Precision Telemed review

What it is

Precision Telemed is a nationwide telehealth platform operated by Precision Health Digital LLC (3030 N Rocky Point Drive W, Suite 150, Tampa, Florida), with medical services provided by Doctors Now PC, a group of independent physicians and practitioners. Its five treatment lines are compounded semaglutide from $139.99/mo, compounded tirzepatide from $179.99/mo, testosterone at $199/mo, sermorelin from $149.99/mo and NAD⁺ at $139.99/mo, with hair loss and ED programs alongside. It is LegitScript certified and HIPAA compliant, and it states month-to-month pricing with no subscription and no membership fee.

How it works

Asynchronous with an optional paid video layer, and unusually accountable. Its medical team page lists eleven named clinicians — a medical director, internal medicine and emergency medicine physicians, nurse practitioners and a physician assistant — each with their training institution and their NPI number, so you can verify licensure yourself rather than trusting a badge. Its dispensing partners page names two 503A compounding pharmacies, Rush Pharmacy in Florida and Greenwich Pharmacy, and states that its pharmacy partner is NABP accredited with every batch carrying an independently analysed certificate of analysis covering identity, purity, sterility, potency and endotoxins. It publishes arbitration agreements as separate documents for all states, Florida and California. Free expedited shipping and 48-hour dispatch are stated, with month-to-month billing and no subscription. One thing to notice rather than assume: the $50 Zoom consultation is a separate optional product for people who want to speak to a provider before choosing a program, not an included visit, and the site does not state whether monitoring labs are included in any program price — which matters most on the testosterone side.

Pricing transparency

Clean, singular and month-to-month, which is exactly what this board wants. NAD⁺ is $139.99 a month. Sermorelin is from $149.99 a month. Testosterone is $199 a month. The hero states the same price at every dose with no hidden fees, no subscription and no membership, and free expedited shipping. Note that the GLP-1 prices have moved since our records were built: compounded semaglutide is now from $139.99 and tirzepatide from $179.99, where our file carried $149 and $199 — those are weight-loss figures and are not an NAD⁺ or testosterone price, but the drift is a reminder to confirm any number at checkout. The optional Zoom consultation is $50 and is a standalone product. What the site does not state anywhere is whether routine monitoring labs are bundled into the testosterone price, and testosterone therapy requires ongoing haematocrit, PSA and testosterone testing that can cost more than the medication if billed separately. Ask before enrolling.

Branded vs compounded

Compounded; not FDA-approved. Prescription required only if a licensed provider finds it appropriate. Precision Telemed states that compounded drugs are prescribed on a licensed provider's medical judgement from a telehealth encounter including medical history, that Precision Health Digital LLC is a patient-management platform rather than a medical provider, and that Doctors Now PC provides the medical services — a clear separation of roles. Every batch carries an independently analysed certificate of analysis. That is a stronger quality position than most, and it does not change the evidence tier of what is being dispensed. Injected NAD⁺ has no controlled human outcome trials; the NAD⁺ forms with human trial data are the oral precursors NR and NMN, and what they reliably produce is a raised blood NAD⁺ level rather than a demonstrated clinical benefit. Sermorelin is a GHRH analogue with a real mechanism and thin long-term human outcome data. Testosterone replacement is the one therapy on this menu with a large randomised safety base behind it, and it still requires ongoing haematocrit, PSA and testosterone monitoring for as long as you take it. Individual results vary.

Pros and watch-outs

The evidence behind what Precision Telemed prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• NAD+ precursors (NR and NMN): what the human trials actually show

  They raise NAD+ and look safe short-term — but human evidence is surrogate-marker level, and no trial shows they extend healthspan.

• Sermorelin: a real GHRH drug, read against the anti-aging pitch

  An approved growth-hormone-releasing analog with a pediatric track record — and a longevity case built more on biomarkers than outcomes.

• TRT: what testosterone therapy is actually proven to do

  An FDA-approved therapy for diagnosed hypogonadism — with real but moderate benefits (sexual function, mood; not vitality), cardiovascular non-inferiority in TRAVERSE, and a real fertility trade-off.

• TRT and Hematocrit: Why Testosterone Thickens the Blood, and What to Do About It

  Erythrocytosis is the most common lab change on testosterone therapy — predictable, route-dependent, and manageable with monitoring.

How Precision Telemed compares

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

• PRPreventiveMD

  NAD⁺ at a published all-in price from a platform that tells you up front whether it can treat you

  See PreventiveMD →
• OMOptions Medical Weight Loss

  NAD⁺ at a single published monthly price inside an established clinical brand

  See Options Medical Weight Loss →
• PLPlexusDx

  NAD⁺ at a published all-in monthly price with check-ins and no membership on top

  See PlexusDx →