Best Longevity Clinics & Anti-Aging Telehealth: Graded
We graded the providers that actually offer NAD+, sermorelin, rapamycin, metformin and GLP-1 protocols on what matters once the marketing fades: a transparent price, a real longevity line rather than a weight-loss menu, genuine clinical review, and real human support. The full report card is below — every graded provider, its marks and its price, before a single review.
Read the grade, not the order. The letter is computed from the marks printed on each row — price transparency, whether the provider actually sells a longevity line, clinical oversight, pharmacy identification and human support, with the first two weighted double — and from nothing else. A provider that sells no NAD+, peptides, hormone therapy or longevity diagnostics cannot reach an A here however clean its billing is. Providers we work with may appear first, so compare on the letter (disclosure). Required lab work is shown as a trade-off and scores neither way.
Grade A
24 providers · a real longevity line, a published month-to-month price, and oversight or support inside it
Marks restate what each provider publishes on its own site, verified in 2026 and subject to change without notice. “Flat price” means one all-in figure with no separate membership, baseline assessment or lab fee. “Longevity: Core” means NAD+, peptides or sermorelin, hormone optimization or longevity diagnostics are a published line of the business — read off its own catalog, not its positioning; “Partial” means something adjacent but none of those. A grade measures provider quality, value and transparency — it is not a claim that any of these therapies extends human lifespan.
A necessary caveat. Most longevity interventions — NAD+, sermorelin and other GH-secretagogues, rapamycin and metformin for healthy adults — are clinically unproven to extend human lifespan. Only GLP-1 receptor agonists have hard cardiovascular-outcome trials behind them. This ranking grades provider quality, value, and transparency — it is not a claim that these therapies make you live longer. Read what the evidence actually shows before you start.
FTC disclosure
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. Full disclosure.
Every provider here is graded on the same rubric, from its own published terms.
Featured partner
$93–$99/mo (starting rates)
1
Featured partner
CoreAge Rx
Clinician-reviewed NAD+ and sermorelin with published starting prices and human support. Confirm the full cost and renewal terms before paying.
NAD+ injection starts at $93/mo and sermorelin at $99/mo; the public pages do not identify the plan behind those rates. Confirm the total, any consultation fee and renewal terms before paying.
A telehealth platform coordinating clinician-reviewed compounded NAD+ and sermorelin. Its help center states a licensed 503A pharmacy standard. Starting prices do not establish a complete month-to-month amount; the FAQ and refund policy disagree about automatic renewal and refunds after non-approval. Confirm the selected plan before paying.
Strengths
Publishes NAD+ and sermorelin starting prices without a membership fee
The FAQ names physicians and state license numbers; the help center states a 503A pharmacy standard
Human support and provider access are available through the patient portal
Offers a defined longevity product line alongside other prescription treatments
Trade-offs
The starting prices do not identify the exact plan or complete month-to-month amount; multi-month pricing is confirmed during consultation
The FAQ promises no automatic rebills, but the refund policy allows automatically renewing subscriptions
The FAQ promises a full refund if treatment is declined, while the policy retains an applicable $50–$100 consultation fee after review begins
The help center identifies a 503A standard without naming the dispensing facility
Compounded medications are not FDA-approved; the provider grade does not establish a longevity benefit
Start with CoreAge RxAdvertised starting rates; confirm the plan total, renewal terms and non-refundable consultation fee before paying.
The rest of the field
Real longevity and hormone-optimization telehealth providers, each checked live against their own site in 2026. We only state a price where the provider published a figure we could confirm; where pricing is membership-based or revealed only in the intake, we say so plainly.
2
Partner
HealthRX
Publishes the whole NAD+ ladder, and the monthly figure is a real month-to-month rate with the visit inside it.
A LegitScript-certified, physician-supervised telehealth practice whose longevity line runs NAD+ as an injection or a nasal spray alongside sermorelin. The full price ladder is published rather than quiz-gated, and the monthly figure is a genuine month-to-month rate: the provider visit, unlimited follow-ups, supplies and shipping sit inside it, with no membership and no prepay term needed to reach the advertised price.
Strengths
A genuine month-to-month price — $161/mo injection, $134/mo nasal — with no prepay term required to reach it
Provider visit, unlimited follow-ups, supplies and shipping are included rather than billed on top
The whole price ladder is public, so the cost of moving up a dose is knowable before you start
Two NAD+ routes (injection and nasal spray) plus sermorelin under a single intake
Trade-offs
The compounding standard is stated but the pharmacy is not named — you know it is a 503A facility, not which one
The dearest rung is the one advertised — "SUBSCRIBE FROM $161/mo" is the month-to-month rate, and longer cadences go down to $129, so the headline errs in the buyer's favor rather than against it
Compounded NAD+ and sermorelin are not FDA-approved for anti-aging and the lifespan evidence is unproven
Month-to-month — NAD+ injection $199/mo, sublingual wafers $99/mo (the advertised $169/mo requires a 12-month prepay)
A compounded telehealth practice offering NAD+ as an injection or as sublingual wafers. The consult is included and you are refunded in full if you are found ineligible. The month-to-month rate is $199 for the injection and $99 for the wafers; the $169/mo the site advertises is the effective rate of a twelve-month prepay, not a figure anyone is charged monthly.
Strengths
The cheapest published month-to-month NAD+ route here — $99/mo for sublingual wafers
Consult included, with a full refund if you are found ineligible
A genuine month-to-month option exists; no commitment is required to start
Unlimited provider messaging and priority support are stated as bundled into the price (confirmed Aug 2026)
Trade-offs
The advertised '$169/mo' is a twelve-month prepay — the true month-to-month injection price is $199, and the headline does not say so on its face
A six-month lab-testing cadence applies once you are on treatment
The 503A standard is stated on the product page while the homepage carries no compounding claim at all, and the pharmacies it does name sit two clicks away in the FAQ and the Terms rather than beside the medicine
NAD+ injection is $249/mo for 500mg or $299/mo for 1000mg on a 30-day supply. A 90-day supply shipped at once and billed monthly brings it to $199 or $249/mo. Medication, clinician review, supplies and shipping are included, with no membership. Its FAQ puts compounded GLP-1 injections from $297/mo.
A compounded telehealth operator best known for injectable and sublingual semaglutide and tirzepatide, which also runs an Anti-Aging category of its own: injectable NAD+ at two strengths, injectable sermorelin, and a peptide skin cream. One monthly figure covers the medication, the clinician review the site prices separately at $99, all supplies and next-day courier shipping, billed month-to-month and cancellable by email with no stated penalty. Nursing staff provide ongoing care as a published stage of the program.
Strengths
One all-in month-to-month figure with the clinician visits, supplies and 1-day shipping inside it and no membership
A genuine longevity line — injectable NAD+ at 500mg and 1000mg plus injectable sermorelin — priced month-to-month like the GLP-1 plans
Cancel by email at any time — no prepay term is required to reach the published price
Nursing staff are published as providing ongoing care and support rather than a shipped vial alone
Trade-offs
The longevity line is real but buried: NAD+ and sermorelin sit in an Anti-Aging category with no prices on it, and the NAD+ prices appear only on the product's own order page
The NAD+ headline "As low as $199" is the 90-day-supply rate; a 30-day supply is $249 for 500mg and $299 for 1000mg
The 503A standard is stated on the offer page but no facility is named, and the Anti-Aging catalog page repeats no compounding standard at all
The main site gates pricing behind an assessment while claiming costs are "shown upfront", and the brand operates across multiple domains, so confirm you are on the official site
Its own pages contradict each other on the pharmacy: the GLP-1 offer page says 503A, while the NAD+ page (/dm-q2spc-nad/) says "dispensed by U.S.-based 503B compounding pharmacies" — and describes 503B as state-board licensed, which is the 503A arrangement
One flat $99 a month for NAD+ in either format, with the pharmacy named — and a dose range of 500 to 1000mg behind the single price.
$99/month flat for compounded NAD+ injections and the same $99/month for the nasal spray, with the telehealth visit and prescription included and no membership. Injections are offered at 500mg to 1000mg at that one price. A "LIMITED FALL SALE" banner promises $100 off every month with no increases ever, and gives no end date.
Strengths
One flat $99 a month covers either format, with the telehealth visit and prescription included and no membership
Names Red Rock Compounding Pharmacy among its partners rather than citing an unnamed network
Trade-offs
The $99 is a "LIMITED FALL SALE" rate against an implied $199, and the sale has no published end date
One price covers 500mg to 1000mg, and which dose that price buys is not settled before you order
One all-inclusive published price per route, month-to-month, with no membership or prepay term
Three NAD+ routes (injection, nasal spray, tablet) plus sermorelin and glutathione on one intake
Trade-offs
At $249/mo the injection sits near the top of the month-to-month range here — transparent, but not cheap; only Care Bare Rx ($325) and Synergy Rx ($275) publish dearer NAD+ month-to-month
The dispensing pharmacy is not named and no compounding standard is stated anywhere on the site
Publishes a month-to-month NAD+ program with no contract and states what the figure buys.
Month-to-month with no long-term contracts. NAD+ from $170/mo, microdosing protocols from $179/mo, compounded semaglutide from $79/mo and tirzepatide from $159/mo, with the prescription, telehealth visit and shipping included and the same price at every dose.
Strengths
Month-to-month with no long-term contract, and pause or cancel is self-serve from the portal
The published figure states what it covers — provider evaluation, protocol, medication, supplies and ongoing check-ins
Trade-offs
Every figure is a "from" floor, and the NAD+ sign-up link on its homepage carries a promo code, so confirm the monthly rate at checkout
No dispensing pharmacy is named; the site says only "U.S. Licensed Pharmacies"
NAD+ at a published $175 a month with the review, messaging and shipping included — while sermorelin and tesamorelin are priced only after the assessment.
NAD+ injection is $175/mo for a one-month supply (regular price $199/mo, per its own footnote), with the provider review, ongoing messaging and shipping included. Sermorelin and tesamorelin are priced only after the free assessment. The homepage tile advertises longevity "from $99/mo", a figure no longevity product page shows.
Strengths
A genuine anti-aging line rather than a weight-loss shop with a peptide bolted on: NAD+, glutathione, MIC+B12 and metformin in one program, sermorelin and tesamorelin in another, plus topical NAD+ and copper-peptide skincare
The clinician review sits inside the program price with no membership fee — Oak's own comparison table prints "Membership Fees: None" against $50–$99/mo for "other telehealth"
Trade-offs
Only NAD+ has a published price. Sermorelin and tesamorelin are priced only after the free assessment, and Oak calls the $175 NAD+ figure its current price against a regular $199
The homepage tile advertises longevity "from $99/mo", a figure no longevity product page shows
A real anti-aging menu with every rung of every ladder published — and every figure it advertises is the longest commitment.
NAD+ injection is $159/mo month to month. Prepaying steps it down to $149 on three months, $129 on six and $119 on twelve. Sermorelin injection is $139/mo month to month, $119 on three and $99 on six, with no twelve-month rung; sermorelin tablets come only on three- or six-month plans ($327 or $534) and are not offered in South Carolina. Glutathione injection is $159/mo month to month, down to $119 on twelve months. The figures the homepage advertises are the longest commitment on each ladder.
Strengths
Every rung of every ladder is published before intake, with the total charge printed beside each monthly figure
A true month-to-month rung exists on NAD+ and on sermorelin, so no prepay is needed to get a price at all
Trade-offs
Every figure it advertises is the longest commitment: NAD+'s $119 is the twelve-month rate and sermorelin's $99 is the six-month one
The pricing block opens on the 3-Month tab, so the first number a reader meets is a commitment rate
One all-in $249 NAD+ program with the kit and overnight delivery included — behind a $199 first-month headline.
$249/mo month-to-month; clinician evaluation, injection kit and overnight delivery included (the advertised $199 is first month only)
Strengths
One all-in monthly figure covering the clinician evaluation, the injection kit and overnight delivery
Month-to-month — no prepay term or membership stands between you and the published price
Trade-offs
The advertised '$199' is a first-month rate only — from the first refill the price is $249/mo
At $249/mo for a single injectable route it sits near the top of the month-to-month range here, and buys fewer routes than the two providers priced above it
One all-in price for NAD+ or sermorelin, four pharmacies named in its terms — and a half-price first month you should not budget from.
NAD+ injection, NAD+ nasal spray, NAD+ drops and sermorelin injection are each $199 every four weeks, with the first four weeks at half price ($99.50). Vitamin B12/MIC is $145 every four weeks. The clinician review, the medication, shipping and messaging are inside that one figure, with no membership or consult fee. Longer plans up to 24 weeks are mentioned but not priced, and its pricing page says your exact price is confirmed after the intake.
Strengths
One all-in figure per product, published on the product page before the intake, with no membership or consult fee
Its terms name the four compounding pharmacies that may fill your prescription, with addresses
Trade-offs
The advertised $99.50 is the first four weeks only; every delivery after that is $199
Billing runs every 28 days, so a year is 13 charges — about $2,490 in the first year on NAD+ or sermorelin
The cheapest published month-to-month sermorelin here, with the visit and follow-up care genuinely inside it.
Month-to-month auto-refill — oral sermorelin lozenges $99/mo, injectable sermorelin from $119/mo (18% below the one-off price, which is not published); free online MD visit, follow-up care and shipping included
Strengths
$99/mo for oral sermorelin is the cheapest published month-to-month longevity protocol here
The online MD visit, follow-up care and shipping are stated as included on the product page itself
Trade-offs
The headline requires auto-refill; the one-off price is 18% higher and is not published anywhere on the site
No dispensing pharmacy or facility is identified — an ACHC badge in the footer is the only signal
A new NAD+ and sermorelin line at $199 a month with the visit and shipping included — from a GLP-1 brand that names no pharmacy.
NAD+ and sermorelin injections are each $199/month for a 28-day supply, or $118/month on the 12-month plan, with the provider visit and shipping included and cancel anytime. Compounded GLP-1 runs from $129/month (semaglutide) and $179/month (tirzepatide); brand Ozempic is $1,299/month.
Strengths
NAD+ and sermorelin each carry one published price, $199 a month, with the provider visit and shipping included and cancel anytime
A full refund is stated if the provider cannot prescribe for you
Trade-offs
$199 "a month" buys a 28-day supply, and the page does not say whether refills are billed monthly or every 28 days (13 charges a year rather than 12)
The longevity line is two products, NAD+ and sermorelin, with no glutathione, other peptides or diagnostics
A real NAD+ and sermorelin menu with prices on the page — but every figure printed is a first month, not a rate you hold.
First-month teaser pricing against a struck-through standing rate — NAD+ "$149" struck through to "$89 /first mo", sermorelin "Monthly Supply (9mg)" "$219" struck through to "$109 /first mo", compounded GLP-1/GIP "$179" struck through to "$99 /first mo"
Strengths
The menu is the longevity stack itself — NAD+ by injection and nasal spray, sermorelin by injection and orally, plus glutathione — not a GLP-1 shop with one peptide attached
A price is published on the product lander rather than held behind the intake, and the standing rate is shown beside the promotional one
Trade-offs
Every published figure is a first-month teaser against a struck-through standing rate — "$89 /first mo" from "$149", "$109 /first mo" from "$219" — so the large number is not what a second month costs
The site's own /nad path is an intake questionnaire rather than a product page; the prices above exist only on the product landers, which is not where a reader browsing the site arrives
NAD+ by nasal spray or injection with the consult free and no bloodwork — priced only as a "from" figure with no plan length beside it.
"From $137/mo" for NAD+ nasal spray and sermorelin and "From $155/mo" for NAD+ injection, with no plan length printed beside either figure. No month-to-month price is shown on its product pages, so the cost of a single month cannot be worked out before the intake.
Strengths
Two NAD+ routes — daily nasal spray and weekly subcutaneous injection — plus glutathione in both routes and sermorelin, all under one intake
The clinician review is stated as free on its NAD+ product pages, and no bloodwork is required to begin — "no office visits, no insurance, no bloodwork required to start"
Trade-offs
Every price is a "From" figure — $137 a month for the nasal spray and sermorelin, $155 for the injection — with no plan length beside it and no month-to-month price on any product page, so you cannot tell what one month costs until the intake
The NAD+ lander qualifies even that figure — "Final pricing depends on the protocol and dose prescribed" — so the number in large type is a floor, not a quotation
PartnerB$169/mo NAD+ or sermorelin, month to month ▸
NAD+ in three formats and sermorelin on one published price ladder — but the figure it advertises is the six-month rate.
NAD+ (injection, nasal spray or liposomal liquid) and sermorelin injection are each $169/mo on the monthly plan, $149/mo on a 3-month plan billed every three months, and $129/mo on a 6-month plan billed every six months. Enclomiphene is $189/mo. The "from $129" it advertises is the six-month rate, and its terms say pharmacy fees may be charged separately.
Strengths
The whole price ladder is on the product page before the quiz, including a true month-to-month rate
NAD+ comes in three formats — injection, nasal spray and liposomal liquid — at the same price
Trade-offs
The "from $129" it advertises is the six-month rate; month to month is $169
Its terms say pharmacy fees may be charged separately, despite "Everything. Included." on the product page
PartnerBSermorelin ~$195/mo (12-wk) · NAD+ ~$147–184/mo · TRT $139/mo ▸
A broad physician-prescribed menu — sermorelin and NAD+ alongside tirzepatide, semaglutide, TRT and hair loss — under one account, with pricing that is real but mostly tiered by supply length rather than a flat monthly rate.
Sermorelin $585 for a 12-week supply (~$195/mo; regular price $634.95) or $211.65 for 4 weeks; NAD+ $369 for an 8–10 week supply (~$147–184/mo); TRT (testosterone cypionate) $79/month on a 12-month plan; tirzepatide $149 first month then $249/month billed quarterly; GLP1+B12 (compounded semaglutide) $149/mo first-time ($447 total, 10–12 wk) or $139/mo returning ($834 total, 8–12 wk)
Strengths
A genuinely broad menu under one account — TRT, GLP-1 (tirzepatide and compounded semaglutide), NAD+, sermorelin, men's hair loss and ED — rather than a single-product shop
TRT publishes a real flat monthly rate ($79/month on a 12-month plan) with no dose-based ambiguity
Trade-offs
Sermorelin, NAD+ and GLP1+B12 are sold as a lump sum for an estimated multi-week supply (e.g. NAD+'s $369 covers an "estimated" 8–10 weeks) rather than billed monthly, so the effective monthly cost is a range, not a figure you can pin down
Tirzepatide's ongoing rate is billed quarterly, not monthly — the $249/month figure is a per-month average of a charge you don't actually see every month
Sells NAD+, B12 and sermorelin at one published $99 — from three pages that are the same page with the molecule's name swapped.
One published figure per longevity protocol — NAD+, vitamin B12 and sermorelin each "Starting at $99/month", stated as covering the online consultation, the prescription and shipping, with no membership and no term. Its refund policy says the plan renews every 21 calendar days and that up to 18 charges may occur in the first year, so up to about $1,782 rather than $1,188.
Strengths
One published figure per longevity protocol, visible before any intake or account: $99 a month for NAD+, for B12 and for sermorelin, each stated as "Same price every dose" with no membership and no minimum term
The consultation, the prescription and shipping are stated as inside that $99 rather than billed on top — "The price includes your online medical consultation, prescription, and free shipping"
Trade-offs
Its NAD+, B12 and sermorelin pages are one template with the molecule's name swapped. The sermorelin and B12 pages are word-for-word identical to each other once the product name is normalized, and both carry NAD+'s chemistry: "Sermorelin (Nicotinamide Adenine Dinucleotide)" and "B12 (Nicotinamide Adenine Dinucleotide)", each described as "a naturally occurring coenzyme essential for mitochondrial function, DNA repair". Sermorelin is a 29-amino-acid growth-hormone-releasing-hormone analog and is not a coenzyme; B12 is cobalamin
All three pages offer "500mg and 1000mg injection options". Those are NAD+ doses. Sermorelin and B12 are dosed in micrograms, so the figures printed on two of the three product pages are off by about a thousandfold — which is what happens when a page is produced by find-and-replace rather than written
NAD+ and sermorelin from $129 a month from a fitness brand that names its pharmacies and doctors — but not its plan terms.
From $129/mo for NAD+ and for sermorelin (injection or tablet), with no plan length, dose or format printed beside the figure. Glutathione injection is from $179/mo, GHK-Cu topical from $129/mo and PT-141 from $169/mo. There is no monthly membership; the intake opens with a limited-time $150 off the first month.
Strengths
Names its four partner pharmacies with phone numbers — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts and Casa Pharma Rx
Names the physicians who lead its medical team and publishes their NPI numbers
Trade-offs
"Starting at $129/mo" is the only NAD+ and sermorelin price published — no form, dose or plan length is shown before the intake
Its terms say a medical consultation fee is not refundable and all prescription sales are final
PartnerBFirst month from $91 NAD+, + $39 then $99/mo membership ▸
The widest longevity menu here — quoted entirely as first-month prices, over a membership that goes from $39 to $99.
NAD+ injection from $91 for the first month, sermorelin injection from $126, glutathione from $95 — each medication-only, and each a FIRST-MONTH rate. An Eden Membership is required on top: $39 for the first month, then $99/month. No ongoing medication rate is published for any of the three.
Strengths
NAD+ in three formats and sermorelin in two, plus glutathione, MIC+B12, methylene blue and hormone therapy for women
Prices for each product are on the product page before any intake rather than behind a quiz
Trade-offs
Every published longevity figure is a FIRST-MONTH price, and the ongoing medication rate is published nowhere
The membership is mandatory and goes from $39 to $99 a month, so the second month costs more than the first on both charges
Publishes a headline NAD+ price but not what it buys — the number you commit to arrives inside the portal.
Headline $169/mo injection, $144/mo nasal spray, $169/mo oral — the final price is quoted only inside the portal
Strengths
Three NAD+ routes — injection, nasal spray and oral — available from one intake
Headline monthly figures are at least published, and the nasal route at $144/mo is among the cheaper here
Trade-offs
Its own Terms §11.1 require a minimum two-month commitment — early cancellation "does not release you from payment obligations and will not result in a refund or credit", so the monthly headline is not a monthly plan
Billing may run every 28 days rather than monthly, which is 13 charges a year, not 12
NAD+ by two routes, but no month-to-month plan exists — the shortest way in is a three-month prepay.
No month-to-month plan — $209/mo on a 3-month plan ($627) or $199/mo on 6 months ($1,194); a CMP blood test is required first
Strengths
NAD+ by two routes — injection and nasal spray — plus sermorelin under one intake
Prices are published dose by dose, so the cost of a titrated protocol is knowable up front
Trade-offs
There is no one-month plan at all — the shortest commitment is three months paid up front, so '$209/mo' is a prepay rate rather than a monthly price
A comprehensive metabolic panel is required before treatment and its cost is not stated as included, so the true first payment cannot be worked out from the site
A cash-pay marketplace of independent clinicians at about $47 to $69 a visit — which sells no NAD+, no peptides and no longevity line at all.
Per-appointment cash pricing, set by each independent clinician. Telehealth visits we read ran $47–$69 at the regular rate, Sesame says visits start at $34, and a paid Sesame Plus membership takes $10 off each visit. Medication is billed separately by whichever pharmacy fills it.
Strengths
Every listing shows the clinician's own cash price before you book — no membership required and no program fee wrapped around it
Clinician credentials are published individually — MD, NP or PA-C, specialty, rating and review count — which is better disclosure than most providers here manage about the person actually treating you
Trade-offs
It sells nothing this site ranks. Sesame's own typeahead search returns an empty result for NAD+, sermorelin, peptide, glutathione, B-12, longevity and BPC-157; "NAD" returns only nadolol, a beta-blocker, and doctors whose surnames begin "Nad"
Its "anti-aging treatment" category is dermatology — it resolves to an online skin consult and an in-person skin consult, and its own page header calls it anti-aging skincare. A longevity reader who clicks it lands on acne and eczema consults
A strong named clinical team on a weight-loss menu with nothing on it for longevity — and prices labeled per month that bill every 28 days.
Billed every 28 days. The compounded GLP-1 program is $199/mo with insurance or $289/mo cash-pay on a monthly plan. The advertised $99 (insured) and $169 (cash) need a 12-month plan paid up front, and insured plans can add a visit copay, typically around $30. Its Offer Terms also list a Generics plan of oral non-GLP-1s at $89 insured or $149 cash on one month.
Strengths
The named clinical bench is the strongest here: Dr. Rekha Kumar, MD MS (Senior Medical Advisor, former medical director of the American Board of Obesity Medicine), Dr. Jonathan Larson, MD MBA (Medical Director), Dr. Judith Korner, MD PhD (Columbia), Dr. Shebani Sethi, MD (Stanford) and Dr. Kyu Rhee, MD MPP — and Found itself discloses that Dr. Kumar does not interact directly with patients
The compounding standard is stated on its own product pages: "Found partners exclusively with 503A-licensed pharmacies", with the section explained rather than name-dropped
Trade-offs
Nothing on the menu is longevity medicine. Fourteen medications, every one of them for weight loss: no NAD+, no sermorelin or other peptides, no glutathione, no B-12, no hormone therapy and no diagnostics
The advertised "$99/mo" (insured) and "$169/mo" (cash) need a twelve-month plan paid up front; a monthly plan is $199 insured and $289 cash-pay, and insured visits may add a copay
The sermorelin and NAD+ pages exist and carry a price — they are also unlinked, unlisted, and printed with somebody else's copy on them.
Sermorelin "$150 first month" then "$200/mo*" — the asterisk is not resolved on that page, and where Wellorithm does publish it (the NAD+ page) it reads "Price shown applies to 500mg (2.5mL) 3-month plan paid upfront or with buy now, pay later programs. Actual price will depend on product and plan prescribed"; the four compounded GLP-1 SKUs carry no public price at all
Strengths
A sermorelin injection and an NAD+ injection are both listed "In Stock" with a figure printed on the page — the compounded GLP-1 line beside them has no public price at all
"5mL (10mg) vial and homekit included", free expedited shipping and FSA & HSA eligibility are stated on the sermorelin page rather than added later
Trade-offs
The "$200/mo*" carries an asterisk that page does not resolve; the footnote Wellorithm publishes with that same figure elsewhere conditions it on a "3-month plan paid upfront" and adds that "Actual price will depend on product and plan prescribed"
All four branded-drug pages repeat the NAD+ 500mg pricing footnote, which describes nothing on them, and the Ozempic and Zepbound pages each print $1,119 in the hero and $1,199 in the call to action
Real per-product HRT pricing — undercut by two pages that flatly contradict each other on FDA approval.
$39–$149/mo per product, published before signup — the Patch's "from $149" doesn't say whether higher doses cost more.
Strengths
Real, per-product monthly prices published on the product pages themselves — no intake required to see a number — from Progesterone Capsules at $39/mo up to the Estrogen Patch at "from $149/mo"
Doctor review of every intake plus free, unlimited messaging with a board-certified physician for dose adjustments, included in the subscription
Trade-offs
The Estrogen Patch — the highest-priced recurring product — is listed "From $149 per month"; it comes in five dose strengths and the site never states whether a higher dose costs more
Refunds are honored only inside a 24-hour ordering window; after that its own FAQ states orders "cannot be canceled, refunded, or returned"
A genuinely all-inclusive $149/month, confirmed live — undercut only by an unnamed pharmacy.
$149/mo (was $249) — confirmed all-inclusive, with no separate lab, consult, or shipping fee found anywhere on the site.
Strengths
Genuinely all-inclusive pricing, confirmed three separate times in its own FAQ: "Your monthly fee covers all medications, consultations, bloodwork, follow-ups, express shipping... No hidden fees, ever"
In-home nurse blood draws — a real concierge feature most telehealth TRT providers don't offer
Trade-offs
No pharmacy is named anywhere we could find — the compounding standard is stated on the safety page, but which facility fills your vial is not
Its own Cancellation and Refund Policy still contains the sentence "to support your medical weight loss journey" — leftover boilerplate from a GLP-1 template, on a testosterone company's legal page
One monthly price for testosterone or menopause HRT that already covers visits, labs and medication, from a telehealth brand with no NAD+ or peptide line.
$129/mo for testosterone (injection, compounded cream or compounded enclomiphene), with labs and anastrozole included; $179/mo for the FDA-approved oral capsule Kyzatrex; women's HRT $149/mo, plus $100 a month if testosterone cream is added. Visits, medication, supplies and shipping are inside the price, and there is no membership.
Strengths
One all-in monthly figure per program, published before you start: $129 for compounded testosterone or enclomiphene, $179 for the FDA-approved Kyzatrex capsule, $149 for women's HRT
Lab work is included in the testosterone price, and anastrozole is added at no extra cost when it is prescribed
Trade-offs
No NAD+, no sermorelin or other peptides, and no longevity diagnostics: the longevity-relevant line is hormone therapy only, beside weight loss and erectile dysfunction
Prescription medication is final sale once shipped, and subscription fees are generally non-refundable; a $30 consultation fee and a processing fee come out of any refund that is granted
Lab-first hormone and longevity care with NAD+, sermorelin and rapamycin on one menu and every price printed, but most plans lock you in for three months.
NAD+ nasal spray $150 a month on subscription or $187 one-time; NAD+ injections $400 per 10 weeks on subscription or $500 one-time; sermorelin $559 per 12 weeks on subscription or $699 one-time; rapamycin $83 a month, sold as $249 for three months. Testosterone is $149 a month on the shortest plan, paid $447 up front for three months; the advertised $99 is the 12-month plan, $1,188 up front. Subscriptions carry a three-month minimum.
Strengths
The broadest longevity menu among the hormone clinics we grade: NAD+, sermorelin, rapamycin, glutathione and LDN alongside testosterone, enclomiphene and HRT
Every product page prints its price before you start, with both a one-time and a subscription figure
Trade-offs
The advertised $99 a month for testosterone is the 12-month plan, paid $1,188 up front; the shortest plan is $149 a month and still a three-month, $447 commitment
Its Terms set a three-month minimum on subscriptions and require 30 days' notice before the next charge to cancel
Fertility-minded testosterone and sermorelin with a published price ladder and a stated 503A standard — on commitment plans you cannot leave early.
Testosterone injections, cream and enclomiphene are $199.99/mo month to month, $149.99/mo on a 3-month plan and $99.99/mo on a 6- or 12-month plan; oral testosterone is $249.99, $199.99 and $149.99. Sermorelin is $299.99/mo month to month, $274.99/mo on 2 months and $199.99/mo on 6 months. Doctor visits, medication and shipping are included; required labs are extra ($99 at-home kit, or $19.99–$115 at Quest). Product pages add that pricing varies by dosage and may vary by state.
Strengths
A full price ladder is published on every testosterone and peptide page, month-to-month rate included
Its help center states every partner pharmacy is a licensed 503A compounder
Trade-offs
Committed 3-, 6- and 12-month plans cannot be ended early — you owe the rest of the term
Required lab tests are billed on top: $99 per at-home kit at baseline, one month, three months and yearly
Four longevity prices printed on the homepage, month-to-month — and its own Terms say the charge may not be that price.
Flat month-to-month — NAD+ injection $275/mo, sermorelin injection $275/mo, glutathione injection $275/mo and B-12 methylcobalamin $109/mo, printed on the homepage's Longevity tab; the 3-, 6- and 12-month bundles are dearer per month than paying monthly
Strengths
Four longevity prices are printed on the homepage rather than gated behind an intake — NAD+, sermorelin and glutathione injections at $275/mo each and B-12 at $109/mo, month-to-month with no prepay term
The multi-month ladder is inverted in the buyer's favor: the three-month semaglutide bundle works out at $249/mo against $199 month-to-month, so the shortest commitment is also the cheapest rung
Trade-offs
It does not publish which states it serves. The Terms say the service is available "to individuals located in certain states" and tell you to contact customer service for the list — so you cannot check your own state before starting
The published prices are not binding by its own Terms: "the final charge to your credit card may fluctuate contingent upon the prescribed medication and the chosen pharmacy for order fulfillment"
A real, dose-independent monthly price and a fair refund policy — undercut only by an unnamed pharmacy.
$149–$169/mo (first month $99–$119) — price doesn't change by dose, confirmed in its own FAQ.
Strengths
"Pricing remains consistent regardless of dosage" — a direct, published answer to the dose-based ambiguity that undercuts other providers here (e.g. Winona's Estrogen Patch)
The ongoing monthly rate and the one-time first-month discount are labeled separately and clearly, not blended into one number
Trade-offs
No pharmacy is named anywhere we could find — prescriptions route through an unnamed "Pharmacy Network," and no page states a 503A or 503B classification for any facility in it
No mention of ongoing clinician messaging or dose-adjustment support beyond the initial intake review
An à-la-carte peptide shop — NAD+, sermorelin and PT-141 each sold per fill, not by the month, with a separate one-time consultation fee.
Per-fill, not monthly: NAD+ injectable $399, sermorelin injectable $349, PT-141 nasal spray $349 — each a one-time fill price with no subscription tier — plus a separate $55 one-time Celia Onboarding Consultation billed apart from any product
Strengths
Genuinely published, fixed per-fill prices for NAD+ ($399), sermorelin ($349) and PT-141 ($349) — no intake-gated quote, no ladder to decode
Publishes a 503A claim on its own site ("503A fulfilled") — the top rung of the providers here's pharmacy-disclosure test, even though the facility itself is not named
Trade-offs
There is no monthly rate to compare against this site's subscription providers — a reader has to do the per-fill math themselves, and refill cadence is not published
The $55 onboarding consultation is billed as a separate, one-time charge rather than bundled into the product price, so it scores zero here's consult-included test even though a review does happen
Names both of its dispensing pharmacies — and the headline price is the longest plan, not a month.
Plan-length pricing — NAD+ nasal spray "as low as $116/mo" against a $249 list price, sermorelin "as low as $125/mo" against $299; the single-month rate is never published
Strengths
Both dispensing pharmacies are named with addresses — VialsRX (Houston, TX) and Jungle Jim's / F&F Pharmacies (Fairfield, OH) — and their state licensure gaps are published alongside
24/7 unlimited messaging with the medical team is inside the subscription
Trade-offs
No single-month price is published anywhere — "as low as $116/mo" is explicitly the longest plan, and the only month-shaped figures on the page are the $249 and $299 struck-through list prices
Neither named pharmacy is described as a 503A facility, so the compounding standard is still unstated
B$79+/mo peptides; TRT price hidden behind intake ▸
Peptides are priced — but Taurus TRT, the company's own namesake product, publishes no price at all.
Peptides from $79/mo; TRT price is hidden behind an intake quiz, and the Terms add an undisclosed $17.99/mo membership fee.
Strengths
Four dispensing pharmacies named with street addresses in its own Terms of Service — RedRock Pharmacy, Health Warehouse, Precision Compounding Pharmacy and Triad Rx — more pharmacy transparency than most providers here
A free baseline testosterone test is offered before committing to a TRT plan
Trade-offs
Taurus TRT — the company's own namesake product and hero offering — publishes no price anywhere on the public site; the only way to see a number is to complete the full intake quiz
Its own Terms of Service (Section 28, "Healthcare Member Fees") disclose a separate, non-refundable "$17.99 USD per billing period" fee that never appears on the $79/mo peptide pricing cards — the real minimum cost is not the number on the page
"Starting at $95/month" is footnoted — the footnote reveals a mandatory $99/month membership that roughly doubles it.
$95–$132/mo plus a required $99/mo membership — real minimum is $194–$231/mo, not the headline figure.
Strengths
The mandatory membership fee is disclosed directly beneath the price, not buried in separate legal terms — "Price does not include Medical Membership, which is required for treatment" sits right on the pricing page
In-house CLIA-certified lab (Excel Medical Labs) and full hormone panels every 6 months — genuine, described clinical infrastructure rather than a rubber-stamp intake
Trade-offs
The advertised "$95/month" is medication only; the mandatory $99/month membership brings the real minimum to roughly $194/month — more than double the headline figure
A separate, one-time $99 consultation fee is charged before treatment begins, on top of both the medication price and the membership
Names four pharmacies and four clinicians — and advertises an NAD+ price its own catalog does not sell.
Month-to-month — NAD+ injection (200 mg/mL, 10 mL) $325/mo, sermorelin acetate (2 mg/mL, 10 mL) $300/mo and B-12 methylcobalamin (5 mg/mL) $200/mo in its own catalog; the "NAD+ Treatments Starting at $199" that runs on every marketing page matches no tier, and an $80 telehealth consult fee applies if no medication is prescribed
Strengths
Four dispensing pharmacies are named with street addresses and phone numbers on its own FAQ — Belmar Pharmacy (Scottsdale, AZ), Strive Pharmacy (Torrance, CA), Epiq Scripts (Clovis, CA) and Casa Pharma Rx (Stafford, TX)
Four clinicians are named with NPI numbers: Dr. Ana Lisa Carr, MD (1689841744), Dr. Kelly Tenbrink, MD (1346482684), Dr. HirenKimar Italia, MD (1487815387) and Dr. David Mansour, DO (1689164949)
Trade-offs
"NAD+ Treatments Starting at $199" runs on every marketing page, printed directly beneath the words "Transparent pricing" — and its own catalog holds exactly one NAD+ product, at $325. The advertised figure is purchasable at no tier
One of its own landing pages advertises prices its checkout does not sell: Ozempic at $749, hair at $99 and sexual health at $99, against $705, $180 and $120 in the catalog that /about and /faq both agree with
Three different NAD+ prices on one page, and no terms of service anywhere on the site.
Month-to-month — NAD+ injection $169/mo and NAD+ nasal spray $210/mo (product card and catalog agree); sermorelin is $135 in the catalog and $100 on the card, and the same NAD+ page also says "Just $179 to start" and calls $249/month the regular rate
Strengths
Two NAD+ routes — injection and nasal spray — plus sermorelin, month-to-month with no prepay term required
"Unlimited 24/7 Support, Included" on the NAD+ page itself: unlimited consultations, secure messaging and expert guidance from a named NAD+ team
Trade-offs
One page, three NAD+ prices: the hero says "Just $179 to start", the product card says "Starting at $169", and the FAQ on the same page says NAD+ therapy "starts regular at just $249/month". A buyer cannot tell from it what month two costs
The sermorelin card says $100 and the catalog the same page renders from says $135 — a $35 disagreement on one product
Menopause specialists and an AgeWell longevity visit, billed per visit through insurance or at $250 and $150 cash, with medication and labs priced separately.
Self-pay visits are $250 for the first 30-minute visit and $150 for each 15-minute follow-up; most PPO plans are accepted in network instead. Labs and prescriptions are billed separately, and Midi publishes no price for its HRT medication beyond testosterone cream from $100 for 90 days.
Strengths
Clinicians who specialize in perimenopause and menopause, with a named medical director and medical advisors
In network with most major PPO plans, and the cash price of each visit is published: $250 first, $150 follow-up, no membership
Trade-offs
No all-in price exists: labs and every prescription are billed separately, and Midi publishes no price for its compounded estrogen or progesterone
Each follow-up is a billed visit ($150 cash), so a plan that needs several adjustments costs more than the first visit suggests
Prices its whole longevity shelf with a term ladder, and puts the twelve-month rung on every card.
Month-to-month — NAD+ injection, nasal spray or sermorelin $229/mo, lipotropic B12 $145/mo, glutathione $125/mo (medication, supplies, shipping and provider support included)
Strengths
Every longevity product carries a published four-rung price ladder — twelve, six, three months and month-to-month — so the cost of not committing is knowable before the intake
Names the pharmacy that dispenses: F&F Pharmacies Inc, doing business as Jungle Jim's Pharmacy, 5484 Dixie Highway, Fairfield OH 45014, with a phone number on its own FAQ
Trade-offs
Every figure it advertises is the TWELVE-MONTH rung. NAD+ shows "Starting at $149/month" against a month-to-month rate of $229 — about 50% higher — and the term appears only in an asterisked footnote beneath it
Its own pages disagree about what the footnote means: the hub prints "12 months supply" under glutathione's $100 while the glutathione page sells only three-month and one-month plans, and MOTS-c is footnoted as a SIX-month price at the same $149 that buys twelve months elsewhere
A clean "from $145/mo" NAD+/sermorelin floor with no dose breakdown, and nobody named behind the prescription.
"From $145/mo" for the NAD+/sermorelin Energy & Recovery line — a published floor with no dose-level ladder shown; a separate Microdose GLP-1 + B12/NAD+ stack runs "From $179/mo" (Core and Energy & Focus variants)
Strengths
A clean, published starting price — "From $145/mo" — with no email-gated quiz required to see it
LegitScript verified, with a stated all-50-states-plus-DC footprint
Trade-offs
"From $145/mo" has no dose-level breakdown — what the actual protocol you'd be prescribed costs is not published anywhere on the site
No medical director, individual prescriber or compounding pharmacy is named anywhere — the site's only supply-chain language is the generic "US-regulated pharmacies"
Men's-only protocols with a named medical advisor and a published 503A claim — but the "From $99/mo" tier bundles NAD+ with glutathione and names no per-product price.
"Energy, Longevity & Cognition" tier (NAD+ + glutathione) from $99/month is the only figure with a stated floor; sermorelin is priced separately under "Recovery & Vitality" from $199/month, and GHK-Cu sits under "Skin, Hair & Aesthetics" at a flat $199/month — no individual per-product figure exists for NAD+ alone
Strengths
Prices an explicit "Energy, Longevity & Cognition" tier by name, from $99/month — one of the lower entry points here
Publishes a 503A compounding claim on its own FAQ, and names a Chief Medical Advisor (Dr. John Starke, MD, ABEM board-certified) — more disclosure than most providers here
Trade-offs
Explicitly men's-only — "PRESCRIPTION PROTOCOLS FOR MEN" — a poor fit for roughly half of this site's readers regardless of the product
The $99/mo floor covers NAD+ bundled with glutathione, not a standalone NAD+ price; sermorelin and GHK-Cu sit in separate, pricier tiers with their own floors, so no single figure answers "what does NAD+ alone cost"
The most complete pharmacy and clinician disclosure here, attached to an NAD+ program you cannot buy a single month of.
No month-to-month plan — NAD+ nasal spray renews at $567 billed every 12 weeks (advertised "$189/mo average") and NAD+ injection at $597 every 12 weeks ("$199/mo average"), each after a discounted first period ($79 and $89); because the cycle is 84 days rather than a calendar quarter it recurs 4.35 times a year, so the ongoing cost is nearer $205 and $216 a month
Strengths
Six dispensing pharmacies are named publicly — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills Pharmacy — with the 503A/503B distinction explained. More providers here name none than name any
Two prescribing physicians are named with their NPI numbers and a "Verify NPI in the NPPES registry" link: Dr. Ana Lisa Carr, MD (NPI 1689841744) and Dr. Kelly Tenbrink, MD (NPI 1346482684). Both check out as active in NPPES
Trade-offs
There is no month-to-month rung for NAD+ at all. The funnel renders no cadence selector, so the advertised "$189/mo average" and "$199/mo average" are a 12-week prepay divided by three rather than a price anyone is charged monthly
The cash-flow shape is the likeliest bill shock: after a $79 first payment on the nasal spray the second charge is $567 in one go, four weeks later — and $89 followed by $597 on the injection
Lab-first longevity care with a 78-marker panel and clinician visits — but the peptides and hormones it prescribes are priced only after you pay to get in.
Clarity $499 one-time (one comprehensive blood panel and a 40-minute clinician visit) or Core $125/mo or $1,499/yr (two comprehensive panels, one targeted panel, four 40-minute visits, 15% off). Peptide therapy starts with a $99 consult; any peptides or hormones prescribed are billed separately at the pharmacy's rates, and no medication price is published.
Strengths
A 78-marker blood panel and a 40-minute clinician visit to go through it come with every paid Care Plan
Care Plan and consult prices are published up front: $499 one-time, $125/mo or $1,499/yr, and $99 for a peptide consult
Trade-offs
No price is published for any peptide or hormone — medication is billed separately after you have already paid for a plan or consult
No dispensing pharmacy is named and no compounding standard is stated, though the founder also owns a compounding pharmacy
NAD+, metformin and acarbose with no membership or doctor fee — sold on "starting at" prices, in ten states, with every sale final.
NAD+ injection starting at $259/mo (shown against a struck-through $339), metformin from $55/mo, acarbose from $67/mo, telmisartan from $75/mo, glutathione injection from $149/mo and B12 injection from $75/mo. The fine print ties the comparison to 12-month plan prices, and no plan length is shown beside the figure. No membership, consult or shipping fee.
Strengths
No membership, consult or shipping fee — you are charged only if a clinician prescribes
Metformin, acarbose and telmisartan sit on the same menu as NAD+, each with a published starting price
Trade-offs
Prices are "starting at" figures tied to 12-month plan pricing, with no plan length shown before the intake
Every advertised longevity price is an intro-code rate, and the site says outright the real figure arrives after review.
1-month supplies at list — NAD+ injection $249, NAD+ tablets $199, sermorelin injection $176, sermorelin nasal spray $199; the advertised $199 / $149 / $126 figures are limited-time intro-code prices, and the final amount is set after clinical review
Strengths
A genuinely broad longevity stack — NAD+, sermorelin, LDN, methylene blue — in both injectable and oral formats under one intake
Sold as one-month supplies, so no membership or prepay term is required to start
Trade-offs
Every advertised longevity price is a limited-time intro-code rate: the real list prices are $249 (NAD+ injection) and $176 (sermorelin injection), not the $199 and $126 shown
The page states the final amount is set after clinical review, so no published figure is the one you pay
Names its pharmacy in one FAQ answer — but its own dedicated "Pricing" FAQ gives no number at all.
"Starts at" $249–$349/mo per product — its own "Pricing" FAQ names no figure, just a comparison to retail.
Strengths
Does name its pharmacy when asked directly — "Wellspring Longevity Clinic works with Rush Pharmacy," with a URL — one of the few providers here where digging into the FAQ actually surfaces a name
A real longevity menu — NAD+, sermorelin, glutathione — not just GLP-1 with a single peptide bolted on
Trade-offs
The dedicated "Pricing" FAQ answer states no number at all — only a comparison against unspecified "traditional retail prices"
Every product price is "Starts at $X" with no statement of what the range depends on or what a higher tier costs
Lists NAD+, sermorelin, GHK-Cu cream and glutathione under Peptides/Longevity — and publishes a price for none of them.
No price published anywhere for NAD+, sermorelin, GHK-Cu cream or glutathione injections under the Peptides/Longevity category — only the site's separate GLP-1 lines carry a published figure (compounded semaglutide $299/mo; a $95/mo figure that is a membership fee, not a drug cost, and is unrelated to the longevity/NAD+ line)
Strengths
A genuinely broad longevity/peptide catalog — NAD+, sermorelin, GHK-Cu cream and glutathione all listed as live products, not a single-item shop
Both LegitScript and HIPAA compliance badges are displayed
Trade-offs
No price is published anywhere for NAD+, sermorelin, GHK-Cu cream or glutathione — a reader cannot learn what any of the four costs without starting an intake, which this site's rubric scores at zero for price transparency
No medical director, individual prescriber or compounding pharmacy is named anywhere on the site
Want the marks side by side again? Back to the report card — every graded provider, its grade, price and six marks on one screen. “Optional” labs means the provider may offer or suggest testing but does not gate the basic plan on it; “Yes” means the program starts with required lab work. Confirm current terms with the provider before starting.
About our featured partner, CoreAge Rx
CoreAge's case rests on the fundamentals rather than on any claim that a peptide is a fountain of youth. It advertises starting rates — NAD+ from $93/month, sermorelin from $99/month — and lab requirements depend on your treatment. Care is reviewed by U.S.-licensed clinicians, protocols are filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with nurses and registered dietitians. Two things to know before you buy: those figures are starting rates, so confirm the plan term and all-in monthly total before paying. The $50–$100 consultation fee is non-refundable even if your prescription is declined under the refund policy.
On the science: outside of GLP-1 cardiovascular outcomes, the human lifespan evidence for these therapies is unproven, and compounded longevity protocols are not FDA-approved for anti-aging. This ranking is about provider quality, value, and experience — not a promise of a longer life. Read the full picture in our longevity-medicine evidence review before deciding.
Each provider scores out of 14 on the five factors below. Price transparency carries the most weight because hidden recurring fees, prepay terms and intro-month headlines are the most common way longevity programs end up costing far more than they first appear — and the longevity line carries the same weight, because a spotless price on a product this page does not rank is not a longevity recommendation. Required lab work is printed on every row but scores neither way: it is a trade-off, not a failing.
Price transparency
4 points
A single, all-in price you can see before you commit, that a month-to-month buyer actually pays. A headline reachable only on a 6- or 12-month prepay, an intro-code rate, or a figure superseded by 'final price after review' scores nothing. Worth double, because a price you cannot see is the most expensive thing here.
Longevity line
4 points
Does the provider actually sell what this page ranks — NAD+, peptides or sermorelin, hormone optimization, or longevity diagnostics? Full marks for a published line of the business, half for something adjacent, nothing for a weight-loss shop on a longevity ranking. Worth double, and the A band sits above what a provider with no longevity line can reach at all.
Clinical oversight
2 points
The provider visit is included in the published price rather than billed on top or left unstated — real review by a U.S.-licensed clinician, with a path to decline candidates who are not appropriate.
Pharmacy quality
2 points
Both points go to a provider that publishes a 503A claim on a surface it controls — its own site, help center or official press material — whether or not it names the facility. One point goes to a pharmacy named outright, address and all, without a stated classification. 'Partner pharmacies', 'a licensed U.S. pharmacy' and an unnamed network score zero, and so does a 503A claim made only by somebody else's review site.
Human support
2 points
Included access to nurses, dietitians, coaching or unlimited clinical messaging — not just a shipped vial — and included in the price rather than sold as an upgrade.
Fourteen points to a grade. 11–14 earns an A, 8–10 a B, 0–7 a C. Two rules set those lines, both fixed before any provider was scored: a C is half the scale or less, and the A floor sits one point above the 10 that a provider with no longevity line can reach with everything else perfect — so the top band on a longevity ranking is closed to a business that does not sell longevity medicine. No provider can be moved across a boundary after the fact. The calculation takes the provider's own published terms and nothing else. How the site is funded is on our disclosure page.
Read the evidence first
A provider ranking is only half the decision. Understand what longevity medicine can and cannot do before you start:
This page is informational and not medical advice. Longevity and anti-aging therapies are available by prescription after clinician review; most are compounded and not FDA-approved for anti-aging, and their effect on human lifespan is unproven. Talk to a licensed provider about whether any protocol is appropriate for you.
