RNK Health Reviews: NAD+ and Sermorelin at $169 a Month

The short version

RNK Health sells compounded NAD+ and sermorelin on one clear price ladder: $169 a month if you pay month to month, $149 if you prepay three months, and $129 if you prepay six. The ladder is printed on the product page before you take the quiz, the physician consultation and shipping are inside it, and there is no membership. The catch is that the "from $129" on every banner is the six-month rate, and RNK's own terms say pharmacy fees can be charged on top of what it calls an all-in price. It grades B, 10 points out of 14.

What RNK Health sells

RNK Health is an online, cash-pay prescription service. Its homepage reads like a men's performance brand — "Look, Feel & Perform Younger" — and the menu is wider than the tagline suggests³:

• •NAD+, as a weekly injection, a nasal spray or a liposomal liquid you swallow
• •Sermorelin injections
• •B12-MIC, advertised from $97 a month
• •Enclomiphene, a tablet that raises your own testosterone, at $189 a month
• •Compounded semaglutide and tirzepatide for weight loss, from $197 and $297
• •Naltrexone for cutting back on alcohol, at $89 a month
• •A DNA test with a nutrition plan, a workout plan and two coaching sessions, at $399

For a longevity shopper, the NAD+ and sermorelin lines are the reason to look. Both are real, priced products with their own pages, not a "coming soon" placeholder, and the NAD+ line is unusual in offering three formats at one price.

What it actually costs

Every product on the longevity side uses the same three-step ladder. Here it is for NAD+¹, and the sermorelin page prints the identical figures²:

A few things are worth knowing before you pick a rung.

The advertised price is the longest commitment. The homepage and the top of each product page say "From $129/month." That is the six-month plan, billed as one charge every six months — about $774 up front. The true month-to-month price is $169, and the three-month plan is $149 a month, billed as about $447 every three months. None of that is hidden; the plan cards sit lower on the same page. But the number you see first is the one that asks for the most money at once.

The "Save" badges have no fixed starting point. Every plan, including the plain monthly one, carries a discount badge: "Save 37%" and "Save $100" on the $169 plan, "Save 52%" and "Save $840" on the $129 plan. The page never shows the price those savings are measured from. And the same $149 and $129 figures are labeled as different savings on the NAD+ page and the sermorelin page — "Save $360" on one, "Save $420" on the other. Treat the badges as decoration and compare the dollar figures.

"Everything. Included." — with one exception in the fine print. Each product page says the price covers the monthly supply, a physician consultation, unlimited access to RNK's medical team and fast, private shipping, with no long-term contract. The Refund & Subscription Policy adds a 24/7 support line and blood panels if your clinician requires them. But the Terms of Service say: "Your access fees paid to RNK are separate from any product, dispensing, or shipping fees, which may be charged by or on behalf of the pharmacy."⁴ The homepage FAQ also says full pricing details are shown during checkout. The product pages do not mention any pharmacy fee, but the terms reserve the right to one, so check the checkout total against the plan price before you pay.

Enclomiphene and the DNA test are priced differently. Enclomiphene is shown as a single $189 a month with the consultation and support included, with no prepay ladder on its page. The DNA package is a one-time $399, presented as "Today only" against a "total value" of $1,497 and a note that enrollment is limited to 200 kits a month. Those are sales tactics, not prices; the $399 is the figure to weigh.

How getting started works

You pick a product, take what RNK calls a 30-second quiz, and a US clinician reviews your answers online. If you are approved, the medication ships to your home — RNK advertises delivery in about 48 hours — and you work with its medical team from there.

RNK itself is not the medical practice. Its terms say RNK Health LLC handles the administrative side, and the prescribing is done by licensed clinicians through independent medical groups: OpenLoop Healthcare Partners and its state affiliates, and MD Integrations⁴. Depending on your state and the product, your review may be a live call or a questionnaire the clinician reads. That arrangement is not a problem in itself, but it means the clinician you deal with works for a partner company rather than for RNK.

You must be 18 or older and in the United States. There is no insurance billing; it is self-pay only.

Where the medication comes from

Every RNK page ends with a footer that lists a pharmacy phone number and a street address in Springville, Utah, alongside the address of its medical provider in Des Moines, Iowa. What it does not print is the pharmacy's name, and its terms describe prescriptions going to "one or more independent, licensed third-party pharmacies," so the address in the footer may not be the only place your order is filled. RNK also states no compounding standard (503A or 503B) for any of them.

Its marketing calls the medications "USA Compounded" and "lab-tested, high-purity." Compounded drugs are made to order by a pharmacy and are not FDA-approved products; that is a property of compounding itself, not a flaw specific to RNK. If knowing exactly who fills your prescription matters to you, ask before you order; the terms say shipping, cold-chain packaging and replacements are handled under the pharmacy's own policies.

Billing, cancellation and refunds

This is the part to read twice, because RNK's terms are firm.

• •Your fee is final once you submit the intake. The Refund & Subscription Policy says the subscription fee is non-refundable from that point, except in two cases⁵.
• •If a clinician finds you ineligible, your subscription is canceled and the unused portion is refunded.
• •If medication arrives damaged, wrong or not at all, RNK arranges a replacement by default and considers a refund only if a replacement is impossible. You have seven days from delivery to report it, with photos.
• •Dose and results are not grounds for a refund. The NAD+ and sermorelin sections both say refunds will not be given because the dose did not match your expectations, and dissatisfaction with results does not qualify either.
• •To cancel, give at least 72 hours' notice before your next billing date, by your account, email or phone. Miss the window and that charge goes through.
• •Rebills are final, but RNK emails you seven days before each one with the amount, the date, and options to pause, skip or cancel. That reminder is a genuinely useful protection, and you can pause or skip instead of canceling.

One more line in the terms is worth knowing: access fees keep billing while you complete the periodic refill or follow-up form needed for your next shipment. If you let that form sit, you are still paying.

The DNA test has its own rule: a refund is possible within 30 days only if the kit has not been ordered yet. Once it has, the sale is final.

What NAD+ and sermorelin can and cannot do

RNK's product pages promise a lot. The NAD+ page offers "Endless Energy," "Laser Focus: Clear the brain fog instantly" and "Age Backwards: Repair your cells from the inside out." The sermorelin page says it will help you "Build muscle, shred belly fat, and wake up with more energy."

Those are marketing claims, not findings. NAD+ supplements do raise NAD+ levels in the blood, but better energy, memory or physical performance in healthy adults has not reliably followed, and injected NAD+ has barely been studied for these goals. Sermorelin does prompt the body to release more growth hormone, but that has not been shown to build muscle or burn fat in healthy older adults. Our guides on NAD+ for longevity, NAD+ injections versus IV and oral forms and peptides for longevity go through what the research does and does not show. If you buy either product, buy it as an experiment you can stop, which is exactly what the month-to-month plan is for.

Who it suits, and who should skip it

It suits you if you want NAD+ or sermorelin from one place with the price on the page before you start, you prefer a nasal spray or a liquid to injections, and you are comfortable starting on the $169 monthly plan to see whether it does anything for you before prepaying.

Skip it, or go in carefully, if you need to know which pharmacy fills your prescription, if a non-refundable fee from the moment you submit the intake worries you, or if the "from $129" was what drew you in. Budget $169 a month unless you are already sure enough to pay for six months at once.

How it compares

Against the providers closest to it, RNK's month-to-month price is in the middle, its ladder is simpler than its neighbors' in the table, and its weak spots are the unnamed pharmacy and the fee caveat in its terms. For the full field, see our provider rankings, and our HealthRX review, MyDrHank review and System Labs review for the neighbors in the table. If a named pharmacy matters more to you than the lowest monthly figure, our Luvo Health review covers a provider that lists its pharmacies by name, at $199 every four weeks.

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: 2 of 4. The full ladder is published before intake, but RNK's terms say pharmacy fees may be added to the price it calls all-inclusive, so it takes the middle score rather than the full one.
• •Longevity line: 4 of 4. NAD+ in three formats and sermorelin are core longevity products.
• •Clinical oversight: 2 of 2. A physician consultation is included in the price.
• •Pharmacy disclosure: 0 of 2. An address and a phone number, but no pharmacy name and no compounding standard.
• •Human support: 2 of 2. Ongoing access to its medical team and a 24/7 support line are part of the subscription.

That is 10 points out of 14, a B. RNK Health is a straightforward way to try NAD+ or sermorelin with the price in plain view. Start on the monthly plan, read the checkout total, and set a reminder for the 72-hour cancellation window.