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, 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. A provider earns the same letter whether or not we are paid by it; the calculation cannot see the difference. Order is a separate thing from the letter, and compensation can influence it — which we disclose rather than leave you to infer (disclosure). So a paid row can and does sit above a better-graded unpaid one — the letter is where you settle it. Required lab work is shown as a trade-off and scores neither way.
Grade A
11 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. Providers we have no commercial tie to are linked with plain referral attribution rather than a paid link. 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
Funding, and what it moves
Funding
Affiliate and referral links, routed through the Katalys network. Start a treatment or buy a product through one and we may earn a commission — at no additional cost to you.
Grading
The letter is computed from a provider's own published terms — the marks printed beside it — and the calculation is not given, and cannot read, whether we are paid. Ordering is a separate decision, and compensation can influence it.
What money can't move
No payment buys a kinder write-up or a better letter. Prices are the ones the provider publishes, unflattering findings stay in, and paid providers appear in every grade band we publish — including the lowest one.
We may earn a commission, at no extra cost to you, when you start treatment through a link on this page. That compensation shapes one thing and we will name it: that compensation can influence placement, and the promotional CTA sits with it. It does not touch the letter. Every provider on this page is graded, on the same rubric, from its own published terms — the calculation cannot see whether a provider pays us, which is why paid rows appear in every band here, including the bottom one. Full details in our disclosure.
Our #1 pick
$93–$99/mo (12-mo plan)
1
CoreAge Rx
Doctor-reviewed longevity peptides and NAD+ with one published per-protocol price and built-in human support.
Best-plan rate — NAD+ "starting at" $93/mo and sermorelin $99/mo are the 12-month plan price; no one-month rate is published, and the $50–$100 consultation fee is non-refundable
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 and one published per-protocol figure with no separate membership and no lab gate. The advertised $93–$99 is the longest plan's rate: the refund policy states the per-month cost falls with plan length and calls the 12-month plan its best per-month price, and no one-month figure is published. Medication is refundable before pharmacy fulfillment, but the $50–$100 provider consultation fee is not — including if your prescription is declined.
Strengths
One published figure per protocol with no membership and no lab surcharge — NAD+ from $93/mo, sermorelin from $99/mo on the 12-month plan
Doctor-reviewed protocols filled by a 503A compounding pharmacy
Included 1:1 support from nurses and registered dietitians
Refund if you are not approved — minus the $50–$100 consultation fee, which the refund policy makes non-refundable
Focused longevity menu (NAD+, sermorelin, GLP-1 microdose, probiotic) without lab-heavy onboarding
Trade-offs
The advertised $93–$99 is the 12-month plan rate — the site shows no term beside it and publishes no one-month price, so the cost of trying it for a single month cannot be worked out before signing up
The $50–$100 provider consultation fee is non-refundable even if your prescription is declined, which sits awkwardly beside the refund promise on the product pages
Not a full hormone-optimization or comprehensive-lab clinic — by design
The 503A claim appears in the help center rather than on the main site, and no dispensing facility is named — thinner pharmacy disclosure than Telos Rx, which prints both of its pharmacies' addresses
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 RxRefund if you are not approved, less the $50–$100 consult fee · $93–$99/mo is the 12-month plan rate
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
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
Visit HealthRX ↗Graded on the merits · verified live on the provider's own site
3
Enhance MD
Real month-to-month NAD+ pricing sitting behind an advertised rate only a twelve-month prepay reaches.
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
Visit Enhance MD ↗Graded on the merits · verified live on the provider's own site
4
Direct Meds
A clean all-in month-to-month price on both lines — and an NAD+ and sermorelin menu the front page never mentions.
Flat month-to-month — NAD+ injection $199/mo (500mg) or $249/mo (1000mg), compounded semaglutide $297/mo, tirzepatide $497/mo, each covering medication, clinician review, supplies and 1–2 day shipping; the advertised $147 GLP-1 and $99 NAD+ figures are first-order promos
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 $199/$249 NAD+ figures appear only on a separate funnel page
The advertised "starting at $147" GLP-1 price and the $99 NAD+ price are first-order promos; the ongoing month-to-month figures are $297 and $199
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
A telehealth practice founded by a named board-certified physician and available in all 50 states, whose longevity line covers NAD+ by injection, nasal spray and tablet plus sermorelin and glutathione. Pricing is published as one all-inclusive month-to-month figure — the consult, the medication, supplies and expedited shipping are inside it — with unlimited messaging and coaching instead of a separate membership.
Strengths
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
A named board-certified physician founder and stated availability in all 50 states
Unlimited messaging and coaching sit inside the price rather than being billed on top
Trade-offs
At $249/mo the injection sits near the best options here's month-to-month range — 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
A prescription is not guaranteed — eligibility is reviewed after checkout
Visit RxSpan MD ↗Graded on the merits · verified live on the provider's own site
6
yourEra
Publishes a month-to-month NAD+ program with no contract and states what the figure buys.
Month-to-month, no long-term contracts — NAD+ from $249/mo, microdosing protocols from $179/mo, compounded semaglutide from $99/mo, tirzepatide from $169/mo; provider evaluation, medication, supplies and ongoing check-ins included
A physician-directed compounded telehealth with a real longevity line — an NAD+ program and low-dose microdosing protocols — alongside GLP-1s. Each program is published as a monthly figure covering the provider evaluation, the personalized protocol, the medication and supplies and ongoing check-ins, with no long-term contract and self-serve pause or cancel from the patient portal.
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
A genuine longevity line (NAD+ plus microdosing protocols), not GLP-1 alone
Pricing is listed openly on the site rather than quiz-gated
Trade-offs
Every figure is a "from" floor — no dose tiers are published, so the cost of moving up cannot be known before you start
No dispensing pharmacy is named; the site says only "U.S. Licensed Pharmacies"
At $249/mo the NAD+ program sits near the best options here's month-to-month range
Compounded NAD+ and microdosed GLP-1s are not FDA-approved for anti-aging and the lifespan evidence is unproven
Visit yourEra ↗Graded on the merits · verified live on the provider's own site
7
Sprout Health
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)
A LegitScript-certified telehealth practice selling NAD+ as a single injectable program: the clinician evaluation, the injection kit and overnight delivery are covered by one monthly figure with no membership. The ongoing price is $249/mo — the $199 the site leads with is an introductory first-month rate that steps up at the first refill.
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
Low-friction start; the program is not gated behind a lab panel
Names its dispensing pharmacies — Foothills Pharmacy and Promise Pharmacy — and its clinician network, MD Integrations, with a contact address for each
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 best options here's month-to-month range, and buys fewer routes than the two rows priced above it
The two named pharmacies are disclosed in the Terms and the HIPAA notice rather than beside the medicine, and Sprout's own press release declines to say whether either compounds under 503A or 503B — it tells you to ask the pharmacy yourself
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
A CareGLP-platform telehealth operated by SynergyRx (a Delaware corporation registered at 5830 E 2nd St, Ste 7000 #2603, Casper, WY 82609), with medical services delivered by Usable Health, PC. Its Longevity tab is unusually plain: NAD+, sermorelin and glutathione injections at $275 a month each and B-12 methylcobalamin at $109, rendered in the homepage HTML rather than quoted after an intake. Four dispensing pharmacies are named with phone numbers, two prescribing physicians are named with NPI numbers, and unlimited appointments, messaging and 24/7 support are stated as included. What it will not publish is where it operates — the Terms say the service is available "to individuals located in certain states" and refer you to customer service for the list — and its own Terms warn that the final charge may differ from the published price.
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
Four dispensing pharmacies are named with phone numbers — Belmar Pharmacy, Strive Pharmacy, Epiq Scripts and Casa Pharma Rx
Two prescribing physicians are named with NPI numbers you can check yourself: Dr. Ana Lisa Carr, MD (NPI 1689841744) and Dr. Kelly Tenbrink, MD (NPI 1346482684)
"Unlimited 24/7 Support Included" — unlimited appointments, messaging and support are published as part of the plan, not billed on top
LegitScript Healthcare Merchant Certified, seal ID 44683794, and the seal resolves
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"
Its /about page advertises a "Money Back Guarantee" while the Terms say "medical consult fees are not subject to or eligible for a refund... all sales are final". Both claims are live at once
Its PT-141 product description is the sermorelin copy pasted onto the wrong molecule — it credits PT-141 with raising growth hormone, which bremelanotide (a melanocortin agonist for sexual dysfunction) does not do. We will not reproduce the sentence; treat any clinical claim on its product pages as unchecked
No dose strengths are published for NAD+ or sermorelin, so whether $275 holds as a dose rises cannot be established before paying — its sibling tenant Care Bare Rx does publish the dose ladder that Synergy strips out
Glutathione, B-12 and the skin creams are not shipped to AL, AR, AK, CT, IN, KY, LA, MI, MN, VT or WI, and in those states NAD+ is filled by secondary pharmacies where "cost may vary"
A "$100 welcome credit... no code needed" and a "2026 Promo Applied!" banner run site-wide with no published terms, and "Join 50,000+ SynergyRx patients" is unsubstantiated
Disputes go to individual arbitration in Fulton County, Georgia, with a class-action and jury waiver (30-day opt-out)
Visit Synergy Rx ↗Graded on the merits · verified live on the provider's own site
9
Strut Health
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
An asynchronous compounded telehealth whose longevity-adjacent line is sermorelin in both oral-lozenge and injectable form, alongside sublingual GLP-1 routes. A U.S.-licensed physician reviews the intake, usually within a business day, and the online MD visit, follow-up care and shipping are stated as free on the product page rather than billed on top. The published figure is an auto-refill rate you can pause, delay or cancel yourself with 48 hours' notice — a genuine month-to-month subscription, not a prepay term.
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
No membership, no baseline assessment and no lab gate stands between you and the published price
Self-serve pause, delay or cancel with 48 hours' notice — no prepay term at any point
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
Review is asynchronous, so in many states you never speak to the prescriber
Does not ship to Arkansas, and the longevity line is thin — injectable sermorelin and injectable NAD+, with no oral NAD+ route and no dose ladder published
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"
A compounded telehealth practice (operator: System Laboratories, Inc.) whose whole menu is the longevity stack rather than a weight-loss shop with a peptide bolt-on: NAD+ as an injection and as a nasal spray, sermorelin as an injection and as an oral compound, glutathione injection, MIC+B12, GHK-CU cream, and compounded GLP-1/GIP. Its product landers publish a price openly, which most providers here do not — but every figure on them is a first-month rate shown against a struck-through standing rate, so the number in large type is not the number you pay from month two. Each lander includes injection supplies, 2-day temperature-controlled shipping, ongoing support from a real care team, and 20% off a Rythm blood test.
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
"Injection supplies included", 2-day temperature-controlled shipping and "Ongoing support from a real care team" are stated inside the price on every lander
LegitScript Certified badge published on its own site
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
Nothing on the lander states whether the clinician visit is included in the published price, so the all-in first payment cannot be worked out before signing up
No dispensing or compounding pharmacy is identified, and no compounding standard is stated — the LegitScript badge is an accreditation, not a pharmacy
Visit System Labs ↗Graded on the merits · verified live on the provider's own site
11
MyDrHank
NAD+ by nasal spray or injection with the consult free and no bloodwork — priced at a twelve-month rate the site never labels as one.
"Starting at $137/month" is a 12-month prepay rate on the nasal spray — the site's own product data prices NAD+ nasal spray at $199/mo monthly ($507 quarterly, $913 for six months, $1,644 yearly) and NAD+ injection at $225/mo monthly ($574 quarterly, $1,033 for six months, $1,859 yearly), so month-to-month is $199–$225; the lander adds "Final pricing depends on the protocol and dose prescribed"
A general telehealth platform (operator: Dr. Hank, LLC, mydrhank.com, LegitScript-certified) selling six lines from one intake — Weight Loss, Longevity, Peptides & NAD+, Sexual Health, Hair Growth and Strength — rather than a longevity specialist. The line this site ranks is real and reasonably deep: NAD+ as a daily nasal spray or a weekly subcutaneous injection, glutathione in both of the same routes, and sermorelin. Onboarding is a stated three-minute questionnaire with no office visit, no insurance and no bloodwork; a U.S. board-certified clinician reviews it within 24 hours, and the NAD+ lander states "Free consultation" and "Cancel anytime" (with a banner framing the free physician consultation as "Limited time — ... with your first order"). What the site will not do is show you a monthly rate: every price it renders is the cheapest tier of a four-tier plan ladder it keeps out of view.
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 the NAD+ lander, and no bloodwork is required to begin — "no office visits, no insurance, no bloodwork required to start"
"Ongoing clinical support" is published on its own /longevity page as part of the service: "Check-ins, dose adjustments, and unlimited messaging with your care team"
LegitScript-certified, with the compounding standard stated in writing on its own site rather than left to a badge
Trade-offs
The advertised "Starting at $137/month" is the twelve-month plan's per-month rate on the cheaper route, and no page states that. Month-to-month is $199 for the nasal spray and $225 for the injection — figures that exist in the site's own product data and are rendered on no page: every price surface reduces the four-tier ladder to its lowest entry and prints it as "From $137 /mo"
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
MyDrHank's GLP-1 funnel promises in writing that "The price stays the same at every dose — no surprise price increases." No such promise is made anywhere on the NAD+ or sermorelin line; that line says the opposite, that pricing depends on the dose prescribed
The 503A claim is scoped to the weight-loss line — "Compounded semaglutide and tirzepatide are prepared by FDA-registered outsourcing or 503A pharmacies" — while the NAD+ and sermorelin disclosure says only "a state-licensed U.S. compounding pharmacy." No dispensing facility is named on either
A general telehealth platform, not a longevity specialist: NAD+ sits beside ED, hair loss and GLP-1 weight loss on the same account
Sold as "Available in select states" with no served-states list published on any consumer page; the affiliate terms exclude Kansas, Louisiana, Mississippi, New Mexico, North Dakota and West Virginia
Visit MyDrHank ↗Graded on the merits · verified live on the provider's own site
12
Telos Rx
The only provider here that names 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
A compounded telehealth practice whose live catalog is narrower than its positioning suggests — seven product pages: NAD+ nasal spray, sermorelin, PT-141 and four GLP-1 products. It names both dispensing pharmacies with street addresses, which is the most pharmacy-transparent disclosure here, but publishes no table showing what any individual plan length costs.
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, which no other row here does
24/7 unlimited messaging with the medical team is inside the subscription
Lab work is included at no extra cost rather than billed as a gate
The widest longevity peptide menu here, under a single intake, with cancel-anytime and no stated penalty
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
Jungle Jim's is unlicensed in ten states (CA, NV, NJ, NC, TX, MA, MS, NH, WV, DE) and cannot dispense sterile compounds
Most of the menu is research-grade peptides with limited human data and none of it is FDA-approved for anti-aging
Visit Telos Rx ↗Graded on the merits · verified live on the provider's own site
13
Peter MD
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)
A physician-prescribed telehealth brand (getpetermd.com, founded 2021, HQ Miami FL) built around six sub-verticals sold from one account: TRT, ED, weight loss (non-GLP-1), GLP-1, men's hair loss and NAD+. TRT is the one line with a genuine flat monthly figure — $79/month on a 12-month plan. Sermorelin and NAD+, the products this longevity ranking actually ranks on, are sold as a lump payment for an estimated multi-week supply rather than billed monthly, and tirzepatide steps up from a $149 first month to $249/month billed quarterly rather than monthly. None of the researched pages state whether a clinician visit is bundled into these prices or what standard the dispensing pharmacy operates under.
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
Sermorelin and NAD+ prices are published per supply length before signing up, so the total cost of a course is knowable in advance even though it is not billed monthly
Physician-prescribed model with a stated 2021 founding and a named Miami, FL headquarters
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
No clinician-consult inclusion is stated on the researched product pages, and neither of the two pharmacies named in the Terms is classified — no 503A or 503B standard is claimed anywhere on the site
State availability varies by treatment and is not fully disclosed on the customer-facing pages: the marketing pages name only AL/ID (tirzepatide) and AL/ID/AK/HI (semaglutide) as excluded, while the affiliate program's own disclosed list is broader — B-12 excluded in AL/AR/CA/ID/KY/LA/SC, tirzepatide excluded in AL/AR/CA/ID/MI/NC/TX, HCG excluded in AL/AR/CA/IA/ID/KY/LA/MA/SC, and semaglutide/phentermine/TRT-injectables/enclomiphene excluded in AL/ID — so restrictions vary by treatment and a reader in an affected state should confirm before signing up
Customer reviews are mixed
Visit Peter MD ↗Graded on the merits · verified live on the provider's own site
14
Care Bare Rx
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
A CareGLP-platform telehealth run under the backend organization CareBareHealth, positioned around LGBTQ+ care, with intake at intake.carebarerx.com and Stripe checkout. The longevity line is three products — NAD+ injection, sermorelin injection and B-12 methylcobalamin — sold month-to-month beside compounded and brand-name GLP-1s, hair and sexual-health lines. Its disclosure is genuinely strong for the category: four dispensing pharmacies with street addresses and phone numbers and four clinicians with NPI numbers, all on its own FAQ. Its pricing is the opposite. The figure printed on every marketing page, directly under the words "Transparent pricing", is one its own checkout does not sell, and the lander an affiliate link lands on advertises a third set of numbers again.
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)
Everything is month-to-month with no prepay term required to reach the price, and it publishes dose-by-dose figures its sibling brands strip out
The telehealth consult sits inside the medication price — the only consult charge published is $80, and it applies only if no medication is prescribed
"Ongoing Support & Delivery" with follow-up care is published as part of the program rather than billed on top
LegitScript Healthcare Merchant Certified, seal ID 46265652, and the seal resolves
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
The lander an affiliate link lands on (/home2) advertises prices its own 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
The state answer contradicts itself. The FAQ says "We provide service to all 50 states and Puerto Rico", while the catalog's own copy gives B-12 a no-ship list — AL, AR, AK, CT, IN, KY, LA, MI, MN, VT, WI — and says NAD+ in those same states "will be supplied by secondary pharmacies. Cost may vary"
On /gluca the multi-month bundles are labeled per month: "Semaglutide 3-Month Bundle From $748/mo" is a $748 three-month total, or $249/mo, and the tirzepatide bundle at "$1068/mo" is $356/mo
The Terms make medical consult fees non-refundable and state that all sales are final
Homepage testimonials are recycled from CareGLP, the white-label platform behind the brand — one praises "what I expected from CareGLP" rather than Care Bare
Mounjaro is flagged sold out in its own catalog and still advertised on the marketing pages
Belmar, one of the four pharmacies it names, carries an FDA warning letter dated March 2023 that FDA closed out on 30 October 2023 — a disclosure you only get because Care Bare names its pharmacies at all
Visit Care Bare Rx ↗Graded on the merits · verified live on the provider's own site
15
Breeze Meds
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
A CareValidate-platform telehealth (Breezemeds, LLC of Marietta, GA) that has added a longevity line since our last look: NAD+ as an injection or a nasal spray, plus sermorelin, beside compounded GLP-1s. The service itself is more generous than most rows here — unlimited consultations, secure messaging and 24/7 support are published as included, the medical consultation sits inside the monthly figure, and four dispensing pharmacies and two physicians are named. What is missing is the paperwork a buyer would want underneath that: there is no terms of service, no refund policy and no cancellation policy published anywhere on the site, and the one page that sells NAD+ carries three different prices for it.
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
The medical consultation is inside the monthly figure — its FAQ states the price includes "your medical consultation, prescription, medication, and free shipping"
Four dispensing pharmacies are named with phone numbers — Belmar, Strive, Epiq Scripts and Casa Pharma Rx — and two prescribing physicians are named with NPI numbers (Dr. Ana Lisa Carr, MD 1689841744; Dr. Kelly Tenbrink, MD 1346482684)
LegitScript Healthcare Merchant Certified, seal ID 47653984, and the seal resolves
States service in all 50 states, with no exclusion list published against it
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
There is no terms of service, no refund policy and no cancellation policy anywhere: /terms, /terms-of-service, /privacy-policy, /privacy and /refund-policy all return 404, and the privacy policy survives only as inline homepage text
The GLP-1 "bundles" cost more than paying monthly — the three-month semaglutide bundle is $748, or $249.33 a month, against $199 month-to-month
An $80 consultation fee applies if you choose a phone or video visit and then do not proceed
Its client-side configuration ships a Klaviyo private API key and a Supabase URL and anon key in plaintext to every visitor — a real hygiene problem for a service handling health intake
Its own patient counts disagree — "50,000+" on the homepage against "100,000+" on /nad-plus — and /nad-plus publishes unsourced efficacy figures ("9/10 patients report feeling 10 years younger") attributed only to customer surveys
Even the operating entity is inconsistent: the inline privacy policy says Breezemeds, LLC, "a Delaware corporation", at 134 South Avenue SE, Marietta GA 30060, while the consultation footer says Breezemeds, Inc.
Belmar, one of the four pharmacies it names, carries an FDA warning letter dated March 2023 that FDA closed out on 30 October 2023
Visit Breeze Meds ↗Graded on the merits · verified live on the provider's own site
16
WellMedr
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 every subscription renews every 21 days rather than monthly, which is about 17 charges a year rather than 12 — roughly $1,721 rather than $1,188
A cash-pay telehealth storefront operated by Wellmedr LLC, with clinical care delivered by OpenLoop Healthcare Partners, PC and its affiliated state professional corporations, and fulfillment by Mycelium Pharmacy — both named, though the pharmacy only in the privacy policy. The longevity line this ranking ranks is three compounded injectables sold on their own pages at $99 a month each: NAD+, vitamin B12 and sermorelin. Alongside it sits a much larger compounded GLP-1 business — semaglutide and tirzepatide, brand Ozempic and Zepbound, and an eight-product microdose line — which is where a click from this site actually lands. There is no published list of served states; its FAQ says only that eligibility is checked during sign-up. Prices are visible before any intake, and the consultation is stated as inside them.
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"
It names its fulfillment pharmacy, Mycelium Pharmacy, and its clinical network, OpenLoop Health, down to the state professional corporations that employ the prescribers — a chain you can follow from the brand to the entity that fills the vial
Its GLP-1 pricing page carries a specific safety notice rather than a footer disclaimer, naming thyroid C-cell tumor and medullary thyroid carcinoma risks and the symptoms to seek care for, and stating that compounded medications are not evaluated by the FDA
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
The published price is quoted per month and its own refund policy bills every 21 days: "Your subscription will automatically renew every 21 days." That is about 17 charges a year rather than 12, so $99 a month is nearer $1,721 a year than $1,188 — and its Terms name a third and fourth period, "monthly, 3-month, or 6-month cycles"
Its FAQ answers "Are these medications FDA approved?" with "Yes", while the footer of that same page says compounded medications "are not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality". The longevity pages' own disclaimer agrees with the footer, not the FAQ
The pharmacy it names is named in one place only. "Mycelium Pharmacy" appears in the privacy policy and on none of the pages a buyer reads — not the home page, the pricing page, the FAQ or any of the three longevity product pages
No 503A or 503B claim appears anywhere on the site; what it publishes is "FDA-registered compounding facilities", which is a registration fact rather than a compounding standard
Ongoing clinical support is a badge — "1:1 Medical Support" — rather than a stated inclusion. What the longevity pages say is inside the $99 is the consultation, the prescription and shipping; the "Unlimited Messaging With Licensed Clinicians" that is listed as included sits on the GLP-1 pricing page and is about that program
It publishes no list of the states it serves — its FAQ says only "We are expanding rapidly — eligibility is checked during sign-up"
Its "(4.8) Excellent! Over 100,000+ happy customers" and "TrustPilot Excellence Award" cite no published source, and its weight-loss testimonials are disclosed as "Inspired by real patient success stories in similar Telehealth programs" — that is, not its own patients
It displays a "LegitScript Certified" badge with no seal number, linking to a keyword search rather than a certificate; we could not confirm it, because the lookup answered identically for a real certified merchant and for a domain we invented
Compounded NAD+, B12 and sermorelin are not FDA-approved for anti-aging and the lifespan evidence is unproven — WellMedr's own pages say so, and it remains the most important sentence in this category
Visit WellMedr ↗Graded on the merits · verified live on the provider's own site
17
He & She MD
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)
A multi-vertical compounded telehealth with a longevity shelf beside GLP-1, hormone, performance, hair-loss and ED lines, all sharing one intake. Every longevity product is priced publicly on a four-rung plan ladder — twelve, six, three months and monthly — with the amount stated per month rather than as a charged total. There is no membership fee and no insurance requirement, and nothing is billed unless a clinician prescribes.
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
Names the clinical side too — Wasef Health, PC c/o Michael Wasef MD, with Dr. Ozita Cooper, MD as chief medical officer
Medication, supplies, shipping and provider support are stated as inside the price, with no membership fee and no charge unless a clinician prescribes
The longevity and hormone lines ship nationwide; only its GLP-1 line carries a state exclusion, and it is stated plainly
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
Its FAQ says the pharmacy it names is licensed in 44 states and cannot dispense sterile compounds — on a longevity menu sold largely as injections, that is the sentence to weigh, and a second pharmacy (Specialty Medical Drugstore LLC, GoGoMeds) is named in the same answer without saying which fills what
No compounding classification is stated anywhere — neither 503A nor 503B appears on the site
The site makes two different regulatory claims: a disclaimer says medication comes from "state-regulated pharmacies but not reviewed by the FDA", while a homepage block advertises "FDA-regulated pharmacies"
The company selling the plan never names itself and the address behind it is a PO Box, on a site that will not ship to one
NAD+ and glutathione are also sold as topical creams at the same headline price as the injections, and transdermal delivery of a large charged molecule has the least support behind it of anything on this menu
Compounded NAD+, sermorelin and MOTS-c are not FDA-approved for anti-aging and the lifespan evidence is unproven
Visit He & She MD ↗Graded on the merits · verified live on the provider's own site
18
Pallas Health
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
A cash-pay longevity telehealth service operated by Brentmoor, Inc. (Newark, DE), with clinical care delivered by Lion MD — a nationwide team of US-licensed clinicians — on the CareValidate clinical-operations platform. Pallas states plainly that it is a technology platform and does not employ medical providers. The line this site ranks is NAD+ in two routes: a daily nasal spray and a weekly subcutaneous injection. Those are the only two forms offered. It covers all 50 states and DC, asynchronously in 43 of them, with one video visit required in Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and Washington DC. The checkout is genuinely instrumented — Stripe Elements, Klarna, a promo field, a shipping-state eligibility guard, a self-serve cancellation portal and a pre-renewal email — and there is no minimum term. What there is no version of is a monthly plan: the funnel renders no cadence selector, so the advertised "/mo average" is a 12-week prepay divided by three. Pallas also runs a separate compounded GLP-1 line on its own lander at its own prices, which this site does not rank.
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 rows 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
LegitScript Healthcare Merchant Certified, seal ID 49989444, and the seal resolves
The advertised price is the checkout price — homepage FAQ, landing pages, treatment pages and the live funnel state the same figures, with no bait-and-switch at the card screen
No minimum term: cancel any time from a self-serve portal effective at the end of the current billing period, with a pre-renewal email before every charge and a full refund if a clinician declines you
All 50 states and DC, asynchronous in 43 of them, with free shipping when prescribed and FSA/HSA eligibility stated
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
12 weeks is not three months. The renewal recurs every 84 days, 4.35 times a year rather than 4, while the average is computed by dividing by 3 — so the advertised average understates the ongoing rate by about 8.7%
Only two clinicians are named site-wide. The actual prescribing network (Lion MD's affiliated professional corporations) is not published, and the footer "Provider directory" link resolves to a section naming only those two
Its own footer states that some content on the site is AI-generated with no representation or warranty as to accuracy — so its blog is not a source to take a clinical claim from
The advertised "4.8" rating has no published source, and its before/after "Verified Customer" stories carry the caveat that individuals shown in marketing may be actors or models
In the eight video-visit jurisdictions a $60 visit deposit may be retained if you neither attend nor reschedule and then abandon the intake; otherwise it is refunded in full and credited to the first order
Whether baseline or follow-up lab work is included or billed separately is not published anywhere, and there is no pre-purchase dose selector, so whether the price holds as the dose rises cannot be checked before paying
A $5 fee is deducted per refunded payment on purchases made on or after 14 July 2026 — never on clinician-declined or unfulfilled orders, which refund in full
Cash-pay only, no insurance ever, and it launched on the affiliate network on 1 July 2026, so there is no track record here yet
Visit Pallas Health ↗Graded on the merits · verified live on the provider's own site
19
Oak
Runs a real anti-aging line — NAD+, glutathione, metformin, sermorelin and tesamorelin — and publishes a price for none of it.
Pricing not published for the longevity line — NAD+, glutathione, MIC+B12, metformin, sermorelin and tesamorelin are all quoted only after the intake quiz and clinician approval. The only published figures are for GLP-1, and the site carries five different ones (hero: semaglutide from $119, tirzepatide from $185)
A telehealth platform running on the "quello" commerce stack with six live programs: GLP-1, phentermine, an Anti-Aging program (MIC+B12 injections, glutathione, NAD+ and metformin), a sermorelin/tesamorelin program, erectile dysfunction, and a compounded skincare line that includes topical NAD+ and copper peptides. Onboarding is a written questionnaire with no video visit; a licensed provider reviews it, and Oak states there is no membership fee, free shipping and free health coaching. The catalog is broader than its GLP-1 positioning suggests — this row exists because the network-wide record of Oak as an injectable-only GLP-1 shop is simply wrong. What Oak does not do is publish a price for any of the longevity products, name a pharmacy, name a clinician, or maintain a state list that resolves to a page.
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"
Ongoing support is published as free and included: "Free Health Coaching" site-wide, and a Care Team "available throughout your treatment to answer questions, adjust your dose, and support your progress"
Approval is asynchronous with no video call and no bloodwork gate, with free shipping and no long-term commitment stated
Trade-offs
No price is published for anything on the longevity line. NAD+, glutathione, MIC+B12, metformin, sermorelin and tesamorelin are quoted only after you complete the quiz and a clinician approves you, so the cost of the products this site ranks cannot be known before you commit
Five different GLP-1 prices run on one site: semaglutide from $119 and tirzepatide from $185 in the hero, $133 and $199 in the page description metadata, $167/mo in the "How Oak Compares" table, $190/mo in the same table on /weight-loss, and $119/month again in the FAQ
Four legal entities appear on a single /terms-of-use page — Oak Longevity Holdings Corp, Oak Longevity Corp, Leaf Longevity Holdings Corp. DBA Oak Longevity and Oaklovesyou LLC, the last in a second, separately dated Terms of Use appended below the first — and the homepage footer adds Flow Longevity Holdings Corp and Mito Health Holdings Corp
The state list is a circular reference to a page that does not exist: one Terms document says Oak provides its services "to 45 states of the U.S.", the second defers to a "States Where We Currently Operate" list "found in our FAQ", and /faq, /faqs, /help, /frequently-asked-questions and /states all return 404
No dispensing pharmacy and no clinician is named anywhere — no medical director, no NPI numbers — and the footer's LegitScript badge is a local image linking the checker tool with no seal ID in the markup, so there is nothing for a reader to look up
The homepage's "Women's Health" tile is wired to the Anti-Aging (NAD+/glutathione) intake, so a woman clicking Women's Health lands in the NAD+ questionnaire — and there is no women's-health questionnaire in the catalog at all, while /weight-loss and /start label Men's and Women's Health "Coming Soon"
"No subscriptions" appears in the hero while the Terms describe a "Subscription fee" that "may change from time to time" and a subscription you can cancel
Refunds are a hard no once a prescription reaches the pharmacy: the Terms say the order "can no longer be canceled and is non-refundable... even if you attempt to stop, hold, reroute, return, or cancel the shipment directly with FedEx", with AAA binding arbitration and class actions waived
Its own patient counts disagree on the same site — "10,000+ Satisfied Patients" and "Trusted by 5,000+ members" on the homepage against "Trusted by 50,000+" on /product — and an unpriced "$200 off new patient offer" and "Save up to 60% vs. retail" banner run with no published mechanics
Visit Oak ↗Graded on the merits · verified live on the provider's own site
20
Try Ageless
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
An online storefront whose longevity menu spans NAD+ by injection and flex-dose tablet, sermorelin by injection and nasal spray, low-dose naltrexone, methylene blue and MIC+B12, next to a TRT line and compounded GLP-1s. Products are sold as one-month supplies rather than a membership, and a licensed clinician reviews the questionnaire before anything ships. The problem is the number: each product page shows a struck-through list price beside an "INTRO SAVINGS" figure reachable only with a limited-time code, then states that "exact pricing depends on your prescribed dose" and "final amount is shown 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
Clinician review is included, with free shipping and a 30-day satisfaction guarantee on unopened medication
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
Both sides of the chain are named — Pharmacy Hub (15600 NW 15th Ave, Suite C, Miami, FL, with a phone number) as the dispensing pharmacy, and Wasef Health, PC under Michael Wasef, MD (NPI 1417261926, active, internal medicine) as the prescriber — but no compounding standard is stated for the pharmacy, and no state-availability list is published anywhere
Its LegitScript seal (ID 123956) does not resolve — the badge is in the footer, but the seal image returns a 403 where known-good seals returned 200 in the same check, so the certification cannot be confirmed from it
The oral GLP-1 drops and troches lack robust absorption evidence against injectables
Headline $169/mo injection, $144/mo nasal spray, $169/mo oral — the final price is quoted only inside the portal
A metabolic telehealth practice with an NAD+ line in three routes — injection, nasal spray and oral. Headline monthly figures are published, but the price you are actually charged is quoted only after you enter the portal, and the site does not state whether a provider consult is included in it. On a rubric built around a single all-in figure you can see before committing, that is the failure, not a footnote.
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 $144/mo is among the cheaper here
Trade-offs
Its own Terms §11.1 require a minimum two-month commitment — early cancellation "does not release you from payment obligations and will not result in a refund or credit", so the monthly headline is not a monthly plan
Billing may run every 28 days rather than monthly, which is 13 charges a year, not 12
§14.1/14.2 of the live Terms print the Care Membership price as an unfilled template placeholder — "$[X]" and "$[Y]" — so the published contract has no price in it
§10 and §40 state that no part of the membership fee is payment for medical services, so the consult is published as NOT included
The final price is quoted only inside the portal — the published headline is not the figure you commit to
It does not publish whether a provider consult is included, so the all-in cost cannot be known before signing up
No LegitScript badge or founding year is published on the marketing pages; the parent (Shed Holdings, LLC) and three dispensing pharmacies are named only inside the Terms, not where a buyer would look
Its 503A claim is hedged — Shed says it partners with "both 503A and 503B pharmacies" and names neither, so which standard applies to your vial is not knowable in advance
Visit Shed ↗Graded on the merits · verified live on the provider's own site
22
MadeMed
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
A LegitScript-verified compounded telehealth offering NAD+ as an injection and as a nasal spray alongside sermorelin, with prices published dose by dose. What is not on offer is a monthly plan: the shortest term is three months billed at $627 up front ($209/mo), with six months at $1,194 ($199/mo). A comprehensive metabolic panel is required before treatment and the site does not state that its cost is covered.
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
Board-certified physician review, with the visit included and free overnight shipping
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
Available in 23 states rather than nationwide, and the dispensing pharmacy is not named
Visit MadeMed ↗Graded on the merits · verified live on the provider's own site
23
Sesame Care
A cash-pay marketplace of independent clinicians from about $46 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 $46–$50 depending on state, an online skin consult $46–$50, an in-person skin consult $130 in Texas, a testosterone lab test $60 in Texas; medication is billed separately by whichever pharmacy fills it
A two-sided marketplace, not a clinic. Sesame sells appointments with independent clinicians who each set their own cash price, publishes each clinician's credentials, specialty, rating and review count, and takes no subscription for the basic route. Prescriptions written in those visits go to a pharmacy you choose and are billed there. That model is a real and useful thing — it is the cheapest published route here to a licensed clinician — but it is not longevity medicine, and this row is graded as what it is. Sesame's own search returns nothing for NAD+, sermorelin, peptides, glutathione, B-12 or longevity, and the "anti-aging" category it does have is dermatology.
Strengths
Every listing shows the clinician's own cash price before you book — no membership, no subscription 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 rows here manage about the person actually treating you
You are buying the clinician visit itself, so there is no separate consult fee and nothing recurring to cancel
Brand-name GLP-1 prescriptions are reachable through it — Wegovy (pen and pill), Zepbound, Ozempic, Mounjaro, Rybelsus and Foundayo
LegitScript Healthcare Merchant Certified, seal ID 3811519, and the seal resolves
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
The "$37" the affiliate lander leads with did not reproduce in any of ten states checked — California $49, Texas $46, New York $49, Florida $47, Illinois $47, Georgia $49, Arizona $46, Wyoming $50, Montana $47, Alaska $50. The floor is $46, and the lander does not qualify the figure
It dispenses nothing, so the visit price is the start of the bill rather than all of it: the medication is billed separately by whichever pharmacy fills the prescription
There is no single state list, because availability follows each clinician's own licensure — coverage has to be checked listing by listing
Testosterone here is a visit and a lab test, not a treatment line: the "low testosterone" group resolves only to a telehealth visit, an in-person visit and a testosterone lab test, and its 30-medication browse list contains no testosterone at all
Prices and availability vary by clinician, so the figure you saw yesterday is not necessarily the figure on the listing today
Visit Sesame Care ↗Graded on the merits · verified live on the provider's own site
24
Found Health
The strongest named clinical bench in this batch, on a weight-loss menu with nothing on it for longevity — and binding terms that disagree with its own pricing page.
Billed every 4 weeks — the Generics plan (oral non-GLP-1s) is $89/mo with insurance and $149/mo cash-pay month-to-month; the compounded GLP-1 plan is $199/mo insured and $299/mo cash. The advertised "$49" needs both a 12-month commitment and commercial insurance, and Found's binding Offer Terms disagree with its own pricing page on three of four GLP-1 cells
A weight-loss membership, and only that. Found Health, Inc. sells fourteen medications — compounded semaglutide, tirzepatide and liraglutide, brand Wegovy, Ozempic, Zepbound, Mounjaro, Saxenda, Victoza and Trulicity, oral Foundayo (orforglipron) and Rybelsus, and the oral non-GLP-1s Contrave, metformin, topiramate and zonisamide. There is no NAD+, no sermorelin or any other peptide, no glutathione, no B-12, no hormone line and no diagnostics; the only adjacent assets are free calculators and blog posts. Within that scope it is a serious operation: it names a clinical bench no other row here matches, states its compounding standard on its own product pages, accepts insurance in 41 states, and puts clinician access inside the plan price. It is graded here strictly as a GLP-1 path.
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
Clinician care is inside the plan price — "Every plan includes full access to our licensed medical team, personalized care plans" covering medical, lifestyle and behavioral guidance from licensed clinicians
Insurance is genuinely accepted, across 41 states, which almost nothing else here does
Fourteen medications on one intake, including brand-name GLP-1s and four oral non-GLP-1 options for people who cannot take or afford an injectable
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 binding Offer Terms disagree with the marketing pricing page on three of four compounded-GLP-1 cells: /plans-and-pricing advertises $99/$169 on twelve months and $199/$289 monthly, while the Offer Terms say $149/$199 and $199/$299
The advertised "$49/mo" needs both a twelve-month commitment and commercial insurance; the standing month-to-month rate is $89 insured and $149 cash-pay
The real price table is published as an image inside the Offer Terms rather than as text on the pricing page, so it is neither searchable nor selectable
Billing runs every 4 weeks — 13 cycles a year rather than 12 — and the "12 month" term is defined as 48 weeks, about eleven calendar months of coverage
Its own state coverage contradicts itself on one page: New Mexico renders an "available plans" panel while being absent from the 41-state selector, and California is in the accepted list yet its panel reads "No plans available for this state"
The dispensing pharmacy is not named — the 503A standard is stated, the facility is not
Membership is refundable only within three days or before the first consult; medications and lab kits are non-refundable once shipped, renewals are non-refundable, and cancellation needs 48 hours' notice before renewal
Visit Found Health ↗Graded on the merits · verified live on the provider's own site
25
Gala Health
"$179/mo, no hidden fees" is a twelve-month subscription rate; no month-to-month price is published at all.
No month-to-month price published — the advertised $179/mo is calculated on a yearly subscription plan, and the cheapest plan the site actually quotes is $199/mo on a 3-month term; the microdosing "longevity protocol" is $149/mo on the same yearly basis; brand Ozempic $1,299/mo
A GLP-1 telehealth operator licensed in all 50 states, selling compounded tirzepatide, a low-dose "longevity protocol" microdosing tier, brand Ozempic and an adjacent HRT/menopause line. Medical care is delivered by affiliated practices including OpenLoop-affiliated groups. The homepage leads with "$179/mo all doses, no hidden fees" — and its own asterisk says that figure is "calculated based on a yearly subscription plan", while the FAQ quotes $199/mo on a three-month plan as the entry point.
Strengths
Licensed providers in all 50 states with a free online assessment and no insurance required
Dose increases are explicitly at no additional cost, so titration does not reprice the plan
A low-dose microdosing tier is offered and framed as a longevity protocol rather than weight loss alone
Trade-offs
The headline $179/mo is a twelve-month subscription rate, not a monthly price — the site's own footnote says so and the FAQ's cheapest quote is $199/mo on a three-month plan
No month-to-month figure is published anywhere, so the cost of a single month cannot be worked out from the site
"No hidden fees" sits directly above the footnote that redefines the price — the two claims are on the same screen
No pharmacy is named beyond "a wide network across all 50 states", and no support is published as included
No NAD+, no peptide and no diagnostic line at all — the "longevity protocol" is a microdosed GLP-1, and the hormone menu is menopause symptom care rather than longevity medicine
Visit Gala Health ↗Graded on the merits · verified live on the provider's own site
26
Wellorithm
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
A facilitator-model telehealth: its own Terms state that "Wellorithm acts as a facilitator, connecting users with licensed healthcare professionals through its Professional Entities. The company itself does not diagnose, treat, or practice medicine", with asynchronous provider review after an online evaluation. Its longevity line is a sermorelin injection ("5mL (10mg) vial and homekit included", free expedited shipping, FSA & HSA eligible) and an NAD+ injection; there is no oral, sublingual or nasal sermorelin route. Alongside it sits compounded semaglutide and tirzepatide in injection and oral dissolving tablets, whose pricing is gated behind the site's quiz, plus four branded pens sold at Ozempic $1,119/mo, Wegovy $899/mo, Mounjaro $1,399/mo and Zepbound $1,119/mo.
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
Its Terms bill "every 28 days, and payments are non-refundable once processed" — thirteen charges a year, not twelve, and no refund once one clears
The homepage says "Serving All 50 States" while other pages say 49, excluding Louisiana — the site contradicts itself on where it can treat you
The sermorelin and NAD+ pages are not linked from the site's own navigation and are absent from its sitemap, so the only longevity line here is one a reader cannot find by browsing
The compounding pharmacy is never named — "Compounded in the U.S.A" is the whole disclosure — and the company's own Terms say it does not practice medicine
Visit Wellorithm ↗Graded on the merits · verified live on the provider's own site
27
Winona
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.
A free five-minute quiz screens for eligibility with no blood or saliva hormone testing required — the site cites Menopause Society/ACOG guidance that hormone levels fluctuate too much for testing to be a reliable prescribing signal. A board-certified physician reviews the intake and prescribes from eight bioidentical hormone products (patch, cream, capsule, tablet — estrogen, progesterone, DHEA) plus four non-hormone add-ons (a sleep aid, an arousal cream, a face cream and a hair serum), each carrying its own published monthly price, filled by pharmacies Winona says it owns and operates. Subscriptions auto-bill every 28 days for a 30-day supply (84 days for a 90-day supply); you can pause or cancel going forward, but the refund window is same-day only.
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
Publishes a 503A pharmacy classification on its own dedicated page, and says it owns the compounding pharmacies rather than outsourcing to an unnamed network
No blood or saliva hormone testing required to start, consistent with the Menopause Society/ACOG guidance it cites
Genuine hormone-therapy business — HRT is the entire catalog, not a bolt-on to a GLP-1 shop
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"
Its /pharmacy page states plainly that Winona's HRT "is not regulated by the FDA for approval" — yet the Estrogen Patch's own product FAQ answers "Is the Estrogen Patch FDA approved? Yes, Winona's Estrogen Patch is approved by the FDA", a direct contradiction between two of the site's own pages
No insurance billing — HSA/FSA reimbursement only, and you file the claim yourself
Available in 36 states plus Puerto Rico — narrower coverage than an all-50-states competitor
Visit Winona ↗Graded on the merits · verified live on the provider's own site
28
Feel30
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.
A concierge telehealth TRT practice (F3 Health Inc.) built around in-home nurse blood draws — a nurse visits for a 15-minute draw rather than requiring a lab visit — same-day physician video consults, and 3-5 day medication delivery. Testosterone cypionate injection is the core offering, alongside enclomiphene and a "coming soon" sermorelin line. The site repeatedly and specifically confirms the $149/month price bundles medication, consultations, bloodwork and shipping with no separate charges, which our own live check corroborates against three separate FAQ answers. The gap is pharmacy disclosure: prescriptions ship from unnamed "pharmacies," with no facility named and no 503A/503B classification stated anywhere we could find.
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
Same-day physician video consults, explicitly free and included in the single price
No long-term contract; cancel anytime with 72 hours' notice before the next billing date
Refund available if a provider determines you're not eligible, or if you cancel before medication is ordered
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
State coverage is vague: "We currently serve patients in many U.S. states" with no specific list published, unlike several other rows here
No refund once medication has been ordered — standard for compounded prescriptions, but worth knowing before you commit
Visit Feel30 ↗Graded on the merits · verified live on the provider's own site
29
AgelessRx
Rapamycin now publishes a real monthly price ($65, billed monthly) — but metformin is still quarterly-only and NAD+'s '$79/mo' is still an intro rate.
Rapamycin $65/mo (billed monthly, confirmed live) — metformin and NAD+ still carry quarterly/intro-rate qualifiers.
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
Rapamycin, the flagship, now publishes a real "$65/month, billed monthly" price — resolved a gap that used to cost this row its grade
Optional biological-age testing for those who want it
Trade-offs
Metformin is still quarterly-only — $25/mo billed as $75 every three months, no monthly option
NAD+ injection's "From $79/mo" is still a 3-month-plan introductory rate, though the post-intro rate ($149/mo) is now disclosed where it wasn't before
Nurse / dietitian support is not part of the headline offer
Visit AgelessRx ↗Graded on the merits · verified live on the provider's own site
30
Marek Health
Deep-diagnostic hormone-optimization and peptide telehealth, billed pay-per-use rather than flat.
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
31
Revel Health
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.
A telehealth platform (Revel Health Inc.) selling compounded GLP-1s alongside a genuine longevity line — NAD+ and sermorelin injections. Its own FAQ states plainly: "Pricing remains consistent regardless of dosage," removing the dose-based ambiguity that undercuts several other rows here. A licensed provider reviews every intake; if declined, "you'll be notified and receive a full refund" with any subscription canceled outright. Its Terms of Service spell out a genuinely tiered refund policy — full refund if not approved, refund if canceled before pharmacy submission, no refund once an order enters fulfillment — which is more structured than most providers here bother to publish. The gap is pharmacy disclosure: prescriptions are filled through an unnamed "Pharmacy Network," with no facility named and no 503A/503B classification stated anywhere we could find.
Strengths
"Pricing remains consistent regardless of dosage" — a direct, published answer to the dose-based ambiguity that undercuts other rows 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
A genuinely tiered, published refund policy: full refund if not approved, refund if canceled before pharmacy submission, no refund only after fulfillment begins
Real NAD+ and sermorelin injections alongside GLP-1s — a genuine longevity line, not a single peptide bolted onto a weight-loss shop
Serves 45 states (all but AK, AR, NC, NJ and MS), published outright on its own FAQ
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
The "From $X/mo" framing still carries a qualifier, even though the FAQ resolves it — a reader who never opens the FAQ sees only "From," the same word that hides a real gap on other rows
Trustpilot-style review carousel on the homepage is dated April–June 2026, all five-star — no visible negative reviews on the site itself
Visit Revel Health ↗Graded on the merits · verified live on the provider's own site
32
CeliaRx
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
CeliaRx sells peptides à la carte across eight categories — Longevity, Immunity, Weight & Metabolism, Skin & Hair, Gut Health, Brain Health, Performance & Recovery, Libido — rather than a monthly plan. NAD+, sermorelin and PT-141 each carry a fixed, published per-fill price with no ladder and no gate; a separate $55 one-time consultation is billed apart from the product. Prescribing is routed through a named third-party telemedicine group, Qualiphy, rather than CeliaRx's own clinical staff. The pharmacy is described as "a long-established, full-service pharmacy operating since 1991" and the site states its products are "503A fulfilled" — a claim published on a surface CeliaRx controls, though the facility itself is not named. A LegitScript badge is displayed, and the pharmacy is described as licensed to serve patients in all 49 U.S. states, with specific exclusions confirmed only at intake.
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
LegitScript badge displayed, and a buyer who wants only one product is never forced into a recurring plan to get it
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
Prescribing runs through a named third-party telemedicine group, Qualiphy, rather than CeliaRx's own clinical staff — a materially different trust model than a provider naming its own prescribers
Visit CeliaRx ↗Graded on the merits · verified live on the provider's own site
33
Lifeforce
Premium, lab-heavy health-optimization membership with quarterly retesting.
$199 baseline assessment (was $349), then $149/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
Publishes its dispensing pharmacies by name and address — Tailor Made Compounding, GoGoMeds and Precision Pharmacy — which only Telos Rx also does
Strong fit for users who want full data-driven optimization
Trade-offs
High entry cost: $199 baseline (was $349) plus $149/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
34
Taurus Meds
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.
A telehealth men's-health platform (clinical staffing via OpenLoop Health, Inc.) selling two distinct lines: Taurus TRT, its hero product ("2-5x your testosterone"), and a peptide menu of NAD+, sermorelin and glutathione. A free baseline testosterone test is offered before starting TRT, and the homepage says clinicians "work directly with you for optimal results by adjusting dosages." The peptide line shows real pre-signup pricing; the TRT line, which the company is named after, does not — every path to a TRT price runs through a multi-step intake quiz. Its own Terms of Service disclose a recurring, non-refundable $17.99 "healthcare member fee" per billing period, layered on top of whatever the product itself costs, and state plainly that "all sales on shipped medications are final and no refund will be issued."
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
Peptide pricing (NAD+, sermorelin, glutathione) is visible pre-signup at $79/month, not gated behind an intake
Clinicians are described as working directly with patients to adjust dosage, not a one-and-done prescription
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
"All sales on shipped medications are final and no refund will be issued" — the strictest refund policy of any row here
No dispensing pharmacy is classified as 503A or 503B anywhere we could find — four are named, but none is classified
No state-availability list appears on any page we could access
Visit Taurus Meds ↗Graded on the merits · verified live on the provider's own site
35
Male Excel
"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.
A Charlotte, NC men's-health telehealth practice (Male Excel Inc. dba Excel Medical) built around testosterone and thyroid optimization, with an in-house CLIA-certified lab (Excel Medical Labs) and named clinical leadership (Peter Fotinos, MD; Lorna A. Brudie, DO). Treatment starts with an at-home hormone test, a 60-day follow-up cadence, and a required $99/month "Medical Membership" that bundles unlimited messaging and e-visits — but is billed separately from, not included in, the medication price the site advertises. NAD+ and DHEA are offered "layered in based on symptoms and labs," alongside the core TRT/thyroid line. The Excel Advantage Guarantee refunds membership fees — not medication cost — if symptoms haven't improved after 90 days on protocol.
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
The $99/month membership genuinely bundles real support: unlimited messaging, unlimited e-visits, and continuity with one named provider rather than a rotating pool
"No Contract, Cancel Anytime" on every TRT format
A 90-day results guarantee refunds membership fees if symptoms don't improve
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
No provider visit is included in the medication price — it's billed on top via the required membership, which the rubric scores as not included
Two dispensing pharmacies are named with addresses and phone numbers on the FAQ, but neither is classified — no 503A or 503B standard is stated anywhere on the site
Its own pricing page disclaims the figures beside them: "Price may vary depending on your particular biochemistry and provider recommendation", and the quoted price excludes the required Medical Membership
Medication is billed bi-monthly (every other month) for a 60-day supply — the "$95/month" figure is a per-month average of a charge you don't actually see monthly
Visit Male Excel ↗Graded on the merits · verified live on the provider's own site
36
Function Health
Test-first DTC membership — 100+ biomarkers and a biological-age read for a flat annual fee.
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
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
38
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
39
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
40
Nolu
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)
Nolu is a general-wellness telehealth brand selling an Energy & Recovery line of NAD+ and compounded sermorelin vials from a published "From $145/mo" floor, plus a separate Microdose GLP-1 + B12/NAD+ stack from $179/mo. Neither figure is broken out by dose or plan length, so what a specific protocol actually costs beyond the floor is not published. The site references "licensed US providers" and "US-regulated pharmacies" generically; no medical director, individual prescriber or compounding pharmacy is named anywhere on the site. LegitScript verified. Stated to serve all 50 states plus DC, "subject to change."
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
A second, cheaper stack (Microdose GLP-1 + B12/NAD+, from $179/mo) exists for a reader who wants NAD+ alongside a GLP-1 microdose rather than as a standalone line
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"
General-wellness branding throughout; nothing on the site frames NAD+ or sermorelin as a dedicated longevity specialty the way CoreAge or HealthRX do
Visit Nolu ↗Graded on the merits · verified live on the provider's own site
41
EdgeRx
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
EdgeRx is explicitly positioned as "PRESCRIPTION PROTOCOLS FOR MEN" — a men's-only telehealth brand. Its longevity-relevant catalog splits across three of its five priced tiers: "Energy, Longevity & Cognition" bundles NAD+ and glutathione protocols from $99/month, "Recovery & Vitality" prices sermorelin from $199/month, and "Skin, Hair & Aesthetics" prices GHK-Cu at a flat $199/month — no tier publishes a price for a single product in isolation. Its own FAQ states a board-certified US physician reviews each history and prescribes if appropriate, and separately states: "All are compounded by a 503A pharmacy... with one exception: MICC is prepared by an FDA-registered 503B outsourcing facility" — a claim published on a page EdgeRx controls, though (per our own light re-check) the pharmacy is not named on that page. Named Chief Medical Advisor Dr. John Starke, MD (ABEM board-certified) does not personally prescribe. States served: 46, excluding Arkansas, Indiana, Minnesota and South Carolina — confirmed on its own FAQ.
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 unmonetized rows here
The physician-review step is described as part of getting any prescription, with no separate consultation charge disclosed the way CeliaRx bills one
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"
Dr. Starke is a named medical figurehead who does not personally prescribe — the actual prescribing pool is unnamed board-certified physicians — and four states are excluded outright (Arkansas, Indiana, Minnesota, South Carolina)
Visit EdgeRx ↗Graded on the merits · verified live on the provider's own site
42
Wellspring Longevity Clinic
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.
A California-based telehealth clinic selling NAD+, sermorelin and glutathione alongside GLP-1 and GLP-1/GIP therapy marketed under euphemistic "Personalized GLP-1" branding rather than naming semaglutide or tirzepatide directly. Every product page carries the identical disclosure: "Medication is compounded and dispensed by a licensed third-party pharmacy. Wellspring Longevity Clinic is not a state-licensed pharmacy nor a drug manufacturer" — vague on every treatment page, though its FAQ does name a specific pharmacy when asked directly. Orders "begin processing immediately after they are placed," and cannot be changed, canceled, or returned once submitted — no window at all, stricter than most providers here.
Strengths
Does name its pharmacy when asked directly — "Wellspring Longevity Clinic works with Rush Pharmacy," with a URL — one of the few rows 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
"Many treatment plans include a free consultation," per its own Pricing FAQ, though the hedge ("many," not "all") means a reader can't be sure their own plan is included
Clear billing cadence stated on every product page: a 30-day supply, shipped every 30 days
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
GLP-1 and GLP-1/GIP are marketed only as "Personalized GLP-1" — the treatment page we checked never names semaglutide or tirzepatide directly
Orders begin processing immediately on submission and "we are unable to change or cancel them once submitted" — no cancellation window of any kind, and medications cannot be returned
The pharmacy is named only in a FAQ answer, not on the product pages themselves, which carry only generic "a licensed third-party pharmacy" language
No 503A or 503B classification stated for Rush Pharmacy anywhere we could find
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)
FORM by GBY lists NAD+ Therapies, Sermorelin Injections, GHK-Cu Cream and Glutathione Injections under its Peptides/Longevity category — a genuine, live product line, not an inference from the brand name. What it does not do, anywhere we could find, is publish a price for any of the four: no floor, no ladder, no "from" figure. The site's only published prices belong to its unrelated GLP-1 lines. LegitScript and HIPAA badges are both displayed. No medical director, individual prescriber or compounding pharmacy is named. Stated to serve 48 states plus DC, excluding Alaska and Mississippi.
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
Stated availability across 48 states plus DC
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
The site's only published prices belong to its unrelated GLP-1 line, which does nothing to answer what its longevity products cost
Visit FORM (by GBY) ↗Graded on the merits · verified live on the provider's own 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.
Why CoreAge Rx grades first
CoreAge wins on the fundamentals rather than on any claim that a peptide is a fountain of youth. It publishes one figure per protocol — NAD+ from $93/month, sermorelin from $99/month — with no membership and no 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. Two things to know before you buy, and we hold every other row to the same test: those figures are the 12-month plan rate — no one-month price is published — and the $50–$100 consultation fee is non-refundable even if your prescription is declined.
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.
We do not run sponsored reviews or accept payment to change a grade. 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; it is not given, and cannot read, whether we hold a commercial relationship with the provider. Partners are still listed first on this page — that is a placement we disclose, and it is the only thing our funding moves.
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.