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Quick verdict
Noom Med is the better pick for most patients on overall scoring. The behavioral app most people loved is now bundled with a medication tier and a microdose option that no other major program offers. Watch the dual billing.
That said, Costco / Success by Sesame wins on specific dimensions. Costco bundles Success by Sesame care with discounted self-pay branded GLP-1 at Costco Pharmacy. The medication price is genuinely low for a brand-name pen: the Wegovy or Ozempic injection is $349/mo self-pay, with care from $59/mo on the annual plan. The catch is a paid Costco membership, and the bundle has no member outcome record yet.
Side-by-side
| Noom Med | Costco / Success by Sesame | |
|---|---|---|
| Starts from | $279/mo (+ med separate) | $408/mo (incl. medication) |
| Monthly cost gap | Costco / Success by Sesame is $71/mo cheaper than Noom Med | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 5 days | 2 days |
| Consultation type | Live | Video |
| Affiliate network | Impact | CJ |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Noom Med | Costco / Success by Sesame | |
|---|---|---|
| Pricing transparency | 6/10 | 7/10 |
| Cancellation terms | 9/10 | 8/10 |
| Onboarding experience | 8/10 | 7/10 |
| Medication options | 8/10 | 7/10 |
| Member reviews | 8.8/10 | 9/10 |
When to choose Noom Med
Best for behavioral coaching plus meds
Patients who want CBT-style behavioral coaching alongside medication, or who specifically want a microdosed GLP-1 protocol.
Noom Med wins on cancellation terms, onboarding experience, medication options on the dimensional scoring. The caveat: Patients who only want medication and no behavioral content, or who find Noom's app interface annoying.
When to choose Costco / Success by Sesame
Best for Costco members
Existing Costco members who want discounted self-pay branded GLP-1 with light telehealth care attached.
Costco / Success by Sesame wins on pricing transparency, member reviews and runs $71/mo cheaper than Noom Med at the entry tier ($208 vs $279). Over a year that's $852 you keep. The caveat: Anyone who is not a Costco member, wants a compounded option, or wants a long member-review track record.
If cost is your main filter
Costco / Success by Sesame is the cheaper monthly: $208 all-in vs $279 for Noom Med. That's $71 a month or $852a year. The 12-month math matters most if you're planning to maintain on GLP-1 long-term. If you're running a 3-month trial, the $213 delta is small against the cost of stopping early on the wrong dose. Insurance changes the picture: if either program runs prior auth and your plan covers Wegovy or Zepbound, branded with copay can beat both cash-pay totals.
If lock-in is your main filter
Noom Med (month-to-month) and Costco / Success by Sesame (month-to-month) sit at the same cancellation tier. Read both cancellation policies directly before signing; the on-page summary covers the headline but not the deletion-of-account or refund-window edge cases.
FAQ
Is Noom Med cheaper than Costco / Success by Sesame?
Can I switch from Noom Med to Costco / Success by Sesame mid-treatment?
Which program has better member feedback?
Read the full reviews
All head-to-head comparisons → · Full chart → · Cost guide · Programs guide
