Weight loss comparison · Medical comparison
Noom review: cost, care and alternatives
Noom built its name on psychology-first weight coaching, and in 2026 it also sells GLP-1 medication through Noom Med. It is a polished, well-established program, but its pricing bundles a membership into each program you join. Here is the honest breakdown, and where Sipra's single membership works differently. Individual results vary.
At a glance
 | Noom | |
|---|---|---|
| Monthly cost, compounded GLP-1 | $149/mo all-in | From $199/mo, billed quarterly |
| Membership model | One membership included in the price covers everything | Bundled into each program |
| Physician visits | Unlimited, ongoing 24/7 care | Clinical care included per plan |
| Medications covered | Weight loss, men's, women's | Weight loss (HRT is a separate program) |
| Labs | Discounted, quarterly protocol $65/mo | Not in core plans; one plan adds biomarkers |
| Price as dose rises | Fixed by plan length, not dose | Tiered by program and dose |
Based on publicly available information as of 2026-07-13. Confirm current details on each company's own site.
What Noom is, and who it is for
Noom started as a behavior-change app and is best known for daily psychology-based lessons, food logging with its color-coded system, and 1:1 human coaching. That core Weight program is about habit change, not medication.
In 2026 Noom also runs Noom Med, a telehealth service that prescribes GLP-1 medication for people who qualify. If you want structure, coaching, and a well-built app as the center of your weight loss plan, Noom is genuinely one of the strongest options. Individual results vary.
Noom's pricing in 2026
The core Weight app is separate from medication. A 12-month plan is about $209 total, roughly $17 a month, and includes coaching and lessons but no visits, labs, or medication.
Noom Med's compounded GLP-1 plans bundle the medication into the price and are billed quarterly. The microdose compounded GLP-1 plan is $199 a month, the standard compounded GLP-1 plan is $249 a month, and the compounded tirzepatide plan is $299 a month, each after a discounted first month. A separate telehealth plan for branded medication is about $99 a month and does not include the drug itself, which you pay for at the pharmacy. Compounded and branded medications are different products.
Cheapest compounded GLP-1, monthly price
Publicly listed prices as of July 2026.
Noom's $199/mo is a compounded GLP-1 plan (not FDA-approved), billed quarterly, with a membership bundled into that one program. Sipra's single membership included in the price plus medication covers weight loss and more under one membership. Compounded and branded medications differ.
The membership and what-is-included catch
Noom's membership is baked into each program you join. The Weight app is one subscription, Noom Med is another, and Noom's hormone care is a separate program again. If you want to treat weight plus a second goal like hormones, you are paying for two memberships, billed separately.
Sipra takes the opposite approach. One membership included in the price covers unlimited physician visits, ongoing 24/7 care, discounted labs, and access to every medication across weight loss, men's health, and women's health. Buying a second medication does not mean paying a second membership. Sipra's medication price is also fixed by plan length rather than dose, so it does not rise as your dose rises, and longer plans cost less.
Noom sells behavior change first and medication second. If your main goal is affordable, ongoing medication access, the bundled per-program pricing adds up faster than a single all-in membership.
Where Noom falls short
Compounded GLP-1 plans are billed quarterly, so you commit to a full quarter up front, and labs are not part of the core plans. The cheaper Weight app has no medication or clinical care at all, so medication requires the pricier Med tier.
Because the membership is per program, Noom is less efficient if your needs span more than one area of health. Sipra covers all of it under one membership included in the price, adds quarterly protocol labs at $65/mo to monitor everything you take, and offers thyroid and hormone labs at member pricing with men's and women's care. There are no hidden fees. The Sipra Promise refunds medication not yet sent to the pharmacy on 6 and 12 month plans if you stop partway through.
Noom pros and cons
What is good
- Noom's psychology-first program is its real strength: daily behavioral lessons and habit coaching are well established and among the best in the category. Individual results vary.
- 1:1 human coaching and a large community are bundled into every plan.
- FSA and HSA eligible, and one Noom Med plan adds at-home biomarker testing across 17 markers.
What to weigh
- Membership is bundled per program, so weight and a second goal like hormone care are separate subscriptions, billed separately.
- Compounded GLP-1 plans are billed quarterly, so you commit to a full quarter at a time.
- The core Weight app (about $209/year) includes no medication, visits, or labs; medication requires the pricier Med tier.
- The branded-medication telehealth plan does not include the medication cost, which you pay separately at the pharmacy.
sipra vs Noom, side by side
| Noom | |
|---|---|---|
| Monthly price, compounded GLP-1 | $149/mo all-in | From $199/mo, billed quarterly |
| Membership model | One membership included in the price, everything included | Bundled into each program |
| Second medication or condition | Covered by same membership included in the price | Separate program, separate fee |
| Physician visits | Unlimited, ongoing 24/7 care | Clinical care included per plan |
| Behavior coaching | Care team support | Daily lessons + 1:1 coaching (strong) |
| Labs and biomarkers | Quarterly protocol labs $65/mo | Not in core plans; one plan adds 17 markers |
| Price as dose increases | Fixed by plan length, not dose | Tiered by program and dose |
| Billing and commitment | Plan-length pricing, longer costs less | Compounded plans billed quarterly |
| Compounded vs branded | Both offered, labeled clearly | Compounded (not FDA-approved) or branded |
| Refund if you stop | Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan | Verify current refund terms |
| Medication charged on approval | Yes, no hidden fees | Verify at checkout |
As of 2026-07-13. Scope: Noom's lower-cost GLP-1 plans use compounded medication, which is not FDA-approved and differs from branded drugs; its membership is bundled per program, so a second health goal is a separate subscription.
Who should choose which
Choose Noom if
- You want a structured, psychology-based behavior-change program and daily lessons as the core of your plan.
- You value 1:1 human coaching and a large community bundled in.
- You are focused on a single goal and like the idea of at-home biomarker testing in one plan.
Choose sipra if
- You want one membership included in the price to cover unlimited visits and medications across weight loss, men's, and women's health.
- You want medication pricing fixed by plan length, not rising with your dose.
- You want discounted quarterly protocol labs at $65/mo to monitor everything you take.
Frequently asked questions
Lose weight with a plan made just for you
- Same-day doctor visits and prescriptions
- Semaglutide, tirzepatide & other GLP-1s
- FSA & HSA eligible with all plans
From price shown is the 12-month plan rate. Prices may vary.
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