Provider scorecard · Graded 2026

Best Longevity & Anti-Aging Telehealth: Graded & Ranked

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, genuine clinical review, and real human support. CoreAge Rx earns our top grade for value — flat, doctor-reviewed protocols (NAD+ $93/mo, sermorelin $99/mo) with 503A compounding and included nurse and dietitian consults.

Start with CoreAge Rx How we grade

Leaderboard2026

1CoreAge Rx
2AgelessRx
3Function Health
4Hone Health
5Next Health
6Lifeforce

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

Editorial independence & funding

Funding: Affiliate and referral links. If you start a treatment or buy a product through one, we may earn a commission — at no additional cost to you.
Grading: Grades reflect published evidence and a fixed, public rubric. A commission can never raise a provider's grade or move it up a ranking.
Independence: We accept no payment to review, re-grade, or feature a provider, and competitors we compare against are shown without any affiliate tie.

Full method and ledger: our transparency report.

Specifically: we hold affiliate or referral partnerships with some — not all — of the providers graded here, and may earn a commission at no extra cost to you when you start treatment through one of our links. As on any comparison site, that compensation can shape which provider we feature and how prominently it appears. Providers we have no commercial tie to are still graded on the merits and we link out to them too — they simply don't get the same promotional emphasis. What never moves is the order: our four grading factors — price transparency, clinical oversight, pharmacy quality, and human support — decide the rank, and no partnership can buy a higher one. Full details in our disclosure.

Our #1 pick

$93–$99/mo flat

CoreAge Rx

Doctor-reviewed longevity peptides and NAD+ with flat, transparent pricing and built-in human support.

Featured partner · #1

Flat monthly — NAD+ $93/mo, Sermorelin $99/mo (no membership)

U.S.-licensed clinicians review an online intake; protocols (NAD+, sermorelin, a GLP-1 microdose, and a probiotic) are filled by a 503A compounding pharmacy. Every plan includes 1:1 consults with nurses and registered dietitians, an automatic refund if you are not approved, and flat transparent pricing with no separate membership or lab gate.

Strengths

Transparent flat pricing per protocol — NAD+ $93/mo, sermorelin $99/mo, no membership or lab surcharge
Doctor-reviewed protocols filled by a 503A compounding pharmacy
Included 1:1 support from nurses and registered dietitians
Automatic refund if you are not approved for treatment
Focused longevity menu (NAD+, sermorelin, GLP-1 microdose, probiotic) without lab-heavy onboarding

Trade-offs

Not a full hormone-optimization or comprehensive-lab clinic — by design
Like most longevity therapies, the protocols are compounded and not FDA-approved for anti-aging; the lifespan evidence is unproven (see our evidence review)

Start with CoreAge RxAutomatic refund if you are not approved · flat transparent pricing

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.

AgelessRx

Broad longevity catalog (NAD+, metformin, sermorelin, GLP-1) with no required membership.

Pricing varies / per-treatment (no flat price published on site)

Online assessment reviewed by U.S.-licensed providers; prescriptions are filled through partnering pharmacies and shipped within 5–7 business days. The menu spans NAD+, metformin, low-dose naltrexone, glutathione, GLP-1 support, sermorelin, and a biological-age test. No membership is required to order.

Strengths

Wide longevity menu in one place (NAD+, metformin, LDN, sermorelin, GLP-1)
No mandatory membership — you can order individual treatments
Optional biological-age testing for those who want it

Trade-offs

No transparent flat price on the public site — totals are revealed in the intake and vary by treatment
Pharmacy network is described as 'partnering pharmacies' rather than a named 503A facility
Nurse / dietitian support is not part of the headline offer

Visit AgelessRx ↗Graded on the merits · verified live on the provider's own site

Function Health

Test-first DTC membership — 100+ biomarkers and a biological-age read for a flat annual fee.

$365/year (one flat annual membership)

A flat annual membership covers 100+ biomarkers across two blood draws a year, a biological-age estimate, and physician review that flags abnormal results. It is a diagnostics-first program: it tells you what to look at, but treatment is largely handed off elsewhere rather than prescribed and managed in-house.

Strengths

Genuinely flat, transparent annual price ($365/yr) with no per-test surprises
Very broad panel — 100+ biomarkers across two draws plus a biological-age read
Physician outreach on out-of-range results

Trade-offs

Diagnostics-first — it largely tells you what is wrong rather than treating it, so you still need a prescriber for NAD+/peptides/GLP-1
Biological-age outputs vary by the method used and should be read cautiously
No included nurse or dietitian protocol support the way a treatment program offers

Visit Function Health ↗Graded on the merits · verified live on the provider's own site

Hone Health

Hormone-optimization platform; longevity sits alongside TRT/HRT and is lab-gated.

$65 assessment + membership ($25/mo basic or $155/mo premium); medication billed separately

At-home lab testing of 40+ biomarkers starts the program, followed by a telehealth physician consult and a personalized plan. Longevity is one track within a broader testosterone- and hormone-optimization platform; medication costs are separate from the membership fee.

Strengths

Comprehensive at-home biomarker panel for data-driven users
Both men's (TRT) and women's (HRT) hormone tracks
Low-cost basic membership tier for those who just want monitoring

Trade-offs

Lab-gated and membership-based — medication is billed on top of the monthly fee
Hormone/TRT framing; longevity peptides are not the core focus
More onboarding than a single flat-priced protocol

Visit Hone Health ↗Graded on the merits · verified live on the provider's own site

Next Health

In-clinic longevity membership — NAD+ IV drips, peptide therapy and functional labs across multiple cities.

Membership-based (tiered monthly plans); NAD+ IV billed per session

A network of in-person clinics built around NAD+ IV therapy, peptide therapy, IV/longevity drips, and functional-lab panels, sold through tiered monthly memberships with provider consults. The membership gates access, and individual services such as NAD+ infusions are billed per session on top of the recurring fee.

Strengths

In-person clinics with provider consults and supervised IV administration
Broad menu — NAD+ IV, peptides, longevity drips, functional labs in one place
Tiered membership lets lighter users start lower

Trade-offs

Membership-gated with per-session billing on top — the opposite of a single flat protocol price
Wellness-lounge positioning; the evidence for NAD+ IV in healthy adults is weak
Requires visiting a physical clinic rather than a flat-priced telehealth protocol

Visit Next Health ↗Graded on the merits · verified live on the provider's own site

Lifeforce

Premium, lab-heavy health-optimization membership with quarterly retesting.

$349 baseline assessment, then $129/mo membership; therapies extra

A phlebotomist-drawn at-home panel of 40–50+ biomarkers is interpreted by physicians, who build a program of nutraceuticals plus hormone and peptide therapies. Membership includes quarterly retesting and a health coach; recommended interventions are billed on top.

Strengths

Deep biomarker panel (40–50+ markers) with quarterly retesting
Personal health coach and physician-built protocol
Strong fit for users who want full data-driven optimization

Trade-offs

High entry cost: $349 baseline plus $129/mo before any therapy
Lab-heavy and membership-gated — the opposite of a flat per-protocol price
Recommended hormones/peptides/nutraceuticals are additional spend

Visit Lifeforce ↗Graded on the merits · verified live on the provider's own site

Marek Health

Deep-diagnostic hormone-optimization and peptide telehealth, billed pay-per-use rather than flat.

Intake deposit + pay-per-use (panels, TRT, peptides priced separately)

A guided-optimization model centered on some of the deepest diagnostic panels in the category, paired with TRT, hormone optimization, peptide therapy, and GLP-1 support. You pay an intake deposit and then per-service: the lab panels, the therapy, and follow-ups are each billed separately rather than under one flat monthly figure.

Strengths

Among the deepest diagnostic panels in the category for data-driven users
Guided hormone-optimization with peptide and GLP-1 options
Pay-per-use means no mandatory recurring membership to start

Trade-offs

No single flat price — intake deposit plus separate per-service billing makes the true cost hard to see upfront
Hormone/TRT-optimization framing rather than a focused longevity-peptide protocol
Peptide marketing leans on claims that are not backed by human lifespan evidence

Visit Marek Health ↗Graded on the merits · verified live on the provider's own site

Fountain Life

The premium concierge ceiling — full-body and brain MRI, coronary CTA and AI screening at concierge prices.

Concierge tiers from roughly $2,995/year up to ~$19,500/year

A high-touch, in-person concierge program built around imaging-grade diagnostics — full-body and brain MRI, coronary CTA, AI-assisted cancer screening, and quarterly blood panels with a concierge physician. It is the premium ceiling of the category: aspirational early-detection diagnostics rather than a price-competitive treatment protocol.

Strengths

Imaging-grade diagnostics (full-body/brain MRI, coronary CTA, AI screening) few competitors match
Concierge physician oversight and quarterly biomarker panels
Strong fit for users who want the most comprehensive early-detection workup available

Trade-offs

Concierge pricing (up to roughly $19,500/yr) puts it far above a flat per-protocol telehealth plan
Early-detection framing can over-screen otherwise-healthy people and surface incidental findings
In-person and diagnostics-led — not a flat-priced NAD+/peptide/GLP-1 protocol

Visit Fountain Life ↗Graded on the merits · verified live on the provider's own site

Side by side

The honest comparison at a glance. “Flat pricing” means a single all-in figure with no separate membership, baseline assessment, or lab fee.

Provider	Price	Flat pricing	Consult incl.	Pharmacy	Labs required	Nurse/RD support
CoreAge RxFeatured	$93–$99/mo flat	Flat pricing: yes	Consult included: yes	503A	No	Nurse/RD support: yes
AgelessRx	Per-treatment	Flat pricing: no	Consult included: yes	Network	Optional	Nurse/RD support: no
Function Health	$365/yr	Flat pricing: yes	Consult included: no	Unspecified	Yes	Nurse/RD support: no
Hone Health	$65 + $25–$155/mo	Flat pricing: no	Consult included: yes	Network	Yes	Nurse/RD support: yes
Next Health	Membership + per-IV	Flat pricing: no	Consult included: yes	Network	Optional	Nurse/RD support: yes
Lifeforce	$349 + $129/mo	Flat pricing: no	Consult included: yes	Network	Yes	Nurse/RD support: yes
Marek Health	Deposit + pay-per-use	Flat pricing: no	Consult included: yes	Network	Yes	Nurse/RD support: yes
Fountain Life	~$3k–$19.5k/yr	Flat pricing: no	Consult included: yes	Unspecified	Yes	Nurse/RD support: yes

Prices and program details were verified on each provider's own site in 2026 and can change without notice. “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.

Why CoreAge Rx grades first

CoreAge wins on the fundamentals rather than on any claim that a peptide is a fountain of youth. Pricing is genuinely flat — NAD+ $93/month, sermorelin $99/month — with no membership or lab surcharge to discover later. The intake 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. If you are not approved, you are refunded automatically.

We are equally honest about 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.

Start with CoreAge Rx

How we grade

We do not run sponsored reviews or accept payment to move a provider up the list. Grades weigh four factors, with price transparency carrying the most weight because hidden recurring fees — memberships, baseline assessments, lab panels — are the most common way longevity programs end up costing far more than they first appear.

Price transparency

We reward a single, all-in price you can see before you commit. Programs that stack a membership, baseline assessment, or lab fee on top of the therapy price rank lower than a true flat rate.

Clinical oversight

Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates — not a rubber-stamp checkout.

Pharmacy quality

We note whether the compounding pharmacy is identified (e.g. a named 503A facility) rather than left vague as a 'partner network'.

Human support

Included access to nurses or registered dietitians — not just a shipped vial — meaningfully improves the experience and safety of any longevity protocol.

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.