bmiMD vs DirectMeds: NAD+ Therapy Compared
bmiMD starts at $89/mo and offers injection + nasal spray, while DirectMeds starts at $99 first month (500mg) with injection. Below we line them up on price, delivery formats, dosing, shipping, and overall value so you can see which prescription NAD+ provider fits you best.
- Physician-Prescribed Only
- 32 Providers Compared
bmiMD
bmiMD offers at-home NAD+ injections starting at $89/month, with a provider visit included, potency-tested compounding, and a full refund if you are not approved for treatment.
Visit bmiMD →
DirectMeds
DirectMeds delivers physician-prescribed NAD+ injections straight to your door, combining transparent all-inclusive pricing, fast US pharmacy fulfillment, and ongoing nursing support.
Visit DirectMeds →| Feature | bmiMD | DirectMeds |
|---|---|---|
| Editorial score | 9.86 / 10 | 9.78 / 10 |
| Starting price | $89/mo | $99 first month (500mg) |
| Renewal / ongoing | Price-locked at $89/mo | $199 (500mg) / $249 (1000mg) |
| Delivery formats | Injection + nasal spray | Injection |
| Dose strengths | Nasal 300mg/mL; injection per protocol | 500mg & 1000mg |
| Shipping | Free | Free 1–2 day |
| Membership / fees | None | None — no subscription |
| Guarantee | Full refund if not approved | Satisfaction guarantee |
| Best for | Budget-conscious patients who want NAD+ therapy without compromising on pharmacy-grade quality control or paying separate consultation fees | People who want prescription-grade, physician-reviewed NAD+ with all-inclusive pricing, no insurance, and 1–2 day delivery |
Where bmiMD stands out
- + Lower entry price — $89/mo
- + More delivery formats — injection + nasal spray
- + Higher editorial score (9.86 vs 9.78)
Where DirectMeds stands out
DirectMeds is closely matched with bmiMD on the headline metrics — the deciding factors come down to delivery format and the specifics below.
Pros & cons, side by side
bmiMD
Pros
- + One price-locked monthly rate starting at $89 — among the lowest verified in this market
- + Provider visit built into the price rather than billed separately
- + Compounded at a state-licensed US pharmacy and tested for potency, sterility, endotoxicity, and pH
- + Expedited delivery to your door
- + Full refund if your clinician does not approve you for treatment
- + Support by live chat, phone, and email — 4.9 average across 1,000+ customer reviews
Cons
- − Compounded medications — not FDA-approved finished products
DirectMeds
Pros
- + $100 off first month on the 500mg plan — $99 to start, then $199/mo
- + One transparent monthly price covering medication, consultation, and shipping
- + No insurance required and no hidden fees
- + Medication compounded by FDA-registered US pharmacies
- + Provider review typically within a day, then 1–2 day shipping with full tracking
- + LegitScript certified, with over 180,000 customers served and a 4.6-star Trustpilot rating
Cons
- − Injection-only — no nasal or oral option
- − The 500mg plan renews at $199/mo after the discounted first month
- − 1000mg plan renews at $249/mo
The verdict: bmiMD vs DirectMeds
In our editorial ranking, bmiMD places higher (#4 vs #6), making it the default pick for most readers — it's best for budget-conscious patients who want NAD+ therapy without compromising on pharmacy-grade quality control or paying separate consultation fees. That said, DirectMeds is the stronger choice for people who want prescription-grade, physician-reviewed NAD+ with all-inclusive pricing, no insurance, and 1–2 day delivery. Both are prescription NAD+ services, so the right answer depends on the delivery format and price structure that match how you want to start.
More head-to-head comparisons
Pricing and product details were verified against each provider's official pages and may change — always confirm current terms on the provider's site. Rx required; a licensed provider determines whether NAD+ therapy is appropriate for you. We may earn a commission from links on this page, which never affects our rankings.