Using the shot

Noom Med vs PlexusDx

$149/mo against $189/mo for tirzepatide. Which is worth it, and for whom.

Illustration of two objects on a balance scale

Updated 2026-09-18

How we are paid: one company on this page — Coreage Rx — pays us a commission if you sign up through our link. It does not buy a better score, a higher position, or the removal of a single criticism. Our rating method and full disclosure are both public.


Both sell tirzepatide. Noom Med costs $149 a month and PlexusDx costs $189, a difference of $40 a month or about $480 a year. The other differences matter more than the money if this is your first course.

Noom Med is behaviour change alongside medication. PlexusDx is pharmacy transparency and genetic testing. They are not aimed at the same person, and the cheaper one is not automatically the right answer — particularly if this is your first course and you expect a slow titration.

What this means for your titration. PlexusDx holds one price at every dose and Noom Med does not — so this gap widens as you titrate toward a therapeutic dose, exactly when you can least afford a surprise.

Side by side

Noom MedPlexusDx
Advertised from$149$129
Membership on topNoneNone
True monthly cost$149$189
Roughly, per year$1,788$2,268
Price includes medicationYes, at microdosesYes
Names its pharmacyNot publishedYes
Our score3.5 / 54.4 / 5

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.

The differences that affect treatment

They differ on 4 of the 7 things we track, and behave the same on the other 3. The differences are what the price gap is actually buying.

NoomPlexusDx
Price is the same at every doseNoYes
Names the compounding pharmacy publiclyNoYes
Offers an oral or sublingual optionNoYes
Medication included in the monthly priceNoYes

What each programme publishes: Noom Med

  • Noom Med listed from $149/month.
  • Microdose GLP-1Rx programme listed from $79/month with medication included.
  • Programme pairs low-dose medication with biomarker monitoring and coaching.

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 each programme publishes: PlexusDx

  • GLP-1 weight-loss programmes start at $129/month.
  • Compounded semaglutide injection listed at $189/month with no membership fee and the same price at every dose.
  • A $189/month microdose tier is offered for compounded semaglutide or tirzepatide.
  • No membership or platform fee is charged alongside the medication.
  • Publicly names six 503A pharmacy partners: Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills.
  • Clinical oversight via LionMD, with named physicians and NPI numbers published.
  • Licensed providers in all 50 states; CLIA-certified labs for its testing line.

Where it wins: The most detailed pharmacy disclosure in this comparison — six named 503A partners. Watch for: The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier.

Strengths of each

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.

PlexusDx.

  • The most detailed pharmacy disclosure in this comparison — six named 503A partners.
  • Names its prescribing physicians along with their NPI numbers.
  • No membership fee, and flat pricing across the dose range.

How they score

What we weighWeightNoomPlexusDx
True monthly cost30%3.64.6
Price honesty20%3.24.5
Clinical support20%3.83.8
Pharmacy sourcing15%3.34.9
Cancelling15%3.64

PlexusDx scores higher overall at 4.4 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 suits you

  • Pick Noom Med if cost is the binding constraint. Over a year the gap is about $480, which is real money for the same class of medication.
  • Pick PlexusDx if what it does better matters to you — the most detailed pharmacy disclosure in this comparison — six named 503a partners.
  • If sourcing matters, note that PlexusDx publishes which pharmacy compounds its medication and Noom Med does not.

The verdict

For most people starting out, Noom Med at $149 a month is the more defensible choice on arithmetic alone. PlexusDx earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Noom Med and PlexusDx.

How they sit against everyone else

ProgrammePer monthDose-priceOur score
Coreage Rx
Best overall on true monthly cost
$199Flat4.5
Trimi
Lowest flat price with named pharmacies
$125Varies4.6
PlexusDx
Pharmacy transparency and genetic testing
$189Varies4.4
Ozari Health
Lowest advertised semaglutide price
$125Varies4.4
Fifty 410
Prepaid blocks with no subscription
$133Varies4.2
Ivím Health
Unlimited clinician access
$199Varies4
Mochi Health
Insurance concierge support
$278
incl. $79 fee
Varies3.6
Coby Health
Multi-month value with supplies included
$239Varies3.6
Hims & Hers
Widest range of formats
$238
incl. $39 fee
Varies3.5
Ro
Branded medication with insurance help
$448
incl. $149 fee
Varies3.5
Zealthy
Low-cost entry with insurance routing
$216Varies3.5
LifeMD
Insurance coordination
$149Varies3.5

Read next

  • Noom Med tirzepatide review

    Behaviour change alongside medication. How they handle your dose ladder, what support looks like when side effects hit, and what you actually pay — $149 a month.

  • PlexusDx tirzepatide review

    Pharmacy transparency and genetic testing. How they handle your dose ladder, what support looks like when side effects hit, and what you actually pay — $189 a month.

  • How to spot a bad seller

    The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.

  • The twelve-month cost

    Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.

  • Best programmes if this is your first time

    Ranked on how they price the dose ladder and how reachable support is — the two things that decide whether a beginner stays on treatment.