
Brightmeds- From $155/mo for NAD+ Injections
- Offer: $105 first month on 12-month plan
- Price includes provider visits and shipping
6.6Good - 5
Pallas HealthSame Price at Every DoseNames Its Pharmacy- From $139/mo for NAD+
- Offer: $139 first month
- Price includes provider visits and shipping
6.6Good - 6
He & She MDSame Price at Every Dose- From $139/mo for NAD+ (injectable, nasal, cream)
- Offer: $139/mo on annual plan
- Price includes provider visits and shipping
6.5Good - 7
AlphaMDNames Its Pharmacy- From $130/mo for NAD+ Injections (90-day supply)
- Offer: $389 per ~90-day supply
- Price includes provider visits and shipping
6.5Good - 8
RNK HealthNo Price Jump After Month 1- From $129/mo for NAD+ Injectable
- Offer: $99 first month on select landing pages
- Price includes provider visits and shipping
6.4Fair - 9ProlongMD
- From $229/mo for NAD+ Injection (100 mg/mL, 8-10 weeks)
- Offer: $229 per vial lasting 8-10 weeks depending on dose
6.2Fair - 10
System LabsNames Its Pharmacy- From $119/mo for NAD+ Nasal Spray
- Offer: $69 first month
- Both injectable and non-injectable options (NAD+ nasal spray, oral sermorelin)
6.2Fair
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Direct Meds | 7.3 | $199/mo | Yes | — |
| 2 | Yucca Health | 7.0 | $158/mo | Yes | — |
| 3 | Precision Telemed | 6.9 | $139.99/mo | Yes | — |
| 4 | Brightmeds | 6.6 | $155/mo | Yes | — |
| 5 | Pallas Health | 6.6 | $139/mo | Yes | — |
| 6 | He & She MD | 6.5 | $139/mo | Yes | — |
| 7 | AlphaMD | 6.5 | $130/mo | Yes | — |
| 8 | RNK Health | 6.4 | $129/mo | Yes | — |
| 9 | ProlongMD | 6.2 | $229/mo | Yes | — |
| 10 | System Labs | 6.2 | $119/mo | Yes | — |
Starting prices as listed on each provider's site, checked Oct 9, 2026. Prices can change with dose, plan length and promotions.
Key numbers
- 18 providers compared
- Lowest starting price: $40/mo
- Median starting price: $139/mo
- 0 of 18 include lab work in at least one plan
How we ranked these
Ranked by our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%). Scores come from our own research into each provider's website, regulatory records, patient reviews and pricing. Read the full methodology
What to look for
What nad+ is
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell and central to energy metabolism and DNA repair. Telehealth longevity programs sell it as compounded subcutaneous injections, nasal sprays, or IV infusions for energy, recovery, and healthy aging. No NAD+ injection is FDA-approved, and human evidence for clinical benefit from injected NAD+ is limited.
How it works
NAD+ is a required cofactor for mitochondrial energy production and for enzymes involved in DNA repair and cellular stress responses (sirtuins and PARPs). Tissue NAD+ levels decline with age, and restoring them improves several aging markers in mice. In humans, studies have mostly tested oral precursors (nicotinamide riboside, NMN), which reliably raise blood NAD+ but have shown small or inconsistent effects on muscle function, insulin sensitivity, and other clinical outcomes. How much injected NAD+ reaches cells intact, and whether it outperforms oral precursors, has not been established in controlled trials.
What to expect
Programs typically prescribe subcutaneous injections several times per week, often starting at a low dose because flushing and nausea are dose-related. Some patients report subjective energy changes within weeks, but there is no validated timeline for objective benefit. Treat any course as a trial with a defined review point rather than an open-ended subscription.
Who it's not for
Pregnant or breastfeeding women (no safety data); People with active cancer, unless cleared by their oncologist; Anyone seeking treatment for a diagnosed medical condition in place of established care.
Frequently asked questions
Where is the best place to get NAD+ online?
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Direct Meds ranks #1 on this list with a score of 7.3/10 and plans from $199/mo. Scores weigh trust and safety, value, patient experience, product range and reputation.
What is the cheapest way to get NAD+ online?
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Of the providers on this list, System Labs has the lowest starting price at $119/mo (NAD+ Nasal Spray). Starting prices often rise with dose or after an intro period, so compare the ongoing price too.
How much does NAD+ cost online?
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Across the 18 providers we compared, starting prices range from $40 to $229 per month, with a median of $139. 18 of them run an intro offer or first-month discount.
How are these providers ranked?
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By our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%), with a small bonus for specialists. The full methodology is published on our methodology page.
Is NAD+ FDA-approved?
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No. NAD+ injections, nasal sprays, and IV infusions sold through telehealth are compounded preparations, not FDA-approved drugs. They are legal when prescribed by a licensed clinician and dispensed by a licensed compounding pharmacy, but no regulator has reviewed their safety or effectiveness as finished products.
Do NAD+ injections work?
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The evidence is thin. Raising NAD+ improves aging markers in animals, and oral precursors raise NAD+ levels in humans, but controlled human trials have shown modest or inconsistent clinical effects — and very few have studied injected NAD+. Reported benefits such as more energy are largely anecdotal.
How much do NAD+ injections cost through telehealth?
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Most subcutaneous injection programs charge roughly $100–250 per month, and a few start lower, depending on dose, frequency, and whether consults and supplies are bundled. In-clinic IV infusions are usually priced per session and cost considerably more.
Are NAD+ injections better than NMN or NR supplements?
▾
That has not been shown. Injections bypass digestion, but there is little head-to-head data comparing clinical outcomes against oral precursors, which are cheaper and better studied. Anyone choosing injections is paying a premium for a route with less evidence.