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Aminoscope
Updated October 2026

Fresh Day Meds review

By Theo Lindqvist · Aminoscope

Clear plans, detailed exit rules

Our verdict

Fresh Day Meds names its operator and medical group and gives clear NAD⁺ and enclomiphene plan totals.

Main trade-offs

  • Compounding pharmacy not named, only "state-licensed 503A and 503B" facilities
  • Headline "from" prices are three-month-plan rates; the one-month price is $199

Disclosure: Aminoscope is reader-supported. We may earn a commission from partner links, at no extra cost to you. This never changes our assessment. How we make money.

Compounded medicines are not FDA-approved. A licensed clinician must assess whether treatment is appropriate; availability does not establish safety or benefit.

Check availability →NAD⁺ $199 one month or $477 three months; portal cancellation requires confirmation

Good fit

People who want a published NAD⁺ injection price from a platform showing a LegitScript seal and a real address, on an account that also covers enclomiphene.

Consider other options if

Anyone needing a walk-in clinic, a named dispensing pharmacy or automatic cancellation from an unconfirmed ticket.

Cost and care at a glance

Category
NAD⁺ telehealth
Published cost
NAD⁺ $199 one month or $477 three months; portal cancellation requires confirmation
Insurance
Cash-pay, no insurance
Visit
Async intake
Availability
49 states plus DC (Arkansas omitted)
LegitScript
Claimed by provider

Our review in detail

Full assessment

Fresh Day Meds names its operator and medical group and gives clear NAD⁺ and enclomiphene plan totals. The $159 NAD⁺ and $149 enclomiphene monthly equivalents require a $477 or $447 three-month renewal; the one-month plans are $199. A portal request must be confirmed before a future renewal is stopped. Once clinical work has begun, a patient cancellation can incur $75 even without a prescription, while a successful renewal allocates $75 within its price. Those details matter as much as the advertised rate.

What it is

Fresh Day Meds, LLC is a Houston, Texas telehealth platform operating across weight loss, longevity, sexual wellness, hair health and testosterone support on a single account. Its longevity line carries an NAD⁺ 1000mg injection and MIC+B12; its testosterone-support line carries enclomiphene tablets; its weight line carries compounded semaglutide and tirzepatide. Clinical care is delivered through Telegra MD, named in its Terms as the medical group. It shows a LegitScript seal, publishes its headquarters address, advertises free expedited shipping, and states there is no separate membership fee on its plans.

How care works

An online assessment is reviewed through Telegra MD; a hold for the full plan is captured only after approval, and initial physician-declared medical ineligibility releases it without a consultation charge. The terms describe confirmed cancellation or indefinite pause through Billing Management or Tickets. Merely opening a ticket does not stop billing, and processed terms are not unwound. A $75 fee can apply when a patient cancels or refuses after documented clinical work starts; a successful renewal includes an allocated $75 rather than adding it. The site sends a seven-day renewal reminder. Its Care+ four-month weight-loss guarantee applies only when included before purchase for eligible first-time GLP-1 patients; continuing treatment, a baseline video and a timely final claim are required, and a three-month plan normally needs another paid renewal. It lists 49 states plus DC, excluding Arkansas, and the Houston headquarters is not a walk-in clinic. The pharmacy remains unnamed.

Costs, billing and cancellation

NAD⁺ injection cards list $199 for one month with one-month supply, or $159 monthly equivalent with $477 paid for a three-month supply; enclomiphene tablets are $199 for one month or $149 equivalent with $447 for three. GLP-1 one-month prices are $140 semaglutide and $179 tirzepatide; new-patient three-month totals are $299 and $420, while transfer totals are $385 and $469. GLP-1 one-month plans renew every 23 days and three-month plans every 83 days, which differs from calendar months. The selected NAD⁺ and enclomiphene renewal day and any product-specific lab charge need confirmation. Free shipping applies, with oral/topical delivery generally slower than injection delivery after fulfillment.

Medication and evidence

Compounded; not FDA-approved. Prescription required only if a licensed provider finds it appropriate. Fresh Day describes state-licensed 503A and 503B compounding facilities but names no pharmacy, and compounded sterile products are not reviewed by FDA for purity and potency the way approved drugs are. On the evidence, the NAD⁺ injection is the weaker of its two relevant products by a distance: there are no controlled human outcome trials for injected NAD⁺, and 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, which reliably raise blood NAD⁺ — a raised biomarker, not a demonstrated clinical outcome. Enclomiphene deserves separating from its category label. Fresh Day files it under testosterone support, and it is not testosterone: it is a selective estrogen receptor modulator that raises endogenous testosterone by increasing LH and FSH, with a different side-effect and monitoring profile from exogenous testosterone and, importantly, without the suppression of sperm production that testosterone causes. Its product page notes that laboratory testing and monitoring may be required. Anyone arriving here expecting injectable testosterone, a gel or a pellet will not find one. On the GLP-1 side the platform is compounded-only, with no brand-name fallback. Individual results vary.

Sources checked October 26, 2026

Pros and watch-outs

What we like

  • Publishes NAD⁺ and enclomiphene prices for both one-month and three-month plans
  • Shows a LegitScript seal and publishes a Houston headquarters address
  • Names Telegra MD as the affiliated medical group rather than describing an anonymous network
  • The plan hold is captured after approval; patient cancellation after clinical work begins can incur $75
  • State coverage listed in the Terms — 49 states plus DC — and matched on the About page

Watch-outs

  • Compounding pharmacy not named, only "state-licensed 503A and 503B" facilities
  • Headline "from" prices are three-month-plan rates; the one-month price is $199
  • Its testosterone-support line is enclomiphene only — no injectable testosterone, gel or pellet
  • No medical director or founder named
  • GLP-1 renewals run at 23 or 83 days; portal cancellation requires confirmation

Best for

People who want a published NAD⁺ injection price from a platform showing a LegitScript seal and a real address, on an account that also covers enclomiphene.

Who should look elsewhere

Anyone needing a walk-in clinic, a named dispensing pharmacy or automatic cancellation from an unconfirmed ticket.

Research relevant to Fresh Day Meds

Explore the evidence and its limits. Findings apply to the formulation, route and population studied; they do not establish the quality or effectiveness of a provider’s products.

How Fresh Day Meds compares

A few alternatives worth a look, depending on what you’re optimizing for.

  • EverPrime

    Adults comparing NAD+ plans who can confirm the full prepaid charge and pharmacy in writing.

    See EverPrime →
  • Oak Longevity

    Low-cost telehealth NAD⁺ within a broader longevity stack

    See Oak Longevity →
  • Tru Niagen

    One of the most-studied oral NAD⁺ precursors (NR)

    See Tru Niagen →
Compare all providers side by side →

More NAD⁺ telehealth reviews: HealthOnHealthSourceHelloWellnessHeva HealthHormonally BalancedImmortals

TL
Theo Lindqvist

Peptides & longevity

How we assessed this. This review reflects Aminoscope’s own read of Fresh Day Meds’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.

Frequently asked

What does NAD⁺ cost at Fresh Day Meds?
The NAD⁺ injection is advertised at $199 for one-month supply or $477 for three-month supply ($159 monthly equivalent), with supplies and free shipping. A hold is captured after approval; confirm the selected renewal day and any additional lab requirement. The Care+ four-month guarantee, when offered, applies to qualifying GLP-1 treatment rather than NAD⁺.
Is the "testosterone support" line actually TRT?
No. It contains enclomiphene tablets and nothing else, at $199 for one month or $149 a month on a three-month plan. Enclomiphene is a selective estrogen receptor modulator that raises your own testosterone by lifting LH and FSH; it is not exogenous testosterone and, unlike testosterone, it does not suppress sperm production. If you want testosterone itself, this is not the provider.
Does the injected NAD⁺ have evidence behind it?
Not for outcomes. There are no controlled human outcome trials for injected NAD⁺, and the one human intravenous study was a pharmacokinetic pilot showing infused NAD⁺ clears from plasma quickly. The forms with human trial data are the oral precursors NR and NMN, which raise blood NAD⁺ — a biomarker, not a demonstrated benefit.
Which states does it serve?
Its Terms of Service list 49 states plus DC, leaving out Arkansas, and its About page says the same, noting that compounded GLP-1s are not available in Arkansas. The compounding pharmacy is not named, though the affiliated medical group, Telegra MD, is.
Does the Care+ guarantee cover NAD⁺?
No. It applies only when included before purchase for an eligible first-time GLP-1 patient. Four calendar months of continuous treatment from first delivery, a baseline video before the first dose and within fourteen days of delivery, plus a final claim within fourteen days of completion, are required; a three-month plan generally needs another paid renewal. The weight criterion is less than one pound lost. Approved covered payments are refunded without retaining the $75 allocation.
Is Fresh Day Meds legit?
Fresh Day Meds is an NAD⁺ telehealth service you reach through an online intake a clinician reviews. Its stated availability: 49 states plus DC (Arkansas omitted). What it publishes up front: NAD⁺ $199 one month or $477 three months; portal cancellation requires confirmation. It is cash-pay and states it does not bill insurance. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Before you pay, ask in writing about which medications it dispenses.
Is Fresh Day Meds expensive compared with other NAD⁺ telehealth providers?
Fresh Day Meds publishes a starting figure of $199/mo. Across the 86 NAD⁺ telehealth providers we review that publish a single monthly figure, those run $79 to $349 with a median of $189, which puts Fresh Day Meds above the median. The other 150 NAD⁺ telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.