DirectMeds vs bmiMD: NAD+ Therapy Compared
DirectMeds starts at $99 first month (500mg) and offers injection, while bmiMD starts at $89/mo (annual plan) with injection + nasal spray. 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.

DirectMeds
Save $100 first month — 500mg from $99, then $199. 250,000+ served. No subscription.
Visit DirectMeds →bmiMD
From $89/mo (annual). Plans from $89–$119/mo. Free shipping. Full refund if not approved.
Visit bmiMD →| Feature | DirectMeds | bmiMD |
|---|---|---|
| Editorial score | 9.64 / 10 | 9.31 / 10 |
| Starting price | $99 first month (500mg) | $89/mo (annual plan) |
| Renewal / ongoing | $199 (500mg) / $249 (1000mg) | $99–$119/mo on shorter terms |
| Delivery formats | Injection | Injection + nasal spray |
| Dose strengths | 500mg & 1000mg | Nasal 300mg/mL; injection per protocol |
| Shipping | Free 1–2 day | Free |
| Membership / fees | None — no subscription | None |
| Guarantee | Satisfaction guarantee | Full refund if not approved |
| Best for | People who want exact upfront pricing and no forced subscription, reordering on their own schedule | People who want affordable injectable NAD+ with a no-risk approval guarantee |
Where DirectMeds stands out
- + Higher editorial score (9.64 vs 9.31)
Where bmiMD stands out
- + Lower entry price — $89/mo (annual plan)
- + More delivery formats — injection + nasal spray
Pros & cons, side by side
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
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
The verdict: DirectMeds vs bmiMD
In our editorial ranking, DirectMeds places higher (#2 vs #3), making it the default pick for most readers — it's best for people who want exact upfront pricing and no forced subscription, reordering on their own schedule. That said, bmiMD is the stronger choice for people who want affordable injectable NAD+ with a no-risk approval guarantee. 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.