Advertiser Disclosure: We may receive compensation when you click on links. This does not affect our editorial rankings.
← All NAD+ comparisons

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.

Our #2 pick
DirectMeds logo

DirectMeds

9.64

Save $100 first month — 500mg from $99, then $199. 250,000+ served. No subscription.

Visit DirectMeds
VS
Our #3 pick
bmiMD logo

bmiMD

9.31

From $89/mo (annual). Plans from $89–$119/mo. Free shipping. Full refund if not approved.

Visit bmiMD
FeatureDirectMedsbmiMD
Editorial score9.64 / 109.31 / 10
Starting price$99 first month (500mg)$89/mo (annual plan)
Renewal / ongoing$199 (500mg) / $249 (1000mg)$99–$119/mo on shorter terms
Delivery formatsInjectionInjection + nasal spray
Dose strengths500mg & 1000mgNasal 300mg/mL; injection per protocol
ShippingFree 1–2 dayFree
Membership / feesNone — no subscriptionNone
GuaranteeSatisfaction guaranteeFull refund if not approved
Best forPeople who want exact upfront pricing and no forced subscription, reordering on their own schedulePeople 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.

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.