bmiMD vs DirectMeds: NAD+ Therapy Compared
bmiMD starts at $89/mo (annual plan) 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.
bmiMD
From $89/mo (annual). Plans from $89–$119/mo. Free shipping. Full refund if not approved.
Visit bmiMD →
DirectMeds
Save $100 first month — 500mg from $99, then $199. 250,000+ served. No subscription.
Visit DirectMeds →| Feature | bmiMD | DirectMeds |
|---|---|---|
| Editorial score | 9.31 / 10 | 9.64 / 10 |
| Starting price | $89/mo (annual plan) | $99 first month (500mg) |
| Renewal / ongoing | $99–$119/mo on shorter terms | $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 | People who want affordable injectable NAD+ with a no-risk approval guarantee | People who want exact upfront pricing and no forced subscription, reordering on their own schedule |
Where bmiMD stands out
- + Lower entry price — $89/mo (annual plan)
- + More delivery formats — injection + nasal spray
Where DirectMeds stands out
- + Higher editorial score (9.64 vs 9.31)
Pros & cons, side by side
bmiMD
Pros
- + Starts at $89/mo on annual plan — lowest price available
- + Flexible plans: monthly, quarterly, 6-month, or annual
- + Free shipping included
- + No-approval refund guarantee
Cons
- − Compounded medications — not FDA-approved finished products
DirectMeds
Pros
- + $100 off first month on the 500mg plan
- + Exact pricing shown upfront for both 500mg and 1000mg
- + No forced subscription — reorder manually when you want
- + 1:1 medical support with provider review within 24 hours
- + Free 1–2 day shipping included
Cons
- − Injection-only — no nasal or oral option
- − 1000mg plan renews at $249/mo
The verdict: bmiMD vs DirectMeds
In our editorial ranking, bmiMD places higher (#1 vs #5), making it the default pick for most readers — it's best for people who want affordable injectable NAD+ with a no-risk approval guarantee. That said, DirectMeds is the stronger choice for people who want exact upfront pricing and no forced subscription, reordering on their own schedule. 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.