Noom Med vs MEDVi

Both sell tirzepatide. Noom Med costs $149 a month and MEDVi costs $399, a difference of $250 a month or about $3,000 a year. Here is what that difference actually buys.

Noom Med is behaviour change alongside medication. MEDVi is tablet and injection choice. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though it usually is if you are paying cash and tolerate the medication well.

Put plainly. If you picked Noom Med over MEDVi and everything else went the same way, you would be $3,000 better off after a year. Whether that is the right trade depends on the differences below, not on the number alone.

Side by side

Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.

What actually separates them

They differ on 2 of the 7 things we track. Those differences are what the price gap is buying.

What Noom Med publishes

• Noom Med listed from $149/month.
• Microdose GLP-1Rx programme listed from $79/month with medication included.

Where it wins: The coaching is the actual product here and it is well built. Watch for: A $79 microdose programme is not the same treatment as 10 mg tirzepatide. Check the dose before comparing on price.

What MEDVi publishes

• Compounded tirzepatide injections listed at $399/month.
• Tirzepatide tablet pricing is quoted after the intake questionnaire rather than published up front.

Where it wins: Injection pricing is consistent between the first month and renewals. Watch for: You have to complete intake before seeing tablet pricing. Injection pricing is published at $399.

Where each is stronger

Noom Med.

• The coaching is the actual product here and it is well built.
• Medication is included in the microdose tier rather than billed separately.
• Straightforward cancellation.

MEDVi.

• Injection pricing is consistent between the first month and renewals.
• Tablet option for people who will not inject.

How they score

Noom Med scores higher overall at 3.5 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.

Which should you pick?

If you want the plain answer: Noom Med, unless one of the differences above matters to you personally. MEDVi is not worse — it is aimed at somebody with a different problem, and paying $250 a month more for a problem you do not have is how people end up resenting a treatment that was working.

The verdict

We would tell a friend to start with Noom Med and move if it disappointed them. That is not a strong claim about either company; it is what the arithmetic supports when nothing else is pulling you.

Full detail in the Noom Med review and the MEDVi review.

How they sit against everyone else