By The RX Index Editorial Team·Last verified: April 8, 2026

MEDVi vs Noom: 9 Real Differences That Actually Matter in 2026

Note: This page compares MEDVi the GLP-1 telehealth provider (medvi.org) — not “MediVI” by 6 Degrees Health, which search engines sometimes confuse in results.

The RX Index is an independent editorial publisher covering GLP-1 medications and telehealth providers. We may earn a commission from some links, which funds our research. Our editorial recommendations are never influenced by affiliate relationships. Full disclosure →

Bottom line

In this MEDVi vs Noom comparison, MEDVi is the better choice for most cash-pay shoppers who want a simpler, medication-first path. Compounded semaglutide starts at $179 for the first 28-day cycle and $299/cycle after that. Medication and labs are included. Patient support is available 24/7. Billing renews every 28 days — cancel anytime without losing a quarterly lump sum.

Choose Noom instead if you specifically want psychology-based coaching (daily CBT lessons, food logging, community support, and a full behavior-change app) bundled with your GLP-1, or if you want a formal microdose program designed for fewer side effects, or if you need an insurance-friendly path to brand-name Wegovy or Zepbound.

Jump to: At a glance · Which Noom plan? · Real cost breakdown · Who should pick what · Support & labs · Medication paths · Legitimacy · Cancellation · FAQ

MEDVi vs Noom: two different ways to approach GLP-1 weight loss. MEDVi offers medication-first approach, compounded semaglutide and tirzepatide options, tablet and injection formats, labs included, 24/7 support, simpler all-in-one care flow. Noom offers coaching-first approach, GLP-1 programs plus structured behavior support, microdose program, branded-med path, community and habit-building tools, coaches and doctors online.
MEDVi for simpler medication-first care · Noom for coaching and behavior support. Same goal — completely different models.

MEDVi vs Noom at a Glance

MEDViNoom GLP-1Rx (Semaglutide)
Best forMedication-first, cash-pay simplicityCoaching + medication combined
Semaglutide starts at$179 (first cycle), $299/cycle after$129–$149 (first month), then $279/mo ($837/quarter)
Billing structureEvery 28 days, month-to-monthQuarterly lump sum after intro
Medication included?Yes (all compounded plans)Yes (GLP-1Rx, GLP-1Rx Plus, and Microdose plans)
Compounded tirzepatide?Yes — injections and tabletsYes — via GLP-1Rx Plus (availability varies by state)
FDA-approved med path?Yes — Wegovy and Zepbound membership pathsYes — Telehealth for Branded Meds plan
Coaching / appNo structured app; patient messagingFull Noom app: CBT lessons, food logging, coaching, community
Labs included?YesYes (most states; exceptions apply)
Support24/7 patient supportIn-app chat 24/7; clinician replies ~36 hrs; phone 8 AM–8 PM ET
Medication formatsInjections + tablets (semaglutide and tirzepatide)Injections (semaglutide and tirzepatide via respective plans)
Cancellation72-hour notice before billing cycleCannot cancel mid-quarter
Trustpilot4.4/5 (11,800+ reviews)4.5/5 (66,000+ reviews)
Check If You Qualify for MEDVi →

$179 first cycle. Labs + shipping included.

See Noom's GLP-1 Program Options →

Coaching + medication. Multiple plan types.


Which Noom plan are you actually comparing to MEDVi?

This is where most comparisons fall apart. Noom is not one product — it's at least six different programs under one brand name, and the pricing pages don't always make it obvious which one you're looking at. If you're comparing “$17/month Noom” to MEDVi, you're looking at the wrong product entirely.

Noom ProgramWhat it isMedication?Compare to MEDVi?
Noom WeightApp-only behavior change (no medication)NoNo — not comparable
GLP-1Rx ProgramCompounded semaglutide + full Noom appYes✅ Yes — primary apples-to-apples comparison
GLP-1Rx PlusCompounded tirzepatide + full Noom appYesYes — if you want tirzepatide specifically
Microdose GLP-1RxLower-dose compounded semaglutide + app (caps at 0.6mg)YesPartially — different dose strategy
Proactive Health MicrodoseMicrodose + biomarker testing ($149/mo, 4-month subscription)YesPartially
Telehealth for Branded MedsClinician access for insurance-covered brand-name GLP-1s (medication not included)No — separateNo — different model

The primary apples-to-apples comparison with MEDVi is Noom's GLP-1Rx Program. Both include compounded semaglutide, both are cash-pay, and both ship medication to your door. That's what we're primarily comparing throughout this page.


What does MEDVi vs Noom actually cost after month one?

Intro prices are marketing. What matters is the number on month 3, month 6, and month 12. We ran the math for both.

MEDVi pricing (compounded semaglutide injections)

MEDVi's pricing structure is straightforward. The first cycle is discounted; every cycle after that is the standard rate. Billing renews every 28 days — not every calendar month — so you'll have roughly 13 billing cycles per year. Medication, labs, shipping, and patient support are all included. No separate membership fee.

First 28-day cycle$179
Every cycle after$299
First 12 cycles (336 days)$3,468
Approximate first calendar year (13 cycles)$3,767

MEDVi also offers compounded semaglutide tablets ($249 first cycle, $369 after), compounded tirzepatide injections ($349/cycle), and tirzepatide tablets ($279 first cycle, $399 after). Branded medication paths (Wegovy, Zepbound) use a $99 membership plus medication cost model.

Noom GLP-1Rx Program pricing (compounded semaglutide injections)

Noom's pricing is harder to decode because it uses quarterly billing after the intro period — meaning your bank account gets hit with a lump sum every 12 weeks, not a predictable monthly charge.

First month (intro)$129–$149
After intro$279/month, billed as $837 every 12 weeks
Approximate first calendar year$3,198–$3,218

The honest math

On pure monthly rate, Noom's GLP-1Rx semaglutide program is roughly $20/month cheaper than MEDVi at the standard rate. But MEDVi's 28-day billing means ~13 cycles per calendar year vs. Noom's 12-month structure, which narrows the annual gap. What MEDVi gives you that Noom doesn't: month-to-month billing you can cancel anytime without losing a prepaid quarter, 24/7 patient support, and tablet formats. What Noom gives you: a full psychology-based coaching app with daily CBT lessons, food logging, community support, and side-effect management tools.

Where the billing difference really matters

The billing structure difference is more important than the price difference for most people. Here's what quarterly billing actually looks like in your checking account:

MonthMEDVi chargesNoom charges
Month 1$179$129–$149
Month 2$299$0 (already paid in quarter)
Month 3$299$0
Month 4$299$837 (quarter 2 lump sum)
Month 5$299$0
Month 6$299$0
Month 7$299$837 (quarter 3 lump sum)

If you decide after month 2 that GLP-1s aren't for you, MEDVi lets you stop with $478 spent. With Noom, you've already committed $129–$149 for the intro plus you're locked into the first quarterly cycle. The maximum you can lose at MEDVi is one 28-day cycle. The maximum you can lose at Noom is one quarter.

What about Noom Microdose pricing?

If you're comparing MEDVi to Noom's Microdose GLP-1Rx specifically, the math shifts significantly:

  • Month 1: $99
  • After intro: $199/month ($597 every 12 weeks)
  • Approximate first calendar year: ~$2,288

That's roughly $1,180–$1,479 less than MEDVi over a year — real savings. But there's a clinical trade-off: Noom Microdose caps at 0.6mg of compounded semaglutide. Standard therapeutic dosing goes up to 2.4mg. Some people see results at lower doses; others need higher doses for clinical benefit. The dose cap is a constraint you should understand going in.

If you want tirzepatide instead of semaglutide

Both providers offer compounded tirzepatide. MEDVi's compounded tirzepatide injections start at $349/cycle, with tablets starting at $279 first cycle, $399 after. Noom offers compounded tirzepatide through its GLP-1Rx Plus program — pricing varies, so confirm directly on noom.com. MEDVi's advantage here is the tablet option. If you want compounded tirzepatide in oral form rather than injections, MEDVi offers that and Noom currently does not.

MEDVi's terms state that final charges may vary depending on the prescribed medication and pharmacy. All prices reflect what's published on official provider websites as of April 2026. Verify directly before committing.

See MEDVi's Current Pricing & Check Eligibility →

$179 first cycle. $299/cycle after. Medication, labs, shipping included.


If you're this person, pick this provider

This is the section that should end the comparison for most readers. Find yourself below.

Which one fits you best? Choose based on how you want support, not just the medication. Choose MEDVi if you want a simpler medication-first path (less app complexity, more direct focus on treatment and support) or more format flexibility (injections and tablet options available). Choose Noom if you want coaching and habit support (behavior tools, community, and guided accountability) or a microdose or branded-med path.
The right answer depends on what kind of support you'll actually use.

"I just want the medication — keep it simple."

Pick MEDVi

No app required. No food logging homework. No daily lessons or community challenges. Sign up, complete the online evaluation, get approved by a licensed physician, and medication ships to your door. Patient support is available 24/7 for dose adjustments, side-effect questions, or anything else. $299/cycle after the first cycle. Cancel with 72 hours' notice. MEDVi is built for people who already have their own diet and exercise approach and just want efficient, affordable access to GLP-1 medication with real clinical oversight.

"I want coaching and habit-building alongside my GLP-1."

Pick Noom

This is what Noom is genuinely great at. The full Noom app includes psychology-based daily lessons grounded in cognitive behavioral therapy, food logging with a color-coded nutrition system, one-on-one coaching, group community support, Muscle Defense workout videos, and dedicated GLP-1 side-effect management tools. If you believe the behavioral and psychological layer matters for keeping weight off long-term — and there's real evidence it does — Noom delivers something MEDVi simply doesn't try to offer.

"I'm terrified of needles."

Pick MEDVi

MEDVi offers compounded semaglutide and tirzepatide in dissolvable tablet form, not just injections. Semaglutide tablets start at $249 for the first cycle, $369 after. Noom's compounded GLP-1 plans are currently injection-only. If needle anxiety is your blocker, MEDVi removes it.

"I want to start with a lower dose to minimize side effects."

Consider Noom Microdose

Noom's Microdose GLP-1Rx program is specifically designed for gentler titration with compounded semaglutide, capping at 0.6mg. It costs $99 for the first month, then $199/month ($597 every 12 weeks). It's one of the few formal microdose programs on the market. The trade-off: the dose cap means some people won't get enough medication for significant results — standard therapeutic doses go up to 2.4mg. MEDVi doesn't market a formal microdose program, though their clinicians can start you at a lower dose and titrate based on your response.

"I have insurance that covers Wegovy or Zepbound."

Look at Ro first

If your insurance covers brand-name GLP-1 medications, the best path is usually a provider with a dedicated insurance concierge — and Ro's is the strongest we've reviewed. Noom does offer a Telehealth for Branded Meds plan ($69 first month, $99/month after) that provides clinician access while you pursue insurance-covered medication — medication cost not included. MEDVi is primarily a cash-pay platform. For insurance-first buyers, Ro is a stronger fit.

Compare Ro's insurance-first GLP-1 program →
Still not sure? Take our free 60-second GLP-1 matching quiz →

No email required · 5 questions · Personalized recommendation


Which has better support for side effects, labs, and shipping?

MEDVi medication-first experience: simpler care flow, provider access, medication management, lab status tracker. Noom coaching-first experience: habit tracking check-ins, educational content lessons, behavior support tools, milestone tracking, progress tracking, community support.
MEDVi is built for clinical efficiency. Noom is built for behavioral depth. Neither is wrong — they serve different priorities.

MEDVi support

24/7 patient support with care team

Specific providers appear repeatedly in positive Trustpilot reviews — a sign of real humans delivering consistent care

Dose adjustments included at no extra charge

No app engagement requirements — clinical and direct

Fast response: most side-effect questions addressed within hours

Noom support

24/7 in-app chat; phone support 8 AM–8 PM ET daily

Clinician replies on medication plans within approximately 36 hours

One-on-one behavioral coaching check-ins

AI-powered nutrition planning through Welli

Muscle Defense workout videos + community of other GLP-1 members

Dedicated side-effect management tools built into the app

The honest take: If you need fast responses from your care team about your medication, MEDVi is meaningfully better. If you value daily behavioral support, accountability tools, and a coaching framework that extends beyond medication management, Noom is meaningfully better. These are different products solving different problems for the same goal.

Labs and monitoring

MEDVi labs

Included at no extra cost. After month 3, lab work becomes mandatory and will delay your treatment if not completed. Labs are typically processed through standard national lab networks.

Noom labs

Includes baseline labs for most medication plans (exceptions may apply in certain states). Some plans include an initial at-home biomarker kit. Noom's Proactive Health Microdose plan includes a more comprehensive at-home biomarker test evaluating cholesterol, thyroid, blood sugar, and metabolic health.

Shipping

MEDVi: Most patients are approved and receive medication within days of completing their evaluation.
Noom: Prescription typically issued within 24 hours. Medication shipments go out in 3–7 business days, with tracking available through email and the Noom app.

“The doctor is thorough. They ask the right questions and feedback is always there. I trust the care they provide.”

— MEDVi Trustpilot review, April 2026

What medication paths can you actually get from MEDVi vs Noom?

Not all GLP-1 programs are created equal when it comes to what medication you can access. This matters more than most comparison pages acknowledge.

Medication Paths: MEDVi vs Noom. Both offer compounded semaglutide and compounded tirzepatide. MEDVi additionally offers tablet options and injection options; Noom offers a microdose program. Both offer branded-med paths. MEDVi offers broader format flexibility; Noom offers more program-path flexibility.
MEDVi offers broader format flexibility (injections and tablets). Noom offers more program-path flexibility (microdose, insurance route, coaching tiers).
MedicationMEDViNoom
Compounded semaglutide injections✅ (GLP-1Rx and Microdose)
Compounded semaglutide tablets
Compounded tirzepatide injections✅ (GLP-1Rx Plus; availability varies by state)
Compounded tirzepatide tablets
Brand-name Wegovy (semaglutide)✅ (membership path)✅ (Telehealth for Branded Meds)
Brand-name Zepbound (tirzepatide)✅ (membership path)✅ (Telehealth for Branded Meds)
Microdose-specific program❌ (clinician-directed lower doses available)✅ (formal Microdose GLP-1Rx)
Metformin / weight-loss pill✅ (Weight-Loss Pill plan, from $69)
Tablet / oral option for compounded meds✅ (semaglutide and tirzepatide)
Insurance route for brand-name medsLimited — primarily cash-pay✅ (insurance concierge on Branded Meds plan)

Compliance note: Compounded GLP-1 medications are not FDA-approved. They are produced by regulated compounding pharmacies but have not been individually evaluated by the FDA for safety, efficacy, or quality. This applies equally to compounded medications from both MEDVi and Noom. Compounded medications should not be considered equivalent to FDA-approved brand-name drugs like Wegovy, Zepbound, or Ozempic.


Is MEDVi or Noom more trustworthy in 2026?

Both are legitimate providers. Here's what matters for your decision.

Different strengths, different tradeoffs. MEDVi strengths: simpler medication-first setup, labs included, 24/7 support, more format flexibility, fewer built-in behavior tools. Noom strengths: stronger coaching ecosystem, habit and progress tools, community support, more program-path variety, more moving parts to compare. Choose based on the support model you trust yourself to use.
Choose based on the support model you trust yourself to actually use.

MEDVi's trust profile

·

Active LegitScript certification — independent third-party compliance verification

·

Belmar Pharma Solutions compounding pharmacy partner, operating since 1985

·

Served over 100,000 patients

·

4.4/5 Trustpilot rating from 11,800+ verified reviews

·

Both compounded and FDA-approved GLP-1 paths (Wegovy and Zepbound)

Noom's trust profile

·

A+ BBB rating; 66,000+ Trustpilot reviews at 4.5/5 stars

·

April 1, 2026: Noom finalized acquisition of Tailor Made Compounding (TMC) — a licensed 503A compounding pharmacy operating in 46 states

·

40,000+ square foot pharmacy facility; brings medication production in-house

·

Established behavior-change company with millions of customers across multiple products

·

Consistent complaint pattern: billing confusion between $69 membership advertised and $279/month actual compounded medication cost

The bottom line on trust: Both platforms are legitimate and serve real patients with licensed physicians. Noom has stronger brand recognition and deeper institutional backing. MEDVi has simpler pricing and faster support response. Every auto-billing telehealth company generates billing complaints because subscription billing plus healthcare equals emotional friction — that's universal across MEDVi, Noom, Ro, and Hims alike.


How hard is it to cancel MEDVi vs Noom — and what refunds are realistic?

This is the question that should matter more than it does in most comparisons. Neither platform is a risk-free trial once medication-related steps happen.

MEDViNoom (GLP-1Rx / Microdose)
Cancel in app/portal?Yes — via account or contacting supportYes — via app or contacting support
Notice required?72 hours before next billing cycleBefore quarterly renewal
Refund before prescription?Generally yesGenerally yes
Refund after prescription/medication ordered?No — payment is final once medication is orderedNo — once prescribed or medication shipped
Can cancel mid-billing-cycle?Yes — you lose that cycle but don't owe moreNo — quarterly payment is locked; no partial refund
Biggest complaint theme"I thought I canceled but got charged""I didn't realize I was paying for 3 months at once"
Maximum single-cycle exposure~$299 (one 28-day cycle)~$837 (one quarter)

The key difference: MEDVi's 28-day billing means your worst-case financial exposure from a cancellation misunderstanding is one cycle. Noom's quarterly billing means your worst-case exposure is one quarter — roughly 3x more.

MEDVi does not offer generous refunds. Once medication has been ordered for a billing cycle, the payment is final. You must cancel with 72 hours' notice before your next cycle. Miss that window and you're charged for another cycle. Noom's refund policy states that refunds may be available only before a prescription is written — after that, renewals are typically not refundable. Both platforms are honest about these policies in their terms — most people just don't read terms before signing up.


Where are MEDVi and Noom available?

State availability can make this decision for you before you even compare prices.

MEDVi is available in most U.S. states. Some states have additional requirements — certain states require a live provider meeting before prescribing, and some states restrict tablet shipments to injectables only. Confirm your state's eligibility directly on medvi.org before comparing prices.

Noom's availability varies by program. The GLP-1Rx and Microdose programs are not available in all states for compounded medications. GLP-1Rx Plus (tirzepatide) availability also varies by state. Noom's Telehealth for Branded Meds is available in most states with certain exceptions. Confirm your eligibility on noom.com.


What about insurance, HSA, and FSA?

Neither MEDVi nor Noom accepts insurance directly for their compounded GLP-1 plans.

MEDVi insurance / payment options

·

Cash-pay for compounded medications

·

Markets itself as HSA/FSA approved — you can use your FSA/HSA card directly

·

Newer branded medication paths (Wegovy, Zepbound) may allow insurance reimbursement claims

·

MEDVi does not handle the insurance process for you

Noom insurance / payment options

·

Cash-pay for compounded medications

·

Does not accept direct HSA/FSA payments — eligible members can submit documentation for reimbursement

·

Telehealth for Branded Meds plan ($69 first month, $99/month after) includes insurance concierge services

·

Helps navigate prior authorizations for brand-name GLP-1s like Wegovy and Zepbound

·

Medication cost NOT included in this plan — billed through your insurance or pharmacy

If insurance coverage is your top priority, Noom's branded-med plan or Ro's program are better fits than MEDVi for navigating that process.


What do real customers actually say?

We analyzed reviews across Trustpilot, ConsumerAffairs, BBB, and Reddit for both platforms. Here are the patterns — not cherry-picked quotes.

MEDVi review patterns

4.4/5 · 11,800+ Trustpilot reviews

What people praise most:

  • Speed and simplicity of the signup-to-medication process
  • Responsive support — specific provider names appear repeatedly in positive reviews
  • Straightforward monthly billing without multi-tier confusion
  • Real weight loss results (15–50+ lbs reported across 3–10 month timelines)

What people complain about most:

  • First-cycle pricing creates confusion when refills jump to the standard rate
  • Cancellation and refund friction — especially around the 72-hour notice window
  • Some negative tablet experiences (oral GLP-1 absorption varies by individual)
  • Billing after cancellation attempts — common across all telehealth subscription companies

"I'd tried cutting carbs, calorie tracking, and two different apps before coming across MEDVi. Nothing stuck longer than a few weeks. About eight months in, I've lost meaningful weight and my relationship with food feels genuinely different."

ConsumerAffairs verified review, 2026

Noom review patterns

4.5/5 · 66,000+ Trustpilot reviews

What people praise most:

  • The coaching app is genuinely useful — daily lessons, habit-building tools, and community support
  • Combining medication with behavioral psychology feels more comprehensive
  • The microdose approach helps people sensitive to GI side effects start gentler
  • Professional packaging and tracking

What people complain about most:

  • Billing shock — the "$69/month" advertising vs. $279/month compounded GLP-1 reality
  • Quarterly billing catches people off guard
  • Reddit sentiment about Noom Med skews more negative than Trustpilot, focused on pricing practices
  • Some users report shipping delays

"Noom doesn't just give you the GLP-1 medication and forget about you. They have a doctor monitoring your progress, a coach who checks in with you regularly, and tracking tools that encourage you to build consistent habits."

Noom Trustpilot review, 2026

The honest downsides of each

MEDVi's real weaknesses

No coaching ecosystem

MEDVi does not give you Noom's daily lesson plan, food logging framework, community of other members, or behavioral psychology curriculum. If that support structure matters to your long-term success, Noom delivers it and MEDVi doesn't try to. What MEDVi skips in coaching, it gains in simplicity — no app engagement requirements, no daily homework, no friction between you and your medication.

First-cycle pricing creates sticker shock

The jump from $179 to $299 for semaglutide injections catches people. It's clearly stated in MEDVi's terms, but the intro price is what sticks in memory from the ad.

Noom's real weaknesses

Quarterly billing is the single biggest friction point

Paying $837 every 12 weeks with no mid-cycle cancellation is a significant commitment. If you decide after 5 weeks that GLP-1s aren't for you, you're still paying for the full quarter. MEDVi's 28-day cycle billing is genuinely less risky.

The advertising gap is real

"$69/month" and "GLP-1 plans starting at just $69/mo" are everywhere in Noom's marketing. That's the membership fee for the Telehealth for Branded Meds plan — it does not include GLP-1 medication. The actual compounded semaglutide cost is $279/month. This gap is the #1 driver of negative Reddit sentiment about Noom Med.


When you should skip both MEDVi and Noom entirely

Telling you to look elsewhere when it's the right advice is how we earn your trust for the times we do recommend something.

Your insurance already covers brand-name Wegovy or Zepbound at a manageable copay.

If your health plan covers FDA-approved GLP-1 medications, you don't need a compounded provider at all. Ro's insurance concierge is the strongest in the space for navigating prior authorizations.

See our Ro comparison →

You want in-person medical management.

Some people — especially those with complex medical histories, multiple medications, or conditions requiring close monitoring — are better served by a local obesity medicine specialist or endocrinologist than by any telehealth platform.

You're uncomfortable with compounded medication.

Both MEDVi and Noom's medication-included plans primarily use compounded GLP-1s, which are not FDA-approved as finished products. If you only want FDA-approved medications (Wegovy, Zepbound, Ozempic), a provider specializing in insurance-covered brand-name access is a better fit. Note: MEDVi does now offer FDA-approved Wegovy and Zepbound paths as well.

You're not sure what you need yet.

Don't pick a provider yet. Start with information first.

Not sure what you need? Take the free 60-second GLP-1 matching quiz →

No email required · 5 questions · Personalized recommendation


How we verified this comparison

What we verifiedMethodDate
Pricing — all plans for both providersOfficial provider websites (medvi.org, noom.com); ranges noted where pages show different numbersApril 2026
Billing cadence and billing shock scenariosOfficial FAQ and support documentation; Reddit and consumer review patternsApril 2026
Cancellation and refund policiesEach provider's published terms of service and support documentationApril 2026
Review patterns (Trustpilot, BBB, ConsumerAffairs, Reddit)Hundreds of data points; weighted 2025–2026 reviews; filtered for GLP-1 feedbackApril 2026
LegitScript certification for MEDViVerified independently through LegitScript databaseApril 2026
Noom's TMC pharmacy acquisitionNoom press release and multiple news sourcesApril 2026

Affiliate disclosure: The RX Index may earn a commission if you sign up through links on this page. This does not affect our editorial recommendations. Our provider ratings are not influenced by commission rates.

Medical disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting any medication. GLP-1 medications may have serious side effects. Compounded medications are not FDA-approved and should not be considered equivalent to FDA-approved brand-name medications.


FAQ: MEDVi vs Noom

Is MEDVi better than Noom for GLP-1 weight loss?

For most medication-first cash-pay shoppers, MEDVi is the simpler and more direct option. Noom is the better choice if you want structured coaching, microdosing, or an insurance-friendly path to brand-name medications. The right answer depends on whether you value simplicity or support structure more.

What does MEDVi cost after the first cycle?

MEDVi's compounded semaglutide injection path starts at $179 for the first 28-day cycle and $299 for each cycle after that. Billing renews every 28 days, so over a calendar year you'll have approximately 13 billing cycles.

What does Noom cost after the intro period?

Noom has multiple paths with different pricing. The GLP-1Rx Program (semaglutide) costs $129–$149 for the first month, then $279/month billed as $837 every 12 weeks. The Microdose plan costs $99 first month, then $199/month billed as $597 every 12 weeks. The Telehealth for Branded Meds plan costs $69 first month, then $99/month — but medication is not included.

Does Noom include medication in the price?

Only on some plans. Medication is included in the GLP-1Rx Program, GLP-1Rx Plus, and Microdose programs. It is not included in the Telehealth for Branded Meds plan, where medication costs are billed separately through your insurance or pharmacy.

Does MEDVi offer FDA-approved Wegovy or Zepbound?

Yes. MEDVi's current website shows FDA-approved Wegovy and Zepbound membership paths alongside its compounded options. These branded paths use a different pricing model ($99 membership plus medication cost). Verify current availability directly on medvi.org.

Which is better without insurance?

MEDVi is typically the cleaner cash-pay choice for compounded GLP-1 access — flat pricing, medication included, no separate membership layer. Noom's GLP-1Rx plans also include medication, but the quarterly billing structure and multi-tier pricing create more complexity for cash-pay buyers.

Which is easier to cancel?

MEDVi bills every 28 days and requires 72 hours' notice before your next cycle. Noom's compounded plans bill quarterly with no mid-cycle cancellation or partial refunds. MEDVi's month-to-month structure creates less financial exposure if you need to stop.

Can you get compounded tirzepatide from Noom?

Yes. Noom now offers compounded tirzepatide through its GLP-1Rx Plus program. Availability varies by state — confirm on noom.com. MEDVi also offers compounded tirzepatide in both injection and tablet form.

Can Noom help with insurance for Wegovy or Zepbound?

Yes. Noom's Telehealth for Branded Meds plan includes clinician access and insurance concierge services to help navigate prior authorizations for brand-name medications. The plan fee does not include the medication itself — that's billed through your insurance or pharmacy.

Is Noom Microdose cheaper than MEDVi?

Yes. Noom Microdose costs $99 for the first month and $199/month after that, billed $597 every 12 weeks. That's significantly less than MEDVi's $299/cycle. The trade-off is that Noom Microdose caps at 0.6mg semaglutide — a dose lower than the standard therapeutic range.

Which is better for managing side effects?

Noom's app includes dedicated GLP-1 side-effect management tools, the Muscle Defense workout program, and a formal Microdose program for gentler titration. MEDVi's care team is available 24/7 for side-effect questions and dose adjustments. Noom has more structured tools; MEDVi has faster response availability.


Still not sure which GLP-1 program is right for you?

Take our free 60-second matching quiz. We'll ask about your budget, insurance status, medication preferences, and goals — then recommend the provider that fits your specific situation.

Take the free 60-second GLP-1 matching quiz →

No email required · 5 questions · Personalized recommendation

Check MEDVi Eligibility & Current Pricing →

Best for cash-pay, medication-first simplicity

See Noom's GLP-1 Program Options →

Best for coaching, microdose, or insurance-friendly paths

The RX Index is an independent editorial publisher covering GLP-1 medications and telehealth providers. We may earn a commission when you click certain links, but this never influences our editorial ratings or the providers we recommend.