Bioverse Reviews: NAD+, Metformin and Acarbose With No Membership

The short version

Bioverse is an online prescriber that leans further into longevity drugs than most telehealth menus: NAD+ injections from $259 a month, plus metformin from $55, acarbose from $67 and telmisartan from $75, with no membership, consult or shipping fee. You are charged only if a clinician prescribes. Three things hold it back. Every price is a "starting at" figure the fine print ties to 12-month plan pricing, with no plan length shown beside it; its FAQ says it serves only ten states; and every sale is final. FDA also sent the company a warning letter in September 2025 about its compounded weight-loss marketing. It grades B, 8 points out of 14.

What Bioverse is

Bioverse, Inc. is a New York company that says its mission is "to enhance health span and longevity" and that science-backed longevity treatments "should be available to everyone, and not only a luxury to a few"⁷. It does not see patients itself: its terms say care comes from Outlast Health, P.A. and affiliated medical groups, whose doctors and nurse practitioners review your intake and prescribe⁶. Its FAQ says you can see each clinician's credentials in your account.

The longevity shelf is the reason to look at it¹²³:

• •NAD+ injection — a 5 ml vial at 200 mg per ml, with syringes and needles
• •NAD+ face cream — a prescription topical
• •Metformin — two 500 mg extended-release tablets a day by default, adjusted by your clinician
• •Acarbose — taken with starchy meals, either daily or as needed
• •Telmisartan — a blood-pressure drug, listed under health and longevity
• •Glutathione and B12 injections

Its FAQ also answers questions about NAD+ nasal spray and NAD+ patches, though neither appears on the product menu. Beyond longevity it sells compounded semaglutide and tirzepatide, brand-name GLP-1 pens, erectile dysfunction pills, hair-loss treatment, statins and a glucose monitor.

What it actually costs

Every price is a "starting at" figure. Each product page shows a struck-through price beside a lower monthly one — NAD+ reads "Starting at $339 $259/mo" — and a footnote says the comparison is "based on 12-mo. plan prices"¹. Nothing on the page says whether $259 is what you pay on a monthly plan, a quarterly plan or a year-long one. That is why Bioverse does not earn the price-transparency score: there is no all-in figure tied to a term before you start the intake.

What the price covers. The homepage promises "No membership fees, cancellation fees, doctor fees, or hidden fees," and the FAQ says pricing covers "medical consultations, shipment, and access to provider messaging." Shipping is free⁵.

What a year looks like. If the $259 NAD+ figure is the rate you get, a year comes to about $3,108. Metformin at $55 a month is about $660 a year. Confirm the term on the checkout screen before you pay, because the starting price may not be your price.

You only pay if prescribed. The product pages say you are charged only if a provider decides treatment is right for you. Once it is prescribed, though, the refund rules below are strict.

How getting started works

1. 1.Choose a treatment and complete an online questionnaire about your health and goals.
2. 2.Verify your identity with a photo ID and a selfie, which its FAQ says is required by regulation.
3. 3.A licensed clinician reviews it. If approved, the prescription goes to a partner pharmacy.
4. 4.It ships. Its FAQ says orders usually ship within five to seven business days of approval, a window that includes compounding time⁵.

Bioverse runs entirely online. Labs are not required up front; its FAQ says that if your clinician recommends tests, it will arrange a visit to a nearby testing facility. For metformin, it says patients on doses above 2,000 mg a day complete a kidney-risk questionnaire.

The product FAQs are more detailed than most. The NAD+ answer, for example, gives the concentration of each draw (0.1 ml holds 20 mg), says to start at 0.1 ml and go no higher than 0.5 ml (100 mg) up to three times a week, and says to discard the vial 28 days after first use or 90 days after compounding, whichever comes first². It also recommends taking trimethylglycine on injection days and cautions people with active cancer against NAD+.

Where the medication comes from

Bioverse says its medications come from "US based pharmacies" and that it works with "pharmacies that have received multiple accreditations, including LegitScript." Its FAQ goes on: "To view the list of our partner pharmacies, click here" — but the link leads nowhere². No pharmacy is named anywhere else, and no compounding standard (503A or 503B) is stated. Each product page does carry the line "The FDA does not verify the safety, effectiveness, or quality of compounded drugs." A certificates-of-analysis page exists, but it holds certificates for semaglutide and tirzepatide only, not the longevity products.

Where it is available

Its FAQ says Bioverse is available in Florida, Texas, New Jersey, Michigan, Ohio, Pennsylvania, Washington, Virginia, North Carolina and Indiana — ten states⁵. If you live anywhere else, it cannot treat you.

Billing, cancellation and refunds

• •All sales are final. Its refund page says it cannot issue refunds or accept returns of prescription products, unless you believe the pharmacy made an error filling your prescription⁴.
• •Cancel 48 hours before your order is processed. Subscriptions renew automatically; its terms say you must cancel at least two days before the renewal processing date, in your account, and that cancellation takes effect at the end of the current period⁶.
• •Renewals can come early. The terms allow your first renewal to be charged early "to prevent any discontinuity in treatment," and later shipments up to two days early.
• •No refunds for partial periods, though Bioverse says it may make exceptions case by case.
• •Price changes come with notice. If a renewal charge will differ from what you authorized, for example because the medication price rose, the terms promise notice at least 30 days ahead.

The FDA warning letter

On September 9, 2025, FDA issued a warning letter to Bioverse, Inc. dba Bioverse (MARCS-CMS 716508). That is the entity name as the letter's recipient block writes it, and it is how you find the letter yourself: search that name in the [FDA's warning-letter database](https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/compliance-actions-and-activities/warning-letters)⁸. The letter concerns the company's compounded weight-loss products, not the NAD+, metformin or acarbose line this review covers. We report that it exists, who it was addressed to and when; FDA's own copy says what it alleges.

What these drugs can and cannot do

Bioverse's NAD+ page says restoring NAD+ "shows promise in increasing lifespan." That runs ahead of the evidence: NAD+ boosters raise NAD+ levels, but better energy or longer life in healthy adults has not been shown, and injected NAD+ has barely been studied. Its metformin FAQ is more careful, and correct: longevity is not an FDA-approved use, and the trial designed to test it in people has not reported. Acarbose extended lifespan in mice; in people it is a diabetes drug with gut side effects. See NAD+ for longevity, metformin for longevity, acarbose for longevity and rapamycin and metformin: the evidence.

Who it suits, and who should skip it

It suits you if you live in one of its ten states, want metformin or acarbose prescribed for longevity with no membership or visit fee, or want NAD+ injections with clear dosing instructions in writing.

Skip it, or go in carefully, if you want to see a fixed monthly price and term before you start, you want to know which pharmacy makes your medication, or you might want your money back. If you live outside its ten states, it is not an option.

How it compares

Bioverse's metformin price is low, but other providers on our provider rankings publish a clearer figure for NAD+ and name a pharmacy standard. AgelessRx is the closest match for the metformin-and-rapamycin crowd; HealthRX and RNK Health publish a monthly NAD+ price with the term attached. See our AgelessRx review, HealthRX review and RNK Health review.

The verdict, against the rubric

Our grading method scores five things out of 14: price transparency (4), a real longevity line (4), clinical oversight (2), pharmacy disclosure (2) and human support (2).

• •Price transparency: 0 of 4. Every price is a "starting at" figure tied to 12-month plan pricing, with no plan length shown before the intake.
• •Longevity line: 4 of 4. NAD+, metformin and acarbose are core longevity prescriptions.
• •Clinical oversight: 2 of 2. The clinician review is included, with no doctor fee.
• •Pharmacy disclosure: 0 of 2. No pharmacy is named and no compounding standard is stated.
• •Human support: 2 of 2. Provider messaging and dose adjustments are included.

That is 8 points out of 14, a B. Bioverse has one of the more interesting longevity menus online and no membership fee. Check that you are in one of its ten states, confirm the plan length on the checkout screen, and buy knowing you cannot get your money back.