Noom Review

Behavior-change expertise meets clinical GLP-1: real pricing, the quarterly billing detail most reviews skip, and what Noom's own data does and does not show about weight loss

Written by GLP1Authority Editorial Team · Medically fact-checked
Last updated · Read our methodology
Correction (2026-08-12): An earlier version of this review listed Noom Med pricing as low as $69–$79/mo, showed an "Avg. Weight Loss ~15%" stat with no source, and did not disclose Noom's quarterly billing cycle or its May 2026 NAD advertising decision. We have replaced the pricing with Noom's six published program tiers, added the quarterly-billing detail, rewritten the effectiveness section to separate Noom's own peer-reviewed research from its self-reported GLP-1 program data, and added the regulatory history below.
Quick answer: Noom Med runs six named pricing tiers from $49 to start, and most of them bill quarterly rather than monthly — a "$179/mo" plan is really a ~$537 charge every 12 weeks. There is no weight-loss guarantee; a refund is only possible before a prescription is written. Best for patients who specifically want Noom's psychology-based behavioral coaching bundled with their GLP-1 prescription and who plan around the real billing cycle, not for the advertised weight-loss percentage.
7.0
/10
OVERALL
Noom Med
Behavior-Change Pioneer, Quarterly-Billed GLP-1 Program
Starter Price
$49–$149 (first cycle)
Ongoing Price
$179–$299/mo, billed quarterly
Medications
Compounded & brand-name (insurance)
Weight-Loss Guarantee
None
Pros
  • Behavioral program backed by genuine peer-reviewed research (see Clinical Results below)
  • Microdose option starts at $49 for the first 4 weeks — a low entry point to try the program
  • Brand-name medication track available for patients whose insurance covers Ozempic, Wegovy, Zepbound or Mounjaro
  • In-app health tracking with food logging and progress monitoring
  • Well-established company with a large user base and years of weight-management app experience
  • Cancel anytime before your next billing date; access continues through the cycle you already paid for
Cons
  • Most GLP-1 programs bill quarterly, not monthly — a "$249/mo" plan is really a ~$747 charge every 12 weeks
  • No weight-loss guarantee; Noom Med refunds are only possible before a prescription is written
  • GLP-1Rx Plus (tirzepatide-class) reaches $299/mo ($897/quarter) — pricier than some flat-rate competitors
  • Its GLP-1 program's own weight-loss figures are self-reported company data, not independent trials
  • NAD found one of Noom's Microdose GLP-1Rx marketing claims unsubstantiated in May 2026 (voluntarily corrected)
  • Branded-medication track charges a separate access fee on top of your insurance-billed drug cost
  • State availability is not published in a state-by-state list on Noom's site
Scoring Criterion Score / 10
Clinical Effectiveness 6.0
Cost & Transparency 6.0
Program Comprehensiveness 9.0
Accessibility & Convenience 7.5
Guarantee & Billing Fairness 6.0

What They Offer

Noom Med combines the company's decade-plus behavioral-change expertise with clinical GLP-1 prescribing. As of this review, Noom runs six distinct named programs rather than a single plan: Microdose GLP-1Rx, GLP-1Rx (semaglutide-class), GLP-1Rx Plus (tirzepatide-class), Proactive Health GLP-1Rx (microdosing plus at-home biomarker testing), a non-GLP-1 Metformin weight-loss pill, and a Telehealth for Branded Meds track for patients who want an FDA-approved medication such as Ozempic, Wegovy, Zepbound or Mounjaro billed through insurance. The GLP-1 tiers use what Noom calls its SmartDose protocol — a gradual, personalized titration schedule adjusted roughly every two weeks based on weight-loss speed and side effects. Every clinical plan includes Noom's psychology-based curriculum, in-app tracking, and clinical care team access.

Pricing Table

The number on Noom's pricing page is a monthly figure, but most of these programs bill quarterly. Read the "Billed" column, not just the "Ongoing" column, before you sign up. Figures below are from noom.com/med/pricing/, verified 2026-08-12.

Plan First cycle Ongoing rate Actual billing
Microdose GLP-1Rx $49 (4 weeks) $179/mo ~$537 charged every 12 weeks
GLP-1Rx (semaglutide-class) $129 (4 weeks) $249/mo ~$747 charged every 12 weeks
GLP-1Rx Plus (tirzepatide-class) $149 (4 weeks) $299/mo ~$897 charged every 12 weeks
Proactive Health GLP-1Rx $149 $149 Flat $149 every 4 weeks (15-week first term, 16-week renewals)
Weight Loss Pill (Metformin, not a GLP-1) $69 (4 weeks) $99/mo Billed quarterly, same pattern as above
Telehealth for Branded Meds $39 (1 month) $99/mo access fee Medication (e.g. Ozempic, Zepbound) billed separately by your pharmacy/insurance — not included in this fee

All programs above are FSA/HSA-eligible except the Telehealth for Branded Meds track. Noom does not publish a state-by-state availability list; check eligibility during signup for your state.

What's Included

  • Psychology-based behavioral change curriculum
  • SmartDose adaptive medication titration
  • Clinical care team (ongoing monitoring and adjustments)
  • In-app food logging and progress tracking
  • Medication management and prescription renewals
  • Side effect management support
  • Access to Noom's weight management app

Eligibility

BMI 30+ OR BMI 27+ with a weight-related health condition. Must be 18+. Not eligible for patients with personal or family history of medullary thyroid cancer or MEN2 syndrome. Noom does not publish a state-by-state availability list on its own site, so we are not repeating a specific state count here — confirm coverage for your state during the signup quiz.

Clinical Results & Effectiveness

What Noom's own peer-reviewed research shows — about the behavioral app, not the GLP-1 program: a retrospective analysis of more than 11,000 Noom users, published in JMIR mHealth and uHealth, found that greater engagement with the digital program was associated with clinically meaningful weight loss (Carey A, et al., 2021; doi:10.2196/30622). More recently, a 427-person randomized controlled trial published in Obesity Science & Practice found that Noom Weight members lost an average of 4.05% of body weight at 68 weeks, versus a 1.46% gain in a control group that received standard dietary-guideline education (McCallum et al., 2026; doi:10.1002/osp4.70122). Both studies describe Noom's behavior-change program — neither is about the GLP-1 medication itself.

What Noom reports about its GLP-1 program specifically — self-reported company data, not an independent trial: Noom's own pricing pages cite the top 25th percentile of self-reported data from 1,185 Microdose GLP-1Rx users to support a "lose up to 17 pounds in 60 days" claim; the average across that full sample was lower, at 13 pounds. A separate Noom press release describes a subgroup of 141 GLP-1Rx Program members who had already reached at least 5% body-weight loss, reporting they averaged 14.3% loss "by the time they stopped medication" — a figure drawn from people pre-selected for early success, not a starting expectation, and Noom's own release explicitly labels its engagement findings as observational associations, "not proof that engagement causes improved outcomes." None of these figures isolate the medication from the behavioral coaching that comes bundled with it.

What we removed: an earlier version of this page stated Noom's clinical program achieves "approximately 15% body weight reduction, consistent with published GLP-1 trial data" — implying the STEP/SURMOUNT trials of FDA-approved semaglutide and tirzepatide validate Noom's own program. Those trials tested the drugs themselves, not Noom's compounded formulations or its behavioral bundle, so that inference does not hold; it is the same substitution the National Advertising Division ruled against in a different provider's advertising in December 2025. For patients on Noom's Telehealth for Branded Meds track who are prescribed the actual FDA-approved drug, published trial data on that specific medication is relevant to what you can expect from the medication itself — see our explainer on how GLP-1 medications work.

Noom's SmartDose titration protocol — adjusting dose roughly every two weeks based on weight-loss speed and side effects — is a described mechanism, not itself a clinical-outcomes claim; we found no independent published data isolating SmartDose's effect on outcomes versus standard titration.

Refund Policy and Cancellation: Read This Before You Sign Up

There is no weight-loss guarantee on Noom Med. Per Noom's own published refund policy, a Noom Med charge is refundable only if you request it before a prescription has been written; once a prescription is issued, the charge is final regardless of outcome. The separate Telehealth for Branded Meds track allows a refund within 7 days of your first charge, but only if no clinical visit has taken place yet. Noom Weight (the non-medical app) has a different, unrelated 14-day refund window that does not apply to Noom Med.

Cancellation: you can cancel anytime through the in-app Subscription Portal, but per Noom's support documentation your subscription "stays active until the end of the current billing cycle, even if you cancel mid-cycle" — and uninstalling the app does not cancel it. Combined with the quarterly billing on most GLP-1 tiers, missing the cancellation window before a renewal means being charged for another full ~12-week cycle with no refund available.

Sources: Noom Refund Policy and How to Cancel Your Noom Subscription, both read at source.

Is Noom Legitimate? Regulatory and Legal History

Noom is a real, long-operating company, not a scam. It does have regulatory and legal history worth knowing before you sign up — both items concern advertising and billing practices, not drug safety or patient harm.

NAD advertising decision, May 26, 2026 (BBB National Programs, Case #7539). Competitor Eli Lilly challenged Noom's Microdose GLP-1Rx marketing message "A Smaller Dose. A Smarter Start." The National Advertising Division found Noom had not substantiated the implication that the lower dosage itself delivers a measurable health benefit, and recommended Noom modify or discontinue the claim. Noom said it disagreed with the conclusion but voluntarily agreed to comply, and separately discontinued other challenged dosing and efficacy claims. This is an industry self-regulatory advertising decision, not a government enforcement action, and Noom complied rather than refusing. Read the decision at bbbprograms.org.

Class-action settlement, resolved February 2022 (not an FTC action). Geraldine Mahood v. Noom, Inc. (S.D.N.Y., Case No. 1:20-cv-03677) was a private class-action lawsuit, not an FTC enforcement action, alleging Noom's free-trial signup made cancellation difficult enough that users were charged for unwanted auto-renewals. Noom settled for $62 million ($56 million cash plus $6 million in subscription credits) without admitting wrongdoing; the settlement required clearer auto-renewal disclosures and an easier cancellation process. This matter is fully resolved, not pending. We searched FTC.gov and found no FTC enforcement action against Noom specifically — the widely cited "$56 million Noom settlement" is this private lawsuit, and characterizing it as an FTC action would be inaccurate.

FDA: we searched FDA's warning-letter database directly and found no warning letter addressed to Noom as of this review (2026-08-12). Compounded-GLP-1 telehealth is an active enforcement area with new letters issued in batches through 2025 and 2026, so this could change; we will update this page if that happens.

Customer Experience

Noom benefits from brand recognition built over years as a leading weight-management app, and the clinical GLP-1 program inherits that infrastructure. Users commonly describe the behavioral coaching component positively but note the app can feel notification-heavy. We could not verify any third-party rating figures (BBB grade, Trustpilot score, app-store rating) specifically for Noom Med at their own source as of this review, so none are published on this page — check current ratings directly on Trustpilot, the App Store, or Google Play before relying on a number.

Our Verdict

Noom's real advantage is the behavioral program layered on top of the prescription, and unlike most GLP-1 telehealth providers, Noom has genuine peer-reviewed research behind that behavioral piece. Its GLP-1 offering itself is newer, and the weight-loss figures Noom publishes for that program are self-reported company data rather than independent trial results — treat them as directional, not a guarantee. The detail most likely to surprise a new member is billing: most tiers charge a lump sum every 12 weeks, not the monthly figure advertised, and there is no weight-loss guarantee to fall back on if the program does not work for you. Reasonable for someone who specifically wants structured behavioral coaching bundled with their prescription and who plans around the real quarterly charge; not the pick if you are choosing based on the advertised weight-loss percentage.

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Disclosures

Affiliate Disclosure: GLP1Authority.com may earn commissions from referrals or affiliate partnerships. This review reflects our independent assessment and does not influence our ratings.

Medical Disclaimer: This review is for informational purposes only and does not constitute medical advice. Please consult with a healthcare provider before starting any GLP-1 weight loss program.

Frequently Asked Questions

How much does Noom Med actually cost per month?

It depends which of Noom's six named programs you pick, and the number that matters is not "per month" — Noom bills most GLP-1 programs quarterly. Microdose GLP-1Rx is $49 for the first 4 weeks, then $179/mo billed as a single ~$537 charge every 12 weeks. GLP-1Rx (semaglutide-class) is $129 to start, then $249/mo billed ~$747/quarter. GLP-1Rx Plus (tirzepatide-class) is $149 to start, then $299/mo billed ~$897/quarter. Proactive Health GLP-1Rx is a flat $149 every 4 weeks. The non-GLP-1 Metformin pill is $69 to start, then $99/mo, also billed quarterly.

Is Noom Med billed monthly or quarterly?

Quarterly, for every program except Proactive Health and the introductory first cycle. Noom advertises an ongoing "per month" rate, but after your first 4-week cycle you are charged a single lump sum covering roughly the next 12 weeks — about $537 for Microdose, $747 for GLP-1Rx, or $897 for GLP-1Rx Plus. Budget for the full quarterly charge, not the monthly figure.

Does Noom Med offer refunds or a weight-loss guarantee?

No weight-loss guarantee exists for Noom Med. Per Noom's own refund policy, a Noom Med refund is possible only if you request it before a prescription has been written; once a prescription is issued, the charge is final. The separate Telehealth for Branded Meds track allows a refund within 7 days of your first charge, unless a clinical visit has already occurred. Renewal charges are not refundable once a new billing cycle starts.

Can you cancel Noom Med anytime?

Yes, but cancel before your next billing date — Noom states your subscription "stays active until the end of the current billing cycle, even if you cancel mid-cycle," and uninstalling the app does not cancel it. Given the quarterly billing above, missing that window means being charged for another full 12-week cycle.

Is the "up to 17 pounds" or "~15%" weight-loss figure real?

It traces to Noom's own company data, not an independent trial, and it is more selective than it sounds. Noom's footnoted claim of losing weight in 60 days reflects the top 25th percentile of self-reported data from users prescribed compounded GLP-1s; the average in that same sample was lower. A separate Noom press release reports that a subgroup of 141 GLP-1Rx members who had already reached at least 5% body-weight loss averaged 14.3% loss "by the time they stopped medication" — a figure drawn from people already filtered for early success, not a representative starting expectation, and Noom's own release calls it observational, not causal. It also blends the medication with Noom's behavioral app, so it does not isolate what the drug alone does. Noom's peer-reviewed research (a 427-person randomized trial in Obesity Science & Practice) is about the behavioral app itself, not the GLP-1 program, and found 4.05% average body-weight loss over 68 weeks.

Has Noom had any regulatory or legal issues?

Two, both about advertising rather than drug safety or patient harm. In May 2026, the National Advertising Division (a BBB National Programs unit) reviewed a challenge from competitor Eli Lilly and found Noom had not substantiated claims that its Microdose GLP-1Rx pricing/dosing message ("A Smaller Dose. A Smarter Start.") implied a measurable health benefit; Noom disagreed but voluntarily agreed to comply. Separately, a private class-action lawsuit (Mahood v. Noom, S.D.N.Y., not an FTC action) over deceptive free-trial and auto-renewal practices settled in February 2022 for $62 million ($56M cash plus $6M in subscription credits); Noom says it has since revised its billing disclosures and cancellation flow. We found no FDA warning letter for Noom in FDA's warning-letter database as of this review.

References

  1. Carey A, et al. The Relationship Between Weight Loss Outcomes and Engagement in a Mobile Behavioral Change Intervention: Retrospective Analysis. JMIR Mhealth Uhealth. 2021;9(11):e30622. doi:10.2196/30622 (PubMed).
  2. McCallum GA, et al. Longitudinal Effects of a Digital Weight Management Program on Weight Loss: A Randomized Controlled Trial. Obesity Science & Practice. 2026. doi:10.1002/osp4.70122.
  3. Noom Refund Policy (noom.com, read at source 2026-08-12).
  4. BBB National Programs, National Advertising Division. Noom, Inc. Case #7539 decision summary, May 26, 2026.
  5. Noom Med Plans & Pricing (noom.com, read at source 2026-08-12).
  6. Mayo Clinic - Semaglutide medication guide.

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