NAD+ buying guide
What a prepay total is not: 40 lump sums, and why none is divided here
A three-month total divided by three is a number nobody is ever charged. Sellers print it constantly, usually beside the figure they do charge, and it is the single easiest way for a price comparison to become fiction.
A lump sum is not a monthly rate
A lump sum states an amount for a term. Dividing it by the term produces a monthly average, which may be useful for budgeting but does not establish monthly billing, cancellation rights or refund eligibility.
Compare the amount due and the stated commitment separately. A monthly figure may require a longer plan, while a prepaid term may have its own cancellation and refund conditions. Neither price label establishes those rights.
How many, and over what terms
40 of the 382 figures here are lump sums for a stated term, published by 26 of the 110 sellers. Across all price kinds, 73 figures carry a multi-month term; that set overlaps the prepaid totals rather than adding to them. Each payment schedule must be read with its own terms. And 25 are recorded as purchase prices — for example, a vial, a session or an injection — rather than recurring rates. That does not establish whether a separate charge or later renewal applies.
For 12 sellers, one of those is the only kind of figure they publish. Their rows on the boards here say so in words rather than showing a number that would be read as a monthly price.
The sellers who do the division for you
Sellers do the division themselves, and usually set the result in the larger type.
The retained September 2026 offers in our Liberty review illustrate the choice: $149 labeled “Billed monthly” alongside a $380 three-month total. The same three-month option also displays the seller’s own $127/mo figure. Those are two presentations of one longer plan, not two charges to add together. Confirm the amount due today and the renewal terms before choosing it.
Our Fresh Day Meds review preserves a different September 2026 example: a three-month plan displaying $159/mo beside “$477 quarterly renewal,” and a separate $199 monthly-renewal option. The useful comparison is the payment and commitment attached to each option; the larger monthly display does not replace the quarterly amount due. These are dated examples, so ask for the current offer before paying.
| Seller | The sentence, as printed | What is actually charged |
|---|---|---|
| Always Wellness and Recovery | “Three-month supply, $529 — about $176 per month.” | $529, once, for three months. The $176 is the seller’s own division, and it is recorded here as unresolved |
| Pallas Health | “Injection: $89 for your first month, then $597 every 12 weeks ($199/mo average).” | $89 once, then $597 every twelve weeks. The $199 is an average of a charge that is not monthly |
| Fresh Day Meds | “3-MONTH PLAN $ 159 /mo $477 quarterly renewal” | $477 every quarter. Here the seller prints both and the monthly figure is the one set in the larger type |
| Liberty | “3 Months $380 $127/mo Save 15% ($67)” | $380 for three months |
| iThriveMD | “12-month 50% Off $124.50 48 weeks paid upfront. Shipped every 28 days.” | 48 weeks paid up front. The $124.50 is per 28-day shipment, and 48 weeks is not twelve months |
None of these divisions is dishonest, and none of them is repeated here. A monthly average is a fact about arithmetic; what leaves your account, and when, is a fact about the offer, and only the second one compares with another seller’s.
Source: Each quotation is the sentence printed around the figure. The amount charged and the amount the seller worked out both appear in that one sentence. Read September 2026.
Look at what the last row is doing. A twelve-month plan billed as 48 weeks paid up front, shipped every 28 days: three different clocks in one offer, and a monthly-looking figure that belongs to none of them. Forty-eight weeks is not twelve months, and thirteen 28-day shipments are not twelve monthly ones.
Why this index does not do it
A monthly equivalent can help with budgeting. It still needs the amount due and the term beside it: the monthly-looking number alone does not show the payment schedule.
The same rule is why the dated price index plots only standing monthly rates. Putting a three-month total on that figure at the seller’s own monthly average would place a prepaid total beside a monthly figure without showing the different payment schedules.
The commitment behind the figure
What a lump sum buys in commitment terms is often stated and often not. Some sellers say plainly that a plan is billed every three months until canceled; others print a term with no wording about what happens at the end of it; one prints two different renewal periods for the same total on two of its own pages.
Where the wording exists, it is stored verbatim and rendered on that seller’s review page. Where it does not, this index says so rather than assuming the ordinary case. The billing period, and the sellers who state none works through the cadence side of the same question.
What this page cannot tell you
It cannot tell you whether a prepay total is good value, because value needs a dose and 255 of the 382 figures here state none. This site publishes no price per milligram and no page on it divides a price by a dose.
It also cannot tell you what happens if you cancel part way through a term. Refund terms, cancellation windows and what a seller keeps are not fields in this index, and reading them off marketing prose would be guessing. Source reading dates vary; the latest recorded reading is October 2026. Check each review’s dated record before relying on a figure.
What does a published price NOT include? What a seller says a price covers is recorded here; what it leaves out is not, so a shipping charge, a consultation fee or a required blood test can sit outside every figure on this site.
Someone reading each seller's page again and writing down, figure by figure, the exclusions and extra charges printed beside the price. Several are already known to exist — a flat shipping fee, a medical visit fee, a blood test required before prescribing — which is why the gap matters: those charges were seen and there was nowhere to record them.
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 Always Wellness and Recovery review keeps the three-month supply total separate from the seller's monthly comparison. The AquaVita NextGen review records a ten-week program, and the PeterMD review shows several supply periods. The OurView Health review separates the $330 due today for three months from the $110 monthly amount displayed beside it. Read the dated quotation in each review before comparing an upfront amount with a recurring charge.
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.