At-home NAD+ injection programs cost roughly $150 to $280 per month across major U.S. telehealth providers as of mid-2026, with premium programs running $279 to $400. The advertised number is often not the complete number: membership fees, consultation charges, and contract tiers are common additions. NAD+ therapy is cash-pay — insurance does not typically cover it — though HSA/FSA funds may apply where a licensed clinician has prescribed it.
What NAD+ injections cost across providers (2026)
The at-home NAD+ market prices in a fairly tight band. Here is what published pricing showed at re-verification (July 23, 2026; re-verified quarterly):
| Provider | Monthly price | Membership / consult | Notes |
|---|---|---|---|
| Trellis Vitality | Plans from $129/mo (published on program page) | None — no membership, cancel anytime | HSA/FSA-eligible with prescription |
| Strut Health | $150 | None | Budget, physician-supervised |
| Hone Health | $165 | + $25/mo membership | Lab-led model |
| Eden | Medication from $119 | + $99/mo membership (first month $39) | Membership required; ~$218/mo ongoing |
| AgelessRx | $235 (injection) | None | Patch $160, nasal $125, cream $95 |
| Coby Health | $239 ($199/mo quarterly) | Free consult | |
| Brightmeds | $155–$246 | Free consult | Contract-tiered pricing (June 2026 capture) |
| IvyRx | $279 per 1,000 mg | None | Lower-dose plans from $199 |
Two patterns worth noticing. First, the cheapest advertised number and the cheapest real number are often different providers once membership fees and contract tiers are added — Eden’s medication starts at $119 but a required $99/mo membership takes the ongoing cost to roughly $218. Second, quarterly pricing is where the meaningful savings sit — not discount codes.
The four variables that move your price
Dose supplied per month. Programs differ in vial concentration and injections per week; a lower sticker price can reflect a lower monthly dose rather than better value. Compare milligrams per month, not just dollars.
Fees on top of the medication. Membership fees are the single most common reason a headline price understates the real one — $25/mo at Hone Health, $99/mo at Eden after the introductory month. A no-membership provider at $165 and a $140-plus-membership provider are not the same purchase.
Contract structure. Some providers tier pricing by commitment length. Contract-anchored pricing lowers the headline number but restricts your exit — read cancellation terms before comparing prices.
Delivery format. Injections carry the highest published prices; patches ($160 at AgelessRx), nasal sprays ($125), and creams (~$95) price lower, with different absorption characteristics. Format choice is a clinical conversation, not only a budget one — our comparison of NAD+ vs NMN vs NR covers how delivery routes differ.
Insurance, HSA, and FSA
NAD+ for wellness use sits outside typical insurance coverage — this is a cash-pay category across every provider in the table above. The practical exception is tax-advantaged funds: because programs like Trellis’s are prescribed by a licensed clinician, HSA/FSA funds may be usable. Eligibility rules belong to your plan administrator, so confirm before enrolling.
How Trellis prices NAD+
Trellis publishes its complete pricing on the program page — treatment plans starting at $129 per month, with no membership fee, no contract, and cancel-anytime terms. Every program includes licensed-clinician review before any prescription and ongoing oversight. Current pricing and plan details are always on the NAD+ program page.
For how these providers compare on terms rather than price alone, see how the providers rank →
NAD+ is prescribed and compounded by a state-licensed, FDA-regulated compounding pharmacy. Compounded medications are not FDA-approved as finished products, and nothing here is a promise of results. Use is decided within a licensed clinical relationship.
Frequently asked questions
How much do NAD+ injections cost per month without insurance? Roughly $150–$280 per month across major at-home providers as of mid-2026, with premium programs at $279–$400. Because the category is cash-pay, the without-insurance price is the price.
Does insurance cover NAD+ injections? Generally no. Some patients apply HSA/FSA funds where a valid prescription exists; confirm with your plan administrator.
Are NAD+ injections HSA or FSA eligible? Often yes when clinician-prescribed — that prescription is what separates them from over-the-counter supplements. Final eligibility rests with your plan administrator.
Why do prices vary so much? Monthly dose, added fees, contract structure, and delivery format. Compare all four, not the headline number.
Is there a cheaper way than monthly billing? Longer-commitment plans price below month-to-month at several providers. Trellis treatment plans start at $129 per month — current pricing is on the program page.
Sources
- Provider pricing pages, re-verified 2026-07-23 (next scheduled re-verification: quarterly): Eden (eden.health), Hone Health (honehealth.com), AgelessRx (get.agelessrx.com), Coby Health (cobyhealth.com), Strut Health (struthealth.com), IvyRx (ivyrx.com). Brightmeds pricing carries its earlier 2026-06-10 capture via the vaccinealliance.org comparison.
- Trellis Vitality published pricing (trellisvitality.com/products/nad), current as of 2026-07-23.