The 6 Best NAD+ Therapy Programs Online in 2026 — Ranked by Real Monthly Price
NAD+ therapy used to mean a drip chair and a four figure invoice. That is no longer the only option. Six telehealth programs in our partner lineup now ship NAD+ to your door on a monthly plan. We checked every one of them on August 16, 2026, and pulled the numbers off each company’s own public pricing page. The cheapest verified monthly rate is $119. The most expensive is $249. Below is what each program actually charges, ranked by the price a new patient pays with no commitment.
Two programs advertise a lower number than the one we ranked them on. Both of those figures require a twelve month prepayment, so we rank on the month to month price and show the committed rate beside it. Where a company does not publish a billing period or a format, we say so rather than filling the gap with an estimate. For the wider peptide market, see our comparison of peptide telehealth programs.
The 6 Best NAD+ Therapy Programs Online
| Program | Rank | NAD+ Price | Formats & Terms | Start From Home |
|---|---|---|---|---|
| System LabsNasal spray or injection · full price ladder published | $119/mo nasal$149/mo injection · first month $69 nasal, $89 injection · no commitment required | Nasal spray or subcutaneous injectionNasal 300mg/ml x 15ml · injection 1000mg monthly supply · free 2-day shipping · automatic refills, pause or cancel anytime |
See Offer ↗ | |
| Breeze MedsOne published rate, no tier ladder | From $169as published on the Breeze Meds homepage · billing period is not stated on their NAD+ card | InjectionNamed compounding pharmacies published · LegitScript certified · no tier or refund terms published |
See Offer ↗ | |
| LttlAll three NAD+ formats at one price | $199/momonth-to-month, list $229 · $149 first month · $129/mo on the 12-month plan | Injection, nasal spray or oral liposomal liquidSame price whichever format · prescribed and shipped within 48 hours · cancel anytime · every tier published on one page |
See Offer ↗ | |
| Care Bare RxFSA and HSA eligible | From $199/moas published on the Care Bare Rx homepage · no tier detail and no format published | Format not publishedAll treatments eligible for FSA/HSA payment · LegitScript certified · price detail appears only after intake |
See Offer ↗ | |
| WellorithmHome injection kit included | $200/moafter a $150 first month · discount auto-applied at checkout, per their site | InjectionHomekit included · compounded in the U.S.A. · FSA and HSA eligible · first-month rate published beside the ongoing rate |
See Offer ↗ | |
| Telos RxNasal spray only | $249their published rate, dropping to “as low as $116/month” on the longest plan · month-to-month terms are not itemised | Nasal sprayFree 48-hour shipping if approved · LegitScript certified · 503A/503B pharmacy network · cancel anytime |
See Offer ↗ |
Four of those six numbers are ongoing rates. Two are bare starting figures with no tier detail behind them. That difference matters more than the dollar gap, so here is what each one represents.
Key Takeaways
| Question | Short answer |
|---|---|
| Cheapest verified monthly rate | System Labs, $119 a month for the nasal spray and $149 for the injection |
| Cheapest first month | System Labs again, at $69 for nasal and $89 for injection |
| Widest format choice | Lttl, which prices injection, nasal spray and oral liquid identically |
| Typical clinic alternative | An IV drip billed per session rather than per month |
| What none of them do | Publish outcome data, accept insurance, or guarantee a result |
| Checked | August 16, 2026, on each company’s public pricing page |
With the numbers settled, here is what each program charges and what it leaves unpublished.
What Each NAD+ Program Charges
System Labs — the cheapest verified rate, and the clearest pricing
System Labs publishes two NAD+ products and prices both in the open. The nasal spray runs $119 a month, or $69 for the first month. The injection runs $149 a month, or $89 for the first month. No intake is required to see either figure.
The detail behind those numbers is unusually complete. The nasal spray is a 300mg/ml, 15ml bottle, taken one spray per nostril once or twice daily as a clinician directs. The injection is a 1000mg monthly supply given in the stomach or thigh. Both include the supplies, clinician support and free two day shipping, and refills run automatically until you pause or cancel. Medication is compounded by a certified U.S. pharmacy.
Breeze Meds — the second lowest entry, with one number and no ladder
Breeze Meds lists NAD+ injections starting at $169. That figure sits on the homepage beside their weight loss pricing, so you can read it without an intake. Their GLP-1 products carry an explicit monthly label, but the NAD+ card does not, so we do not attach one.
What Breeze does publish well is the supply chain. Four compounding pharmacies are named on the site, and the company carries LegitScript certification. Beyond that, there is no tier table, no dose, and no refund policy on the page. You learn the rest during the consultation, which is a reasonable trade at that price, but it is a trade.
Lttl — every tier published, every format the same price
Lttl runs a full price ladder on one public page. Month to month costs $199 against a $229 list price. Three months drops it to $169, six months to $149, and twelve months to $129. A first month special sits at $149. Nothing is hidden behind the quiz.
Format is where Lttl separates from the field. Injection, nasal spray and oral liposomal liquid all carry the same price, so the choice costs you nothing either way. The company also states that prescriptions ship within 48 hours and that plans cancel at any time. If you want to try a format and switch later, this is the program that makes that cheap.
Care Bare Rx — a monthly figure, and not much else
Care Bare Rx advertises NAD+ therapy from $199 a month. Unlike Breeze, the monthly billing period is stated, which is why it ranks where it does. All treatments are eligible for FSA and HSA payment, and the company carries LegitScript certification.
The gaps are worth knowing before you start. The NAD+ product page itself carries no price, no dose and no format. You reach those details through the intake portal. Care Bare is also a telehealth platform rather than a medical provider, so an independent clinician decides whether you are eligible, and payment does not guarantee a prescription.
Wellorithm — first month and ongoing rate published together
Wellorithm charges $150 for the first month and $200 a month after that. Both numbers appear together on the product page, which is the format we would like every company here to copy. The discount applies automatically at checkout rather than through a code hunt.
The program is injection only. A home kit is included, the medication is compounded in the United States, and the plan is FSA and HSA eligible. Wellorithm also breaks the cost down to roughly $15 a shot on their own page, which is a useful way to compare against a clinic that bills per visit.
Telos Rx — nasal only, and the biggest gap between advertised and actual
Telos Rx advertises NAD+ nasal spray as low as $116 a month against a published $249. That $116 requires their longest commitment, and the month to month terms are not itemised on the page. Ranked on what a new patient pays without committing, $249 is the number.
Telos does publish the operational detail well. Shipping is free and quoted at 48 hours once a prescription is approved, the pharmacy network is described as 503A and 503B, and every order goes through a U.S. licensed clinician review. The company also states plainly that compounded medications are not FDA approved and that prescriptions are never automatic.
How We Ranked These Programs
Every program here advertises a headline number, and in four cases that number is a twelve month prepayment. Ranking on the advertised figure would have put Telos first at $116 and System Labs second at $119. A patient who signs up month to month, however, pays $249 at Telos and $119 at System Labs. That is the reverse order, which makes the advertised number the wrong ranking key.
So the rank is the no commitment monthly price, with the committed rate shown in the same row. Where two programs tie, we break the tie on published shipping speed first and format breadth second. That is what puts Lttl above Care Bare Rx, since both land on $199 and only Lttl publishes a shipping window and three formats.
Questions Buyers Ask About NAD+ Pricing
What is the actual cheapest NAD+ therapy online?
System Labs, at $119 a month for the nasal spray. That is the cheapest rate we could verify without a commitment, and the first month drops to $69. The injection from the same company runs $149 a month.
Why is the price I see advertised lower than the price in your table?
Because most advertised figures assume a twelve month prepayment. Lttl advertises $129 and charges $199 month to month. Telos advertises $116 and publishes $249. We rank on the number you pay without committing, then show the committed rate beside it.
Can I get NAD+ without injections?
Yes. System Labs, Telos and Lttl all sell a nasal spray, and Lttl also sells an oral liposomal liquid. Lttl charges the same price whichever format you choose. We compare the formats in detail in our guide to NAD+ delivery formats.
How does this compare to an IV drip at a clinic?
A clinic bills per session and an at home program bills per month, so the two do not compare cleanly. Our NAD+ cost breakdown works through both models side by side.
Is compounded NAD+ FDA approved?
No. Compounded medications are prepared by licensed pharmacies but are not FDA approved products. Telos states this directly on its own site, and the same applies across every program in this table.
Does insurance cover any of this?
None of these programs bill insurance. Care Bare Rx and Wellorithm both state that their treatments are FSA and HSA eligible, which is the closest thing to a benefit offset here.
The Bottom Line
If you want the lowest verified price and the clearest terms, System Labs at $119 a month for nasal or $149 for injection is the program to beat. It publishes dose, format, shipping and both price points without an intake, which none of the cheaper looking options do.
If you would rather start cheaply and sort out the detail on the call, Breeze Meds from $169 is the next lowest entry with named pharmacies behind it. And if you expect to switch formats or want every tier in front of you before you decide, Lttl prices injection, nasal and oral identically at $199 month to month.
This article is for informational purposes and is not medical advice. Compounded medications are not FDA approved. Prices were read from each company’s public pricing page on August 16, 2026, and change without notice. Talk to a qualified provider before starting, stopping, or changing any treatment.
