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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, Zealthy wins on specific dimensions. A bundled cash-pay option that folds the membership and compounded semaglutide into one $297/mo price, plus an insurance-coordination route for branded GLP-1s. The all-in bundle is mid-pack; the medication-only teaser ($151/mo on a quarterly supply) excludes the membership and is not the ongoing all-in.
Side-by-side
| Noom Med | Zealthy | |
|---|---|---|
| Starts from | $279/mo (+ med separate) | $297/mo (incl. medication) |
| Monthly cost gap | Noom Med is $18/mo cheaper than Zealthy | |
| Lock-in | Month-to-month | Month-to-month |
| Time to prescription | 5 days | 2 days |
| Consultation type | Live | Online |
| Affiliate network | Impact | - |
Score by dimension
Scores out of 10, equal-weighted across five dimensions. How we score. The winner of each dimension is highlighted.
| Noom Med | Zealthy | |
|---|---|---|
| Pricing transparency | 6/10 | 4/10 |
| Cancellation terms | 9/10 | 4/10 |
| Onboarding experience | 8/10 | 7/10 |
| Medication options | 8/10 | 7/10 |
| Member reviews | 8.8/10 | 6.4/10 |
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 pricing transparency, cancellation terms, onboarding experience, medication options, member reviews and runs $18/mo cheaper than Zealthy at the entry tier ($279 vs $297). Over a year that's $216 you keep. The caveat: Patients who only want medication and no behavioral content, or who find Noom's app interface annoying.
When to choose Zealthy
Best for bundled cash-pay plus insurance help
Cash-pay patients who want the membership and compounded medication billed as one number, or who want help coordinating insurance for a branded GLP-1.
Zealthy wins on tied dimensions on the dimensional scoring. The caveat: Patients who want the lowest possible compounded price, or who do not want a recurring membership. Note also: Regulatory caution: the FDA issued a warning letter to FitRX, LLC (which operates Zealthy) on September 9, 2025 over false or misleading compounded-semaglutide marketing claims.
If cost is your main filter
Noom Med is the cheaper monthly: $279 all-in vs $297 for Zealthy. That's $18 a month or $216a 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 $54 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 Zealthy (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 Zealthy?
Can I switch from Noom Med to Zealthy mid-treatment?
Which program has better member feedback?
Read the full reviews
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