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. Over a year that is the whole question.

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 for a cash payer it usually is.

The yearly view. Over twelve months that gap is $3,000. On a treatment most people stay on for years rather than months, that compounds: five years at this difference is $15,000. That is the number worth deciding on, not the monthly one.

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.

Where the money actually goes

2 real differences between them. Everything else is identical, so the rest of the decision is money.

What each one charges for: Noom Med

• 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 one charges for: MEDVi

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.

What each does well

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.

MEDVi.

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

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 saves you more

On money alone: Noom Med, by $3,000 a year. That is the entire calculation and we are not going to dress it up. The only reason to pay more is if MEDVi does something in the table above that you will actually use — and most people, most of the time, will not.

The verdict

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

How they sit against everyone else