Fierce Health review

On the checkable facts Fierce Health does well: a LegitScript seal that links to LegitScript's own checker, a thirty-state list and a named dispensing pharmacy written into its Terms, the FDA compounded-medication disclaimer on its pages, and a published NAD⁺ price. Then its own NAD⁺ page lists slowing the aging process and reducing the risk of age-related diseases as potential benefits, and the shelf it sits on carries ivermectin. Those two things do not sit comfortably next to a certification seal.

Fierce Health is a direct-to-consumer telehealth brand selling compounded semaglutide and tirzepatide in both standard and microdose programs, alongside a longevity shelf. That shelf carries an NAD⁺ injection, glutathione, methylene blue, ivermectin, and an ivermectin-plus-mebendazole product. NAD⁺ is sold as a once-weekly subcutaneous injection with monthly, three-month and six-month paid-in-full options. A board-certified, US-licensed provider reviews each intake and prescribes if appropriate; the intake form is sent after checkout, with a telemedicine appointment scheduled if more information is needed. The company says it is LegitScript-certified, publishes the FDA compounded-medication disclaimer, offers free US shipping, names Red Rock Pharmacy in Springville, Utah, as its dispensing pharmacy in its Terms, and enumerates thirty service states there.

Checkout comes before the medical intake; a licensed provider then reviews the case and may request a visit. Fierce says it refunds a purchase if it cannot ship to the patient's state. Its terms enumerate thirty states and name Red Rock Pharmacy in Utah. They also mention Fierce Athletica, Co, while the privacy policy uses related Fierce Athletica site names; the precise company relationship is unclear. A generic retail refund policy covers physical goods and sale items but does not clearly settle prescription or prepaid NAD⁺ cancellation. Confirm what happens on a clinical denial and whether an unused prepaid block can be refunded.

The NAD⁺ injection is advertised at $250 month to month, $750 for three months paid in full or $1,400 for six months paid in full, roughly $233.33 a month on arithmetic. The six-month equivalent is not a monthly debit. Glutathione is $199. The current GLP-1 variants are $179 for semaglutide microdose, $199 for standard semaglutide or tirzepatide microdose, and $299 for standard tirzepatide monthly; higher figures displayed as compare-at prices are not current charges. Free shipping is advertised. Ask what the selected NAD⁺ vial, first charge, renewal and refund terms actually cover.

Compounded; not FDA-approved. Prescription required only if a licensed provider finds it appropriate. Fierce publishes the disclaimer plainly — its own wording is that compounded medications are not reviewed by FDA for safety or efficacy — which is more than several competitors manage, and it names Red Rock Pharmacy as the pharmacy behind it; compounded sterile products are still not FDA-reviewed for purity and potency the way approved drugs are. The claims are where this has to be contradicted. Its NAD⁺ page lists, among potential benefits, slowing down the aging process and reducing the risk of age-related diseases, alongside DNA repair, brain function and metabolism, and says NAD⁺ crosses the blood-brain barrier to eliminate chronic brain fog. There are no controlled human outcome trials supporting any of those for injected NAD⁺; the single human intravenous study was a pharmacokinetic pilot showing infused NAD⁺ clears from plasma quickly. The NAD⁺ forms with human trial data are the oral precursors NR and NMN, and what those trials demonstrate is a raised blood NAD⁺ level — a biomarker, not a demonstrated clinical outcome. Glutathione has essentially no controlled human outcome evidence either. Separately, the shelf itself is a signal: FDA has issued public statements against using ivermectin outside its approved labels, and a longevity catalog that pairs NAD⁺ with ivermectin and mebendazole is telling you something about the editorial standard applied to what it stocks. Individual results vary.