bmiMD Reviews: Every Price Is Published, and the Big Ones Are Prepaid

The short version

bmiMD is a compounded telehealth service with a real anti-aging menu: NAD+ as an injection or a nasal spray, sermorelin as an injection, a nasal spray or a tablet, and glutathione. It does something most providers we grade do not: every price, at every plan length, is printed on the product page before you start an intake, with the total charge beside it. The catch is which price it puts in large type. The $119 a month it advertises for NAD+ is the twelve-month prepay, and the $99 for sermorelin is the six-month prepay. Month to month, NAD+ is $159 and sermorelin injection is $139.

On our rubric it earns Grade A, 12 out of 14 — 12 points out of 14. It loses its only points on the pharmacy: bmiMD never names the pharmacy that fills your prescription and never says what kind of compounding pharmacy it is. bmiMD is a partner here.

What it is, and who it's for

bmiMD is the trading name of Medccm Inc. It describes itself as a managed services organization: it runs the website, billing and support, while prescriptions are written by clinicians from affiliated medical groups and filled by pharmacies in its network. In its own words, "bmiMD is not a pharmacy and does not produce medications."

The company started as a weight-loss service, and that still shows — the homepage leads with GLP-1 results and a weight calculator, and most help-center articles are about semaglutide and tirzepatide. But the anti-aging line has its own section in the main menu, and every product in it has its own page, dose information and price ladder:

• •NAD+ injection — taken "1-3 times per week," depending on your plan
• •NAD+ nasal spray — the needle-free version, priced the same as the injection
• •Sermorelin injection, nasal spray and tablets — three ways to take the same peptide
• •Glutathione injection — a 5 mL vial, 10 mg in total
• •Metformin ER tablets from "$37/month," and MIC+B12 injections

It suits a buyer who already knows they want NAD+ or sermorelin, wants to see the real price before handing over a medical history, and is comfortable doing everything online. It suits a buyer who wants bloodwork attached to the protocol much less well: no lab panel is listed among what the anti-aging plans include. See longevity biomarker panels for what a monitored program looks like.

What it actually costs

The pricing block opens on the three-month tab. On every NAD+ and sermorelin page, the first plan you see is the three-month one, with a "Get Started - 3 Month Plan" button. The month-to-month price is one click away under "1 Month," and it is the number to budget from if you have not tried the medication before.

Every rung is real, and the totals add up. NAD+ injection is $159 for one month, $447 for three months, $774 for six and $1,428 for twelve. Divide each total by its months and you get $159, $149, $129 and $119. Sermorelin injection is $139 for one month, $357 for three and $594 for six, with no twelve-month option. Glutathione follows the NAD+ ladder exactly, and the sermorelin nasal spray matches it for one, three and six months. The sermorelin tablets are the exception: they are sold only on three-month ($327) and six-month ($534) plans, so there is no single-month way to try them.

The advertised figures are the longest terms. The homepage cards read "Starting as low as $198.90/mo $119/mo" for NAD+ and "$149.40/mo $99/mo" for sermorelin injection. Neither says that $119 means paying $1,428 up front for a year, or that $99 means paying $594 for six months. The crossed-out figures, $198.90 and $149.40, sit under a standing "LIMITED TIME" label with no end date and no explanation of where they come from. Treat them as decoration, not as a discount.

What the price includes. Every NAD+ and sermorelin plan includes the telehealth visit, "Unlimited Provider Messaging," "Ongoing 24/7 Support," free shipping and refills. There is no separate membership fee and no consultation fee: "online consultations with your doctor are included in your monthly subscription so you can change your dose as needed without paying a penny more." That is a genuinely clean structure. What you see on the plan card is the whole charge.

How billing works. Every plan is a subscription that renews at the end of its term. A three-month plan bills $447 every three months, and a twelve-month plan bills $1,428 every year, until you cancel. bmiMD's terms say your card "will be automatically charged at regular intervals as described for that product during the checkout process."

Signing up, refunds and canceling

Ordering comes first: you choose a plan, bmiMD places an authorization hold on your card, and then you complete the medical intake. If the clinician decides you are not eligible, the hold is released and you are not charged. bmiMD calls this a "100% Risk-Free Guarantee," and on the eligibility question it is.

After approval, the terms are much stricter, and you should read them before choosing a long plan:

• •Once the pharmacy has your prescription, there are no refunds. "We cannot issue refunds or accept returns of prescription products and do not offer refunds for partially used subscription periods. All sales are final."
• •Canceling after your intake goes in costs $50. "If you cancel your program once your intake form is sent, a non-refundable $50 cancellation fee will apply."
• •Canceling a subscription stops the next renewal, not the current one. You can cancel or pause from your account "except if you have already been charged for another month of the current program."
• •Report a delivery problem within 24 hours of receiving your medication.
• •Disputes go to individual arbitration. bmiMD's terms explain how to opt out by mail.

Put together, this is why the plan length matters more than the monthly figure. On a twelve-month NAD+ plan, you pay $1,428 on day one and get nothing back if NAD+ does not suit you in week three. On the one-month plan, the most you have at stake is $159. Paying $40 more a month to keep that exit open is reasonable for a first try.

Who prescribes, and who fills it

The clinical side is handled by affiliated medical groups. bmiMD says "board-certified physicians" run usually same-day consults, and that you can message your clinician any time. It does not name a medical director, a prescribing clinician or the medical group.

The pharmacy is where bmiMD falls short. Every product page says your medication comes from "a state licensed pharmacy in our network," and the compliance section adds: "bmiMD collaborates exclusively with licensed sterile compounding pharmacies throughout the United States." No pharmacy is named, and there is no statement of whether those pharmacies work under the 503A rules for patient-specific compounding or the 503B rules for outsourcing facilities. Our rubric gives points for either naming the pharmacy or publishing a 503A standard, and bmiMD does neither.

bmiMD does describe quality testing, and in useful detail: potency "Confirmed every 3–6 months to stay within ± 10 % of the target strength," sterility screened "to meet USP 797 standards," endotoxins checked "to USP 85 limits," and a pH test. It names no testing lab and shows no test dates, so treat the panel as a description of the process, not as results you can check. All of these drugs are compounded, and none is FDA-approved; FDA does not review compounded drugs for safety, effectiveness or quality before they are sold¹. bmiMD says the same: "The FDA does not review or approve any compounded medications for safety or effectiveness."

Where you can get it

The NAD+ injection, NAD+ nasal spray, sermorelin injection, sermorelin nasal spray and glutathione pages each say "Available in All 50 States." The sermorelin tablets page says "Available in 49 States" and excludes South Carolina. Delivery from approval is usually three to five business days.

What the medicine can and can't do

bmiMD's product copy is softer than many in this category. It says NAD+ "may help support" healthy aging and that results vary. Its FAQ goes further, saying the injections "help boost cellular energy, improve cognitive function, and support healthy aging". That is a stronger claim than the evidence in people supports, especially for injected NAD+. The NAD+ page also carries ten first-name member quotes about energy and focus, which are testimonials, not evidence. Read NAD+ for longevity and NAD+ injections vs IV vs oral before deciding a route, and peptides for longevity for what sermorelin does and does not do.

Where it's weak, and who should skip it

• •Skip the long plans until you know the medication suits you. The numbers that make bmiMD look cheap only exist if you prepay six or twelve months, and those months are not refundable.
• •Skip it if you want to know your pharmacy. bmiMD names none and states no compounding standard.
• •Budget the $50. If you change your mind after submitting your intake, the cancellation fee applies.
• •Ignore the crossed-out prices. They are labeled "limited time" all the time.
• •Look elsewhere if you want labs. No lab panel is listed among what the anti-aging plans include.

The verdict, against the rubric

Our rubric scores five things, out of 14: price transparency (4), a genuine longevity line (4), clinical oversight (2), pharmacy disclosure (2) and human support (2). bmiMD takes all four for price transparency, because every plan has one all-in figure, published before intake, that bmiMD stands behind. It takes all four for its longevity line: NAD+ in two forms, sermorelin in three, and glutathione. It takes two for clinical oversight, with the consultation included in the price, and two for human support, with unlimited messaging and 24/7 support included. It takes zero for pharmacy, because "licensed sterile compounding pharmacies" names no facility and states no standard. Twelve out of fourteen: an A.

The A grades what bmiMD publishes, and what it publishes is unusually complete. Our advice is simple: start on the one-month plan at $159 for NAD+ or $139 for sermorelin injection, and move to a longer plan only once you know you will stay. The full graded field is at our provider rankings, and the scoring is explained in how we grade. For comparison, see our HealthRX review, where the advertised NAD+ price is the month-to-month rate, and our Direct Meds review, which sells NAD+ on a 30-day or a 90-day supply with no membership.