NAD+ buying guide
63 NAD+ prices state no billing period at all
“$249” is not an answer until you know how often. Plenty of NAD+ sellers never say: they print a figure with no billing period anywhere near it. Plenty of the rest bill every four weeks, every 28 days or every ten, while the page still says “/mo”.
A price with no clock is half a fact
“$249” is not an answer. Every month? Every four weeks? Once? For a three-month course? The number is identical in all four cases and the amount that leaves an account over a year is not, so the billing period is not a detail attached to the price — it is half of the price.
What each seller says about its own period is kept in the seller’s own words, and sorted into one of eleven kinds by somebody reading the page. The wording is a quotation; the sorting is a judgment. Neither is guessed from the other.
How many state no period at all
63 figures state no billing period at all, across 35 of the 110 sellers. On 63 of the 382 the field where a period would go is empty, because the page printed nothing to put in it.
The Glam Health review gives a concrete example: the September 4, 2026 record preserves a “Starting at” figure with no billing period stated. The captured wording also does not establish a specific injection route. Ask what period and product the quote covers before comparing it with a monthly subscription.
share of the 382 figures read for this index
Source: Each figure’s period is classified by reading the page it was read from, never by matching a pattern against the seller’s wording. Source reading dates vary; latest recorded reading: October 2026. Sellers: 110.
The calendar month is the largest single bar and it is nowhere near all of them. Read the rest as a list of ways to charge for a subscription without saying “a month”.
Four weeks is not a month, and 28 days is not either
A four-week cycle is not a month, and neither is 28 days. The difference is thirteen payments a year instead of twelve, which is a little over 8 percent more money for the same monthly-looking number. Several of the sellers below print “/mo” beside a figure whose stated period, in their own words, is four weeks.
The September 2026 record in our iThriveMD review preserves “Monthly $249.00 Billed every 28 days.” Its longer injection plans pair upfront commitments of 12, 24 or 48 weeks with shipments every 28 days. Ask for the actual upfront total, the next billing date and the shipment schedule separately; a shipment date alone does not establish when your card is charged.
| Seller | What the seller says the period is | The figure it governs |
|---|---|---|
| ClickSlim | “every 4 weeks” | $249 |
| HealthSource | “every 4 weeks” | $179.00 |
| Neo Soma Healthcare | “every 4 weeks” | $175.00 |
| iThriveMD | “Billed every 28 days.” | $249.00 |
| Enhance MD | “Billed every 48 weeks” | $84 |
| Enhance MD | “Billed every 12 weeks” | $94 |
| HelloWellness | “billed every 10 weeks” | $239 |
| Pallas Health | “every 12 weeks” | $567 |
| AquaVita NextGen | “10 week program” | $599 |
| Luvo Health | “/week” | $27 |
| PeterMD | “8-10 Week Supply (2 vials)” | $369.00 |
| Kin Meds | “30-day supply of the medication, shipped every 30 days.” | $349 |
A figure billed every four weeks is charged thirteen times in a year, not twelve; a figure billed every 28 days is charged thirteen times too. Nothing on any of these pages is wrong. They are simply not the same offer as a calendar-month charge, and a column headed “per month” holding both would say they were.
Source: Every quotation is the seller’s own wording for its billing period, beside the figure it governs. Read September 2026.
Those stated periods are not directly comparable to a calendar-month charge, which is why the dated price index plots only the 59 figures whose sellers say “month”, and says so.
Three sellers whose pages disagree with themselves
The harder case is a seller whose own pages disagree. Three do.
Product directions can introduce another clock. Our Ivy Rx review retains a September 2026 nasal listing labeled “From $179 (used daily)” and a separate injection listing labeled “From $179 /month.” Daily use describes the product instructions, not the billing schedule. The matching starting amounts do not make the products or payment periods equivalent; ask which listing your quote covers.
| Seller | What one surface says | What another surface says |
|---|---|---|
| ClickSlim | “Pricing: $249/month or $199 with GLP1” | “PACKAGE PRICE $249 every 4 weeks” |
| HelloWellness | “COMPOUNDED NAD+3-Month · billed every 10 weeks $239” | “*$79/month for the first 3 months ($239 total), then automatically renews at $239 every 11 weeks until cancelled” |
| Bloom MD | “DELIVERY FREQUENCY Monthly subscription 6-week subscription” | The same control offers both and the page never says which governs the $375.25 it is attached to |
| Ivy Rx | “From $179 (used daily)” | “From $179 /month” |
HelloWellness prints three periods for one $239 figure across its own pages — every three months, every ten weeks and every eleven weeks. Ivy Rx attaches “used daily” to one $179 and “/month” to another: one of those is a dosing frequency and the other is a billing period, and only the second is a cycle. This index does not pick between them. It records each figure with the period printed beside it and marks the ones that cannot be resolved as unresolved.
Source: Both quotations in each row came from the same seller on the same day, from different pages. Read September 2026.
This index does not pick a winner in any of those rows. Each figure is recorded with the period printed beside it, and where the two cannot be reconciled the figure is marked unresolved and carries no amount at all — so it cannot end up in an average.
The two figures that are averages, not charges
Two figures in the Pallas Health record are neither a charge nor a period but a division: a seller’s own monthly average of an amount it bills on some other clock. Pallas Health prints “$189/mo avg” and “$199/mo avg” beside amounts it bills every twelve weeks.
The same reasoning covers a related case: a figure whose stated frequency is how often you take the product rather than how often you are billed. There is one of those here too.
What this page cannot tell you
It cannot tell you what any seller will actually charge you, or when. What it can tell you is what each one printed about its own billing period, and how often that is either nothing or something other than the month it appears to be.
It also cannot tell you what a cycle includes. Whether a four-week charge covers the same quantity as a monthly one is a question about supply, not about cadence, and 255 of the 382 figures here state no dose at all. Each seller’s review lists every figure it publishes with the wording attached.
When a seller prints two figures side by side with nothing linking them, which one is the price? Both figures are kept here, and nothing says the two are a pair or that they contradict each other.
A record of which figure goes with which, written down while the page is being read. It is a matter of shape rather than one more value: nothing here can hold a disagreement between two figures, which is why figures that disagree are marked unresolved one at a time instead of as the pairs they are.
Which named plan does a figure belong to? A seller publishing four figures usually names them — a monthly plan, a three-month plan, a starter tier — and what is held here is the figure, the billing cycle and the dose, not the seller's own name for the package.
Someone reading each page again and writing down the plan name beside each figure, word for word. Until that happens, two figures from one seller can be seen to differ without anything saying what the seller called each one.
The Pallas Health review is a concrete example of a twelve-week charge printed beside a monthly average. The PeterMD review records thirty-, sixty-, and ninety-day wording. Both reviews preserve the period attached to the dated figure, so you can compare the payment schedule before comparing the number.
Read next
About this page
Nothing here is medical advice, diagnosis or treatment. This is a price index, and pages like this one exist because a reader cannot judge a price without knowing what the thing is. Talk to a licensed clinician before starting or stopping anything, and see the medical disclaimer.
Every count above comes from reading 110 sellers’ own pages, and each one is worked out again every time this page is built, so it cannot drift from the tables and the reviews it is drawn from. If something here is wrong, the corrections page says how that gets fixed and what has been fixed before.
Where these figures come from
These counts describe the recorded pricing information for 110 NAD+ sellers: 382 figures in all, representing 350 distinct offers after 32 repeat observations of the same offer are set aside. Of the recorded figures, 41 appear only in page markup, rather than visibly on the seller’s page.
Current source readings span September 2026 to October 2026. Each price retains the date of its own source observation. A latest source date does not mean that every provider was checked again then. Earlier price checks are retained for 14 of the 110 providers; their review pages show those readings separately. A source period alone does not establish that a price rose, fell or stayed the same.
Each seller has a pricing review showing recorded prices or quote status, original payment qualifications and source dates, including labels for figures found only in markup. We retain the underlying merchant source records internally. Reviews show the recorded pricing evidence and link through to the provider so you can confirm current terms.