"NAD injection cost" has a different answer depending on what is being bought: a shot given in a clinic, a drip that runs for hours, or a vial shipped for home use on a monthly plan. The three are priced in different units, which is why the ranges that circulate — "$50 to $200", "$500 to $1,000", "$165 to $425 a month" — cannot be compared with each other. This page reads published prices directly from the providers' own pages, dates them, and converts every price that states a dose into dollars per milligram of NAD+, the one unit in which they can be compared.
Nothing here is a recommendation to buy NAD+ in any form. What injected NAD+ has and has not been shown to do is on our NAD+ injection benefits page: a 2026 systematic review found no outcome trial of injected or infused NAD+ for energy or ageing. A price is only worth comparing once that is understood.
Method, in five lines
- Sample: the clinic and telehealth pages that Google showed for "nad injection cost" in the United States on 17 October 2026, plus the pages its AI Overview cited for prices.
- Rendered, not scraped from cache: each page was opened in a headless browser on 17 October 2026, because most clinic price tables are drawn by JavaScript and do not appear in the plain HTML. One page (a spa in Orlando) refused the request and is excluded rather than quoted from a search snippet.
- Only prices the provider publishes for its own service. Ranges written about the market in general ("NAD therapy can cost $500 to $2,000") are not prices and are not in the tables.
- Per milligram = published price ÷ milligrams stated for that item. Our arithmetic, rounded to the cent.
- Not a ranking. Providers are listed alphabetically within each table. A low price per milligram says nothing about what is in the vial — see the last section.
In-clinic NAD+ shots
Three clinics in the sample published per-shot prices with a stated dose. The shots are small — 25 mg to 200 mg — and are given under the skin or into a muscle in a visit of about 15 minutes.
| Clinic (location) | Dose | Price | Per mg | Route stated |
|---|---|---|---|---|
| Alpha IV Therapy (Tulsa, OK) | 25 mg | $50 | $2.00 | injection, 15 min |
| Alpha IV Therapy | 50 mg | $85 | $1.70 | injection, 15 min |
| Alpha IV Therapy | 100 mg | $100 | $1.00 | injection, 15 min |
| Alpha IV Therapy | 150 mg | $185 | $1.23 | injection, 15 min |
| Cienega Medical (Los Angeles area) | 50 mg | $95 | $1.90 | intramuscular |
| Cienega Medical | 100 mg | $190 | $1.90 | intramuscular |
| Robertson Wellness & Aesthetics (Los Angeles area) | 100 mg | $100 | $1.00 | subcutaneous |
| Robertson Wellness & Aesthetics | 200 mg | $200 | $1.00 | subcutaneous |
Sources: Alpha IV Therapy price page (dated 2 October 2026 on the page), Cienega Medical, Robertson Wellness & Aesthetics, all read 17 October 2026.
Across these eight price points the price per milligram ran from $1.00 to $2.00, and the same 100 mg shot cost $100 at two clinics and $190 at the third. The pricing is not linear: at Alpha IV Therapy, 100 mg cost $100 but 150 mg cost $185, so the larger shot was 23% dearer per milligram than the smaller one.
In-clinic NAD+ IV infusions
Five clinics published IV prices with a stated dose. A drip carries more than NAD+: several clinics state that the price includes a bag of fluid with vitamins or electrolytes, and the longer infusions are booked as half-day appointments.
| Clinic (location) | 250 mg | 500 mg | 1,000 mg | Per mg at 500 mg | Time stated |
|---|---|---|---|---|---|
| Alpha IV Therapy (Tulsa, OK) | $200 | $400 | $780 | $0.80 | 90 min (250–500 mg); 5 h (1,000 mg) |
| Cienega Medical (Los Angeles area) | $349 | $449 | $750 | $0.90 | up to 2 h, 4 h, 6 h |
| MD Infusions | $299 | $399 | $599 | $0.80 | 90 min, 3 h, 5 h |
| Modal Pain Management (New York) | $400 | $500 | — | $1.00 | — |
| Robertson Wellness & Aesthetics (Los Angeles area) | $270 | $460 | — | $0.92 | — |
Sources: Alpha IV Therapy, Cienega Medical, MD Infusions, Modal Pain Management, Robertson Wellness & Aesthetics, read 17 October 2026. Robertson also lists 100, 200, 300 and 400 mg infusions ($160, $235, $310, $385) and three- and six-session packages at "save 20%"; Alpha IV Therapy also lists 750 mg at $600.
Three patterns are visible once the prices are put in the same unit:
- A 250 mg drip cost $200 to $400 — a twofold spread for the same stated dose of NAD+.
- The price per milligram falls as the dose rises at four of the five clinics. At MD Infusions it went from $1.20 at 250 mg to $0.80 at 500 mg and $0.60 at 1,000 mg; at Robertson from $1.60 at 100 mg to $0.92 at 500 mg. Alpha IV Therapy is the exception: its own page states a flat $0.80 per milligram from 250 mg to 750 mg and $0.78 at 1,000 mg.
- Per milligram, a 500 mg drip was cheaper than any shot we found. At $0.80 to $1.00 a milligram, every 500 mg infusion price was at or below the lowest shot price ($1.00). The shot's advantage is the visit — 15 minutes against hours — not the price of the NAD+.
Modal Pain Management's page adds a sentence that applies to the whole table: its 500 mg session "is not known to work better" than 250 mg. No trial has compared doses of infused NAD+ on any outcome, so the dearer tier is buying more milligrams, not a measured difference. The only published study of how infused NAD+ behaves in the blood found that plasma levels did not change for the first two hours of the infusion (set out on our NAD+ injection benefits page); how injected and oral routes compare is on our NAD+ injection vs oral page.
At-home NAD+ plans: priced per month, not per milligram
Telehealth providers ship NAD+ in vials for self-injection after an online consultation, and price it by the month. The pages we rendered on 17 October 2026 published:
| Provider | Price as published | Milligrams stated for that price? |
|---|---|---|
| AgelessRx | $79 for the first month of a 3-month plan billed in full, then $149 a month | No — vial sizes are discussed, but the monthly supply in milligrams was not stated in the text we read |
| Helimeds | "Start with NAD+ $99 per month", the price with the first order of a 12-month package | No |
| Hone Health | "NAD+ injections cost $165 to $425 per month, depending on the provider" (a market statement on its own article), plus a $25 monthly membership | No |
| Wisp | $25 non-refundable consult fee; "product cost is additional" | No product price shown |
Sources: AgelessRx, Helimeds, Hone Health, Wisp, read 17 October 2026.
The finding is the missing column. A monthly price with no stated milligrams cannot be compared with a clinic shot, with another plan, or with itself after a dose change. The clinic tables above can be converted to price per milligram line by line; none of these four can. Anyone comparing plans has to ask each provider for the vial strength, the volume and the number of vials per shipment — and the answer, once given, belongs in writing.
One telehealth company, Cora Health, publishes a price index of compounded NAD+ plans; its table, read on 17 October 2026 and dated 10 October by its authors, lists $129 to $224 a month on month-to-month plans across 17 providers, and $90 to $235 a month on 2- to 12-month plans, with some providers charging a separate membership of $25 to $155 a month on top (Cora Health index). It is the most complete list found, and it is compiled by a company that sells the product; it also prices plans per month, not per milligram.
What else gets billed
- A medical screening visit. Alpha IV Therapy lists a $35 "Good Faith Exam", valid for 12 months, before a first infusion or injection. Wisp charges a $25 consult fee whether or not anything is prescribed.
- Memberships. Hone Health lists a $25 monthly membership on top of the product; the provider-published index above lists separate memberships at three providers, up to $155 a month.
- Packages. Robertson Wellness & Aesthetics sells three or six sessions at a stated 20% saving; package pricing at Modal Pain Management is "discussed at consultation".
Why insurance does not enter into it
No NAD+ injection has an FDA-approved label: DailyMed returned zero labels under "nicotinamide adenine dinucleotide" when we checked on 17 September 2026, as recorded on our NAD+ dosage page. With no approved product, there is nothing for a health plan's formulary to list, so every price on this page is self-pay. Several providers say HSA or FSA cards are accepted; that is a way to pay, not coverage. How coverage works for the peptides that do have approved labels is on our does insurance cover peptides page.
What a price per milligram does not tell you
A clinic's price is for the milligrams it states, not the milligrams it delivers. The products are compounded or prepared outside the drug-approval system, and FDA's January 2026 warning letter to the outsourcing facility GenoGenix LLC — covered on our NAD+ dosage page and our FDA warning-letter tracker — records NAD+ use that sent three patients to an emergency room and other injectables from that facility testing at 43.1% and 65.3% of their labelled strength. A cheap milligram that is not there is the most expensive kind. Reported reactions to injected and infused NAD+ are on our NAD+ injection side effects page.
The same per-milligram method, applied to research-peptide vendors, is on our how much do peptides cost page. Prices change; every figure above carries the date it was read, and this page will be re-surveyed rather than edited in place when they do.
Sources and dates
All provider pages opened in a headless browser on 17 October 2026: alphaivtherapy.com (NAD+ IV therapy cost, Tulsa), cienegaspa.com (NAD IV), rwacenter.com (how much does NAD cost), mdinfusions.com (NAD pricing), modalpain.com (NAD IV therapy cost), agelessrx.com (NAD injection), helimeds.com (NAD treatment), honehealth.com (NAD injections), hellowisp.com (NAD injection solution), trycora.io (NAD injection cost index). Excluded: orlandospablue.com (returned HTTP 403). Search results and the AI Overview read through a US Google results capture on 17 October 2026.