Noom GLP-1 review 2026: coaching, compounded meds and the history to know

What is Noom Med?

Noom Med is the medical side of Noom. It adds prescriptions to Noom's well-known coaching app. You get a psychology-based course, daily lessons, a personal coach and a clinician who checks whether medicine suits you.

Its main medicines are GLP-1s, such as semaglutide and tirzepatide. They lower appetite and help with weight loss. The FDA approves them for use alongside a lower-calorie diet and more activity. Noom's app is built to help with that second half, and that is its real edge.

Most of Noom's GLP-1 plans use compounded medicine. That means a pharmacy makes its own version of semaglutide or tirzepatide. These versions are not FDA-approved, unlike brand-name Wegovy or Zepbound. A separate Noom plan can prescribe the brand-name drugs, which you pay for on your own.

How much does Noom Med cost?

Noom Med has four GLP-1 plans that include the medicine. It also has a metformin pill plan, a plan for brand-name drugs and a coaching-only app. Unless noted, each price covers the medicine, clinician care and the full app.

• GLP-1Rx, compounded semaglutide: about $250 a month · First 4 weeks $129.
• GLP-1Rx Plus, compounded tirzepatide: about $300 a month · First 4 weeks $149. Tirzepatide acts on two gut hormones instead of one.
• Microdose GLP-1Rx, compounded semaglutide: about $180 a month · First 4 weeks $79. It keeps you on low doses at a lower price.
• Proactive Health, low-dose compounded semaglutide: about $150 every 4 weeks, sold in terms of about four months. It adds an at-home blood test of 17 health markers, such as cholesterol and blood sugar. It aims at overall health more than weight loss.
• Weight Loss Pill, metformin: about $100 a month · First 4 weeks $69. Metformin is a common diabetes pill, not a GLP-1. Noom notes it is not FDA-approved for weight loss.
• Telehealth for Branded Med: about $130 a month · First month $39. This covers the clinician, the prescription and the app. The brand-name drug, such as Wegovy or Zepbound, is paid separately through insurance or out of pocket.
• Noom Weight, coaching only, no medicine: about $70 a month · About $210 for a full year.

One detail is easy to miss. Noom bills most of these plans once every 12 weeks, not monthly. Budget for about three months at once.

At about $250 to $300 a month, Noom's standard semaglutide and tirzepatide plans sit at the high end for compounded GLP-1 care. Fridays costs about $150 a month for semaglutide on its annual plan. Mochi Health runs about $140 to $270 a month for semaglutide, membership included, depending on your dose.

What you pay extra for at Noom is the coaching app. If you would really use it, the value tips in Noom's favor. If you just want the medicine, cheaper options exist. For every plan and the real 12-week bill, see Noom GLP-1 cost.

Is Noom legit? The $62M class action and refund rules

Noom settled a class action for $62 million, with final court approval in July 2022. The suit said Noom made auto-renewing subscriptions hard to cancel. As part of the deal, Noom agreed to ask for clear consent to auto-renewal and to make cancelling easier.

Today Noom is accredited by the Better Business Bureau, with an A+ rating. The BBB also notes a high volume of complaints about Noom. Because of that volume, its Noom profile shows only one complaint in five.

Refunds are limited. On plans that include medicine, Noom gives no refund once a prescription has been written. On the brand-name plan, there is no refund after your first clinical visit.

What it means for you: read the terms before you enroll, and note the date of each 12-week charge. You can cancel in your Noom account or the app. Do it before the next charge, since renewals are not refunded.

The Eli Lilly partnership: what it was and why it matters

In 2025, Noom partnered with Eli Lilly to offer brand-name Zepbound, Lilly's tirzepatide shot, through Noom Med. Lilly ended that partnership in July 2025.

Lilly now sells Zepbound directly to cash-paying patients through LillyDirect. It costs about $300 to $450 a month, depending on dose. The top price holds only if you refill within 45 days.

Noom's own tirzepatide plan is a compounded version. If you want brand-name Zepbound through Noom, its branded plan can still prescribe it. You then buy the drug separately.

Is Noom Med right for you in perimenopause?

Noom Med is built around weight. A GLP-1 works the same way whoever prescribes it. So the real question is what else you need from your care.

Noom also runs a separate menopause program called Noom + HRT Rx. HRT, or hormone therapy, replaces some of the estrogen your body makes less of. Noom's clinicians prescribe an FDA-approved estradiol patch and a compounded estrogen cream. Women who still have a uterus also get progesterone pills, which protect its lining.

If menopause symptoms are your main concern, a menopause-focused service offers more hormone choices. Alloy and Midi Health are two to compare.

Noom Med works best if you:

• Will use the coaching: the app is genuinely useful if you engage with it.
• Want one place for everything: GLP-1 treatment and behavior support in the same app.
• Are comfortable with compounded medicine rather than the brand-name drugs, or plan to use the branded plan.

Check your state first. The GLP-1Rx program is not offered in Alabama, Louisiana or Mississippi. If you're also weighing Hers, see Hers vs. Noom.