How much does NAD+ therapy cost?

NAD+ shots from telehealth sellers run $93 to $275 a month, with a median of $174, while a single IV drip runs $400 to $1,500 depending on dose and clinic. Pills with NR or NMN run $30 to $80 a month, but they contain precursors your body converts into NAD+, and research has not confirmed the energy and longevity benefits sellers claim.

What will you pay for each type?

Telehealth Ledger tracked 16 sellers offering compounded NAD+ shots with medication included. Continuing prices ran $93 to $275 a month, with a median of $174 (Telehealth Ledger tracker). CoreAge Rx listed $93 a month on August 18, 2026. bmiMD listed $159 a month on September 14, 2026, or $119 a month when you prepay $1,428 for a year. With these sellers you complete an online health review, and if approved a prescriber sends your prescription to a pharmacy that ships the medication for home use.

Clinic IVs cost far more per visit. FormBlends reported in its May 2026 guide that medical spas charge $400 to $550 for 250 to 500mg, physician supervised clinics charge $500 to $700 for the same dose range, and 750 to 1000mg infusions run $800 to $1,200 (FormBlends cost guide). You book at a clinic and sit for the infusion with staff present.

Oral options cost less each month. Moonshot Medical reported in its March 2026 guide that NMN runs $40 to $80 a month and NR runs $30 to $60 a month (Moonshot cost guide). Cleveland Clinic explains that NAD+ itself absorbs poorly when swallowed, so these products hold precursors, or ingredients your body converts into NAD+ (Cleveland Clinic overview). The same overview states research has not confirmed the claimed energy and longevity benefits.

Why does one IV cost more than a month of shots?

Dose, time and staffing drive the gap. One IV delivers 250 to 1000mg in a single visit and can take 2 to 4 hours, with longer times for higher doses, while shots spread smaller amounts across home use. Physician supervised clinics charge more than medical spas for the same 250 to 500mg range because you pay for medical oversight, infusion space and nursing time.

Packages lower the per visit price. Four session plans run $1,400 to $2,800 and eight session plans run $2,400 to $4,800 (FormBlends cost guide). If clinic afternoons do not fit your life, you can see if an HOD energy plan fits through the quiz.

What users report

"My experience was a wow." r/Biohackers user Quiet-Space5632 (IV report)

"this stuff is really expensive and I couldn’t afford it if I had to do weekly drips" r/Biohackers user Quiet-Space5632 (IV report)

"I opted for IM injections because the IVs can take a few hours per day for several days which is a very large time commitment." r/Biohackers user AlexWD (injection report)

"so far it's been a huge success." r/Biohackers user AlexWD (injection report)

Together these users describe an energy lift weighed against cost and time. The first user completed two 500mg drips per week for 4 weeks and planned 500 to 1000mg monthly because weekly drips felt unaffordable. The second user chose 100 to 250mg shots most days to avoid hours in a clinic. Neither listed exact dollars paid, and these stories do not show typical results, doses or safety for women.