At-home NAD+ injection programs generally cost between $84 and $280 per month in 2026, paid out of pocket. NAD+ is not FDA-approved as a finished drug and is rarely billed to insurance, so the price you see is usually cash-pay. What separates the low end from the high end is not the NAD+ itself — it’s what’s bundled around it: clinician oversight, lab testing, membership fees, and whether the program re-tests your biomarkers.
In-clinic IV NAD+ is a different cost tier entirely, typically $200–$500 per infusion (Vaccine Alliance) — which is why many people move to at-home subcutaneous injections for ongoing use.
What does a monthly NAD+ injection program cost in 2026?
Across the main telehealth providers, monthly NAD+ injection pricing clusters in a clear band. The table below reflects publicly listed pricing captured in 2026; verify current numbers directly, as cash-pay longevity pricing shifts often.
| Provider | Monthly price | Membership / consult | Notable |
|---|---|---|---|
| Eden | $84–186 | None | Lowest entry band |
| AgelessRx | ~$99 (formats vary) | None | Longevity-Rx menu |
| Strut Health | ~$149–150 | None | Physician-supervised, at-home |
| Trellis Vitality | $130–159 | None, $0 assessment | Includes baseline labs + 90-day re-test |
| Hone Health | $165 | +$25/mo | TRT-adjacent |
| Coby Health | $199–239 | Free consult | Quarterly discount |
| Sprout Health | $225–249 | None | Quick service |
| IvyRx | $279 | None | App-supported |
Sources: Everyday Health, Vaccine Alliance, Hone, Strut, Coby.
What drives the price difference?
Four factors move NAD+ cost more than the compound itself. Membership fees sit on top of the medication at some providers (e.g., a monthly platform fee). Lab testing may be included, charged separately, or absent entirely. Plan length matters — quarterly and biannual commitments usually lower the per-month figure by 10–20%. And clinical depth — whether a clinician designs and adjusts your protocol, and whether you re-test — is the real line between a vial-shipping service and a supervised program.
A lower sticker price often means you’re buying a vial; a slightly higher one may include the baseline labs and re-test that tell you whether the protocol is doing anything. That distinction is worth pricing into the comparison.
Is NAD+ covered by insurance?
NAD+ injections are generally not covered by insurance, because compounded NAD+ is not an FDA-approved finished drug and longevity use is considered elective (Empower Pharmacy). Most programs are cash-pay by design.
The meaningful offset is HSA/FSA eligibility: many clinician-supervised NAD+ protocols qualify for pre-tax health-account dollars, which can effectively reduce the out-of-pocket cost by roughly 30–40% for eligible users, depending on your tax situation and plan. Ask for an itemized superbill to submit.
How to compare NAD+ programs on cost honestly
Compare total monthly cost, not the headline number: add any membership fee to the medication price, and check whether labs are included. Then weigh the per-month figure against what’s bundled — a $150 program with a baseline and 90-day re-test is not the same purchase as a $99 vial with no testing. Finally, factor HSA/FSA eligibility, which changes the real price more than most first-month discounts.
NAD+ cost FAQ
How much do NAD+ injections cost per month? At-home subcutaneous NAD+ programs generally run $84–$280 per month in 2026, cash-pay. The range reflects differences in membership fees, included labs, plan length, and clinical oversight rather than the NAD+ itself.
Why are NAD+ injections cheaper than IV NAD+? In-clinic IV NAD+ typically costs $200–$500 per infusion because of clinic overhead and nursing time. At-home subcutaneous injections remove those costs, which is why ongoing protocols are usually delivered that way.
Does insurance cover NAD+? Generally no. Compounded NAD+ is not an FDA-approved finished drug and longevity use is elective, so it’s typically cash-pay. Many programs are HSA/FSA-eligible, which offsets cost with pre-tax dollars.
Why do some programs cost more than others? Membership fees, whether lab testing is included, plan length, and the depth of clinician involvement. A higher price sometimes reflects included baseline and follow-up labs rather than more NAD+.
Can I lower the monthly cost? Longer plans (quarterly or biannual) usually cut the per-month price 10–20%, and HSA/FSA dollars reduce the effective out-of-pocket cost. Weigh those against whether labs are included before choosing on price alone.
Want a clear, no-membership read on what an NAD+ protocol would cost for your goals? Start your free Vitality Assessment →