StackMD review

StackMD gets the disclosures right and the arithmetic awkward. It names its operating company and its prescribing partner, SamaritanMD; it says on every product page that its compounded medications are not FDA-approved; and it states what you actually receive, from the NAD⁺ vial (100 mg/mL in 10 mL) to the nightly sermorelin dose (200 to 500 mcg). Two things make its prices harder to compare than they look. The injections are sold as a four-week or a twelve-week supply, so a four-week price is not a calendar-month price, and the twelve-week option is exactly three times the four-week one, with no saving. And the homepage tile still reads NAD⁺ "Starts @ $140" while the NAD⁺ product page opens at $160. Refunds and consultation fees are handled by SamaritanMD, not StackMD.

StackMD (Medical 360 HC PLLC, a New York limited liability company) is an online store selling compounded medication for weight loss, longevity, men's health, sexual health and skin care. Its longevity shelf carries injectable sermorelin ($175 for four weeks, $525 for twelve), oral sermorelin tablets ($145 or $249 for a 30-day supply, by strength), NAD⁺ injections ($160 or $480), oral NAD⁺ tablets ($245 for 30 days), NAD⁺ nasal spray ($175), injectable glutathione ($130 or $390), oral and nasal glutathione, methylene blue and low-dose naltrexone. Its terms describe it as a technology, marketing and administrative platform rather than the clinical provider: telehealth consultations, prescribing and payment are handled by SamaritanMD, and prescriptions go to independent 503A and 503B compounding pharmacies.

Shop first, then qualify. You choose a product, start a five-minute medical intake, and a licensed provider decides whether to prescribe; the product pages say a valid patient ID is required, that checking out does not guarantee a prescription, and that final pricing is confirmed after the provider's review. Shipping is free and cold-packed, kits include syringes, needles and alcohol swabs, and ongoing access to a clinical support team is stated as included. Oral sermorelin also requires a CMP, CBC and HbA1c blood panel before it ships, and neither oral sermorelin nor oral NAD⁺ is sold in Alabama. The clinical layer is separated out and named. The terms say StackMD is a technology, marketing and administrative platform; SamaritanMD provides the telehealth care, collects payment (charges appear on your statement under its name) and handles billing questions, and StackMD says it has no authority to issue refunds on SamaritanMD's behalf. Naming the clinical partner is a real positive; the split it creates is a real negative, because the company you buy from is not the company you would have to argue with. The refund policy, last updated June 1, 2026, opens with "All sales are final." SamaritanMD's consultation fee is non-refundable once a provider is assigned, even if no prescription is issued, and the policy does not say how much it is. Dispensed medication cannot be returned; dispensing errors must be reported within 7 days and damaged shipments within 72 hours, with photos. The compounding pharmacy is never named. The terms set New York law and binding arbitration in New York, with jury-trial and class-action waivers.

Every product carries a price, but the units differ. Injectable sermorelin is $175 for a "4-Week Supply" or $525 for a "12-Week Supply"; NAD⁺ injections are $160 or $480; injectable glutathione is $130 or $390. The twelve-week option is exactly three times the four-week one, so there is no reason to prepay. A four-week supply is not a calendar month: if you reorder every four weeks, that is thirteen orders a year rather than twelve, which makes a four-week price about 8% more expensive over a year than the same figure billed monthly. The oral and nasal products are priced by 30-day supply instead: oral sermorelin tablets are $145 (2 mg) or $249 (5 mg), oral NAD⁺ 200 mg tablets $245, and NAD⁺ nasal spray $175. Two cautions. The homepage NAD⁺ tile reads "Starts @ $140", but the NAD⁺ product page opens at $160, and no NAD⁺ product is priced at $140. And the product pages say final pricing is confirmed after the provider's review, while the refund policy mentions a SamaritanMD consultation fee whose amount is not stated. The "Plans starting at just $125/month" line in the Why StackMD section is the 1 mg semaglutide price (the semaglutide with B12 ladder runs $125 to $225 by vial strength), not a peptide price. Ask what your total first charge will be, consultation included, before you start the intake.

Compounded; not FDA-approved — stated by StackMD itself, in its own words, on every product page: compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality, and sermorelin specifically is described as a compounded peptide not FDA-approved for general use. That is the correct disclosure and better phrased than most. Prescription required only if a licensed provider finds it appropriate. The compounding pharmacy is not named, and compounded sterile products are not reviewed by the FDA for purity and potency the way approved drugs are. On the evidence, sermorelin is a GHRH analog acting on a real, well-described growth-hormone axis with thin long-term human outcome data past short-term IGF-1 movement. Injected NAD⁺ has no controlled human outcome trials at all; the forms with human trial data are the oral precursors NR and NMN, which raise a blood NAD⁺ level rather than demonstrate a clinical benefit. Injectable glutathione has essentially no controlled human outcome data behind the skin and detox claims made for it. The oral options deserve extra caution: sermorelin's human data come from injection, and StackMD's own pages concede that oral sermorelin is dosed higher to make up for poor absorption and that oral NAD⁺ is less bioavailable than the injection. StackMD is at least specific about what you receive: the NAD⁺ vial is 100 mg/mL in 10 mL, used at 0.5 to 1 mL up to five times a week as directed; sermorelin is dosed at 200 to 500 mcg a night; glutathione at 0.5 mL (100 mg) up to five times a week. Individual results vary.