What a NAD+ price includes besides the drug

Tomas Lindqvist writes about subscription pricing and unit economics. Updated September 2026.

Divide $145.00 by 2,400 milligrams and you get six-tenths of a cent a milligram. That is a true sum. Whether it is the price of a milligram of NAD+ depends entirely on what else the $145.00 was buying — and on this roster, most of the time, the seller tells you.

Of the 312 NAD+ prices published on the pages read on September 2026, 161 carry the seller’s own statement of what the price covers beyond the drug itself. 64 of the 106 sellers on this roster publish at least one. The remaining 151 say nothing about it at all, which is not the same as including nothing.

The number is not a number for milligrams

Almost every seller here is a telehealth business, not a pharmacy counter. What you pay for is a package: somebody reviews an intake form, somebody writes a prescription, a compounding pharmacy fills it, it is posted to you, and syringes come with it. The NAD+ is one line in that. When a seller prints one number for the whole arrangement — which is what almost all of them do — the number is not a drug price.

That matters for this site specifically, because the division here has milligrams in the denominator. Every dollar in the numerator that was buying something other than milligrams is attributed to the milligrams anyway. The quotient comes out too high, by an amount nobody can compute, because no seller on this roster itemises.

What 161 prices say they also buy

Each row below counts the prices whose own includes-line names that thing. These totals overlap and must not be added together: one line commonly names four of them, and summing the column would produce a number larger than the corpus. The section after this one gives the total that does add up.

What the price also buys — 161 prices that say, from 64 sellers

of the 161 prices that say what the number includes — rows overlap and do not sum

a clinician’s time
100 prices · 41 sellers
delivery
78 prices · 31 sellers
injection supplies
65 prices · 26 sellers
continuing contact
59 prices · 25 sellers
the prescription itself
39 prices · 19 sellers
a named dispensing pharmacy
17 prices · 9 sellers
an explicit promise of no further charges
17 prices · 6 sellers
the right to stop
6 prices · 4 sellers
a plan written for the buyer
5 prices · 4 sellers
blood work
1 prices · 1 sellers

Counted by nadcost from the sellers’ own what’s included text on pages read on September 2026, over the 312 published, deduplicated NAD+ prices. Rows overlap — one line names several — so this column does not sum to 161. The phrases matched are listed in full at the foot of this page, and the 19 lines that matched none of them are counted there too.

A clinician’s time appears on 100 prices from 41 sellers, more than anything else. Delivery is next at 78. Both are real costs, and both are being divided by milligrams every time anyone works out a per-milligram figure from a published NAD+ price — including on this site’s own board.

How many things one price carries

The same 161 prices, counted once each by how many separate things their line names. This is the partition: it sums to 161 exactly, and the build stops if it ever stops doing so.

How many separate things one price says it buys — 161 prices, counted once each

Things named in one line	Prices	Share of the 161
none the phrase list recognises	19	12%
one thing	27	17%
2 things	40	25%
3 things	34	21%
4 things	29	18%
5 things	11	7%
7 things	1	1%

Computed by nadcost from prices read on September 2026. Unlike the chart above, every price appears in exactly one row here, so the figures column sums to 161. The 19 at the top say something the phrase list does not recognise — “10ml vial”, “10 week program” — and are counted as the ruler’s own shortfall rather than as an absence.

75 of 161 name three or more things at once. At that point the milligrams are a minority of what is being sold, and the seller has said so plainly — on its own product page, in its own marketing copy, as a reason to buy. Nobody is hiding this. It is simply not something a per-milligram figure can represent.

Our own board: 12 of 18 rows

The board this site publishes holds 18 prices — the ones where a seller states both an amount and the quantity it buys. 12 of those 18, from 7 sellers, carry an includes-line of their own. Every per-milligram figure on that board is therefore an upper bound, and this is the page that says so with the rows attached.

This site's own board — the 12 of 18 rows whose price buys more than the drug

Seller	As printed	Also buys	In the seller’s own words
Bloom MD	$395.00	a clinician’s time, delivery, injection supplies, an explicit promise of no further charges	“Medical form required. Includes consult, supplies, shipping — no hidden fees.”
Garcia Weight Loss, Aesthetics & Hormone Therapy	$700.00	nothing the phrase list recognises	“Package of 3 IV NAD+ 250mg”
LaSara Medical Group	$225	nothing the phrase list recognises	“10ml vial”
LaSara Medical Group	$250	nothing the phrase list recognises	“One-Time Purchase 10ml vial”
Levers Health	$197	a clinician’s time, delivery, injection supplies, continuing contact	“Each shipment includes 1 vial of NAD+ at strong clinical dosing, free shipping, all supplies, and unlimited provider support.”
Levers Health	$149	a clinician’s time, delivery, injection supplies, continuing contact	“Each shipment includes 1 vial of NAD+ at strong clinical dosing, free shipping, all supplies, and unlimited provider support.”
Levers Health	$139	a clinician’s time, delivery, injection supplies, continuing contact	“Each shipment includes 1 vial of NAD+ at strong clinical dosing, free shipping, all supplies, and unlimited provider support.”
Levers Health	$129	a clinician’s time, delivery, injection supplies, continuing contact	“Each shipment includes 1 vial of NAD+ at strong clinical dosing, free shipping, all supplies, and unlimited provider support.”
MadeMed	$269	a clinician’s time, delivery, a named dispensing pharmacy, a plan written for the buyer	“NAD+ Nasal Spray, 7,500mg bottle (500mg/mL × 15mL), 30-day supply Board-certified physician consultation Free discreet shipping Made in US pharmacy CMP lab-guided dosing protocol Lab test required before prescribing”
Rewinding RX	$139.00	a clinician’s time, delivery, injection supplies, continuing contact	“Every plan includes 30-day NAD+ supply, online physician review, ongoing physician support, syringes, and alcohol prep pads to ensure safe and simple at-home use + FREE Shipping”
Rewinding RX	$149.00	a clinician’s time, delivery, injection supplies, continuing contact	“Every plan includes 30-day NAD+ supply, online physician review, ongoing physician support, syringes, and alcohol prep pads to ensure safe and simple at-home use + FREE Shipping”
VitaStir	$91.00	a clinician’s time, injection supplies	“Home Kit Includes (1 Month Supply): 20 Activated NAD+ Injections (Nicotinamide Adenine Dinucleotide 20,000 mcg per dose) 20 Sub-Q Syringes Alcohol Pads Physician Access”

The seller’s own words, quoted verbatim from the page read on September 2026, beside the things this page’s phrase list found in them. The classification is ours; the words are theirs. Where a line names nothing the list recognises, that is shown as such rather than left blank.

161 of 312

published prices that say what else the number buys

64 of 106

sellers publishing at least one such line

12 of 18

rows on our own board whose price buys more than the drug

19 of 161

lines this page's phrase list does not recognise

The phrase list, and what it misses

There is no field in this data saying “this price includes a consult”. There is only prose the seller wrote, so the counting above was done by looking for particular words in it. That is an instrument with a known failure: a list of phrases finds the shapes it was built to find, and its zero can describe the list rather than the market.

So the list is printed. Every phrase searched for is below, matched as a plain case-insensitive substring of the seller’s own text — no stemming, no regular expressions, nothing normalised. And the misses are counted: 19 of the 161 lines match none of these phrases at all. They are not absences; they are what this list does not reach.

Every phrase this page searched for — 37 across 10 groups

a clinician’s time: “consult”, “video visit”, “provider visit”, “provider”, “telehealth”, “physician”, “clinician”, “doctor”, “medical form”, “intake”
delivery: “shipping”, “shipped”
injection supplies: “supplies”, “syringe”, “needle”, “alcohol”, “swab”, “sharps”
continuing contact: “support”, “follow-up”, “follow up”, “check-in”, “messaging”, “care team”
the prescription itself: “prescription”, “prescribed”
a named dispensing pharmacy: “pharmac”
an explicit promise of no further charges: “no hidden”, “hidden fee”
the right to stop: “cancel”, “pause”
a plan written for the buyer: “protocol”, “personalized”, “personalised”
blood work: “lab work”, “bloodwork”, “blood work”

One further thing the corpus records and this page will not inflate: whether the price is conditional on clearing something first. 3 figures, from 1 of the 106 sellers, carry a statement that the price applies only after a review. That is 3 of 376 figures read, and it is reported as such rather than as a pattern.