Best NAD+ Providers in 2026 — Ranked & Reviewed

NAD+ is the coenzyme most often prescribed for energy, cellular repair, and cognitive support, usually as a subcutaneous injection and increasingly as a nasal spray or oral liposomal form. It is the most widely offered peptide in our catalog. Because it is dispensed by compounding pharmacies rather than sold as an FDA-approved finished drug, the provider you choose determines the sourcing and the clinical oversight you get. Every clinic below prescribes through a licensed provider and is scored on the same six dimensions we use across the site.

125 providers compared

New to NAD+? Read our full NAD+ guide — evidence, dosing, safety and side effects.

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

125 nad+ providers compared · independently scored against our six-factor methodology.

Rankings updated July 2026

Quick Picks: Top 5

#ProviderScore
1Vytora HealthVisit
2CoreAge RxVisit
3Enhance MDVisit
4bmiMDVisit
5KongoVisit

Compare the top providers at a glance

Logos, our editorial rating, price, medications, and coverage — the fastest way to narrow the list.

  • ★ Editor's Pick
    Vytora Health

    compounded or brand-name GLP-1 with named pharmacy partners, 50 states

    From /mo
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    Coverage
    50 states
    Medications
    NAD+Sermorelin
  • Nationwide Coverage
    CoreAge Rx

    best overall value

    From /mo
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    Flat at every dose
    Coverage
    50 states
    Medications
    NAD+Sermorelin
  • Enhance MD

    lab-monitored compounded GLP-1 with mandatory video visit

    From /mo
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    Flat at every dose
    Coverage
    39 states
    Medications
    NAD+
  • Best Budget
    bmiMD

    mainstream telehealth GLP-1 access

    From /mo
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    Flat at every dose
    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • Transparent Pricing
    Kongo

    Low-cost compounded semaglutide or tirzepatide nationwide with no membership and everything included

    From /mo
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    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • REMEVi

    Spanish-speaking patients wanting bilingual, LegitScript-certified compounded GLP-1

    From /mo
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    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • RxSpan MD

    shoppers wanting physician-led, pharmacy-transparent compounded GLP-1 with brand-name options

    From /mo
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    Coverage
    50 states
    Medications
    GlutathioneNAD+Sermorelin
  • Oak

    compounded semaglutide and tirzepatide at a flat monthly price

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    Flat at every dose
    Coverage
    Check intake
    Medications
    GlutathioneNAD+Sermorelin
6scored dimensions
125nad+ providers compared
100%verified against live provider sites
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

Detailed Reviews

A note on prices below: any dollar figure in these provider summaries refers to that clinic’s GLP‑1 weight-loss program, not to NAD+. Peptide pricing is rarely published up front — check the provider’s own site for current cost.

1

Vytora Health

Best for: compounded or brand-name GLP-1 with named pharmacy partners, 50 states

8.4

Vytora Health is a 50-state-plus-DC telehealth platform offering compounded semaglutide and tirzepatide alongside brand-name Mounjaro and Zepbound, plus NAD+ and sermorelin peptides. It names its pharmacy partners publicly — Vials Pharmacy and Greenwich Biosciences — and discloses its operating physician group, uncommon transparency for the category. Compounded semaglutide runs $180/mo ($150 on a 3-month bundle) and tirzepatide $249/mo ($200 bundled).

Score Breakdown

Value25%
8
Effectiveness25%
8.5
User Experience15%
8
Trust & Safety15%
9.3
Accessibility10%
8.5
Support10%
8.4

Pros

  • All 50 states plus DC, with per-state video-vs-audio compliance disclosed
  • Both compounded and brand-name options on one platform — uncommon
  • LegitScript Approved and HIPAA compliant
  • Pharmacy partners named publicly: Vials Pharmacy (TX) and Greenwich Biosciences
  • Operating entity disclosed: Wasef Health, PC (Pinellas Park, FL)
  • Competitive monthly pricing ($180 sema / $249 tirz) plus a 3-month bundle saving 17%
  • Brand-name Mounjaro and Zepbound available at $1,399/mo for FDA-approved options

Cons

  • Brand-name Mounjaro/Zepbound at $1,399/mo is near retail — insured patients may do better via LillyDirect Self Pay ($449-$699/mo)
  • Compounded tirzepatide at $249/mo is mid-market, above the $149-199 floor
  • Dose tiers aren't broken out — 'all doses included' means low-dose patients pay the same as high-dose
  • Initial consultation cost not shown on the public pricing page
  • Limited per-prescriber state licensure detail
2

CoreAge Rx

Best for: best overall value

8.3

CoreAge Rx offers LegitScript-verified compounded semaglutide and tirzepatide with free 2-day shipping to all 50 states. Backed by licensed physicians and 24/7 support, it delivers the most competitive pricing in the compounded GLP-1 space.

Score Breakdown

Value25%
8.5
Effectiveness25%
8.5
User Experience15%
8.5
Trust & Safety15%
7.8
Accessibility10%
8
Support10%
8.4

Pros

  • LegitScript certified — rigorous pharmacy standards
  • Free 2-day shipping nationwide
  • Both semaglutide and tirzepatide available
  • Lowest per-month pricing in the compounded segment
  • 24/7 support team
  • All 50 states covered

Cons

  • Compounded only — no brand-name Ozempic or Wegovy
  • Newer brand with fewer independent reviews than legacy players
3

Enhance MD

Verified partner

Best for: lab-monitored compounded GLP-1 with mandatory video visit

8.2

Enhance MD pairs compounded semaglutide and tirzepatide with mandatory baseline metabolic labs at Quest Diagnostics and a synchronous video visit with a board-certified clinician — a more rigorous onboarding than the async-only compounded GLP-1 model most telehealth providers use. Three tiers (Core semaglutide, Advanced tirzepatide, Elite combined) plus $100-off-first-order intro pricing ($112 first month on Core with code SUMMER100).

Score Breakdown

Value25%
7
Effectiveness25%
9
User Experience15%
8.5
Trust & Safety15%
8
Accessibility10%
8.5
Support10%
8.9

Pros

  • Baseline and ongoing metabolic labs (CMP, lipids, TSH, HbA1c) at Quest every 6 months — rare for compounded GLP-1
  • Mandatory video visit with a US-licensed MD or NP before your first prescription — not a pure questionnaire model
  • Three tiers, including a combined semaglutide + tirzepatide Elite plan ($322/mo) for patients plateaued on one GLP-1
  • Uses LegitScript-certified 503A pharmacies (Tru Meds Rx, Strive Pharmacy, Pharmacy Hub)
  • Intro pricing via $100 off your first order (code SUMMER100): $112 Core, $180 Advanced, $222 Elite first month
  • Unlimited clinician messaging and dose-adjustment support included

Cons

  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • Not available in 10 states: AL, AR, GA, HI, LA, MS, MO, SC, TN, WV
  • Mandatory lab work adds 5–10 days to onboarding vs async-only competitors
  • No insurance accepted — cash pay, HSA/FSA eligible
  • Intro discount applies only to the first order — ongoing rates are $212–$322/mo on 12-month plans, or $249–$379/mo month-to-month
4

bmiMD

Verified partner

Best for: mainstream telehealth GLP-1 access

8.1

Medical weight loss clinic offering GLP-1 prescriptions through telehealth.

Score Breakdown

Value25%
9
Effectiveness25%
8
User Experience15%
7.5
Trust & Safety15%
7.3
Accessibility10%
8.5
Support10%
8

Pros

  • Both semaglutide and tirzepatide available

Cons

  • Pricing not publicly disclosed
5

Kongo

Best for: Low-cost compounded semaglutide or tirzepatide nationwide with no membership and everything included

8.1

Kongo (Kongo Health Inc.) is a transparent, no-membership telehealth platform offering compounded GLP-1 weight-loss medication in all 50 states: compounded semaglutide at $119/month and tirzepatide at $229/month, with the provider visit, supplies, and free shipping always included. A 4-minute intake (no video call) gets a licensed-provider decision within 24 hours; prescriptions are compounded by a licensed US pharmacy. Kongo also offers longevity treatments (NAD+, sermorelin). It carries verifiable LegitScript certification; compounded meds are not FDA-approved.

Score Breakdown

Value25%
8.5
Effectiveness25%
8
User Experience15%
8
Trust & Safety15%
8.3
Accessibility10%
8.5
Support10%
7

Pros

  • Among the lowest compounded GLP-1 prices: semaglutide $119/month and tirzepatide $229/month
  • Available in all 50 states with no membership fee, and provider, supplies, and free shipping always included
  • Verifiable LegitScript certification (seal ID 45229340)
  • Fast and simple: 4-minute intake with no video call and provider approval within 24 hours
  • Also offers longevity treatments (NAD+, sermorelin, glutathione) if you want more than GLP-1

Cons

  • Compounded medications are not FDA-approved (the site discloses this) — not brand Wegovy, Ozempic, Zepbound, or Mounjaro
  • The compounding pharmacy is described only as a 'licensed US pharmacy' and not named
  • Newer brand; member testimonials are the main social proof
  • Some verticals (Longevity, Intimacy) are still listed as 'coming soon'
How we rank & what counts as “legit”

Every provider in this ranking is scored against our published six-factor rubric[1] — value, effectiveness, user experience, trust & safety, accessibility, and support.

Brand-name Wegovy, Zepbound, Ozempic, and Mounjaro are separately FDA-approved under their own NDA numbers[4][5]. Published Phase 3 efficacy for semaglutide 2.4 mg (~14.9% mean weight loss over 68 weeks) comes from the STEP 1 trial[6], and for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) from SURMOUNT-1[7]; the SURMOUNT-5 head-to-head published in 2025 compared the two directly[8].

Insurance coverage for anti-obesity medications varies widely by state Medicaid program and commercial plan[9][10]. Compounded and brand-name GLP-1s are generally FSA/HSA eligible with a prescription under IRS Publication 502[11].

Always verify pricing and state availability on the provider's website before signing up.How our reviews work →

Frequently Asked Questions

Sources & methodology — as of July 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy FrameworkU.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)U.S. Food & Drug Administration.
  4. 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDAU.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDAU.S. Food & Drug Administration.
  6. 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. 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)New England Journal of Medicine.PMID: 35658024.
  8. 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)New England Journal of Medicine.PMID: 40334173.
  9. 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)Kaiser Family Foundation.
  10. 10.CMS — Medicaid prescription drug coverage policy (state-by-state)Centers for Medicare & Medicaid Services.
  11. 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)Internal Revenue Service.