Noom Med vs SkinnyRx: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
54 providers verified independently·Independent researchHow we rank →

Short answer: Noom Med scores higher on our rubric, 7.4/10 against 5.3/10. Full reasoning, pricing and the cases where the other one wins are below.

Noom Med beats SkinnyRx overall, scoring 7.4/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Noom Med is $79 first month, then $179/mo; SkinnyRx is $99 first month, rises after. Choose Noom Med for users who want a low-dose glp-1 and can absorb the step from a $79 starter to $179/mo ongoing, with biomarker testing available on the separate $149 proactive health program. Choose SkinnyRx for users who want a choice of compounded glp-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price.

A side-by-side look at Noom Med and SkinnyRx to help you decide. We compare them on:

  • Starting price per month
  • Our overall score, out of 10
  • Medication type, brand-name or compounded
  • Whether they accept insurance
  • Who each one is best for
Higher Rated

Noom Med

#20 of 54
7.4/10

Noom Med runs six programs side by side on its pricing page: Microdose GLP-1Rx at $79 then $179/mo, GLP-1Rx at $129 then $249/mo, GLP-1Rx Plus at $149 then $299/mo, Proactive Health GLP-1Rx at $149 every 4 weeks with at home testing of 17 biomarkers, branded telehealth at $39 then $129/mo where the cost of the medication is not included, and a metformin pill at $69 then $99/mo that is not a GLP-1. Every GLP-1 tier is billed quarterly after the 4-week starter. The coaching app is included at every tier. Verified 2026-09-03.

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SkinnyRx

#46 of 54
5.3/10

Direct-to-consumer telehealth platform operated by Lean Rx, Inc. (Sacramento, CA). Its Treatments menu carries four compounded GLP-1 formats, semaglutide and tirzepatide each as a once-weekly injection or a once-daily tablet taken under the tongue, plus two brand-name oral pills, the Wegovy Pill and the Foundayo Pill, both badged FDA-approved and both shown as Unavailable and offered through a SkinnyRx Membership. Every advertised price is a first month rate. Compounded medications are not sold in Alabama, Louisiana or Mississippi. Cash-pay only with HSA/FSA accepted; does not bill insurance. 4,100+ Trustpilot reviews at 4.8 stars.

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FeatureNoom MedSkinnyRx
Why each oneThe only GLP-1 platform built on a decade of behavioral psychology research, combining medication with Noom's proven coaching methodology for lasting habit change.
Both GLP-1 molecules in both administration routes: semaglutide and tirzepatide, each as a once-weekly injection or a once-daily tablet taken under the tongue. The tirzepatide tablet in particular is a format almost no other DTC platform offers, and the two brand-name oral pills it lists alongside them are currently shown as Unavailable.
Our Score7.4/105.3/10
Headline Price$79 first month, then $179/mo$99 first month, rises after
Medication TypeBothBoth
Insurance AcceptedYesNo
Best ForUsers who want a low-dose GLP-1 and can absorb the step from a $79 starter to $179/mo ongoing, with biomarker testing available on the separate $149 Proactive Health program
Users who want a choice of compounded GLP-1 format, a weekly injection or a daily tablet taken under the tongue, at a low first month price
Watch out forTiered pricing is genuinely confusing. Six programs run side by side on one page, and the cheapest ongoing price, $69 to start then $99/mo, is metformin rather than a GLP-1, which is easy to mistake for the GLP-1 entry price (verified 2026-09-03)
Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
Ranking#20#46
Get startedVisit Noom MedVisit SkinnyRx

Pros & Cons Compared

Noom Med

Pros

  • +Tiered 2026 entry, the $39 branded telehealth tier lets users start with clinical care and the coaching app while filling a brand-name prescription through their own pharmacy
  • +Microdose GLP-1Rx is $79 for the first 4 weeks then $179/mo billed quarterly, a low-dose GLP-1 aimed at people who are sensitive to side effects (verified 2026-09-03)
  • +Insurance accepted for qualifying plans, can significantly reduce out-of-pocket costs on brand-name meds
  • +Industry-leading behavioral coaching app with years of psychology-based weight loss methodology

Cons

  • Tiered pricing is genuinely confusing. Six programs run side by side on one page, and the cheapest ongoing price, $69 to start then $99/mo, is metformin rather than a GLP-1, which is easy to mistake for the GLP-1 entry price (verified 2026-09-03)
  • The full GLP-1Rx Program is billed quarterly after the $129 start, so the $249/mo is charged three months at a time rather than monthly
  • The $39 branded telehealth tier does not include the cost of the medication, so a brand-name prescription is billed separately on top of the $129/mo membership
  • App coaching still requires real engagement, skip-prone users waste the behavioral value

SkinnyRx

Pros

  • +Four compounded formats, both molecules as both a weekly injection and a daily tablet taken under the tongue, including the tirzepatide tablet that almost no competitor offers
  • +$99 for the first month on both the compounded semaglutide and the compounded tirzepatide injection, quoted on each product page, among the lowest entry rates in the compounded segment
  • +Fast onboarding: a short online intake, a prescription within 24 hours where no video visit is required, and free overnight shipping on all orders with tracking within 2 business days
  • +4,100+ Trustpilot reviews at 4.8 stars, among the strongest aggregate social-proof signals in the GLP-1 telehealth category

Cons

  • Every advertised price is a first month rate and SkinnyRx does not publish what month two costs. Its terms say the renewal rate is described at checkout, and that discounts may be reversed if you cancel before the end of a promotional or committed term.
  • SkinnyRx names its medical director, Sajad Zalzala, M.D., and names AyaRx as the telemedicine partner behind its medical services, but it does not name the compounding pharmacy that fills prescriptions and it publishes no founders or executive team.
  • Cash-pay only, does not bill commercial insurance, Medicare, or Medicaid. HSA/FSA payments are accepted, which is the main way to soften the cost.
  • Independent reviews flag inconsistent customer-service responsiveness, a real consideration since titration support and dose adjustments run through chat
  • FDA warning letter #717989, issued February 20, 2026 to Lean Rx, Inc. dba SkinnyRx, cites misleading labels and website claims for compounded GLP-1s. It is a labeling/marketing record, not an unsafe-medication finding

Our Verdict

Noom Med edges out SkinnyRx with a score of 7.4/10 vs 5.3/10. Published pricing is not a like-for-like monthly comparison: Noom Med is $79 first month, then $179/mo; SkinnyRx is $99 first month, rises after. Noom Med accepts insurance, which can significantly reduce your out-of-pocket costs.

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