Noom Med review: true cost, trust file, verdict
Telehealth — compounded 503A + brand referrals · One of the last big brands still shipping compounded semaglutide (503A) at all-in prices, wrapped in the Noom behavioral app. The 2022 $56M dark-pattern settlement and a cancellation flow that may not stop an in-flight med order are the fine print. The microdose tier is genuinely distinctive.
The fee anatomy
| Medication | Tier | Med / month | True monthly | First month |
|---|---|---|---|---|
| Compounded semaglutide injection | microdose, all-in | $179 | $179 | $129 |
| Compounded tirzepatide injection | microdose, all-in | $199 | $199 | $149 |
| Compounded semaglutide injection | full dose, all-in | $279 | $279 | $129 |
| Compounded tirzepatide injection | full dose, all-in | $299 | $299 | $149 |
All-in pricing (membership + med). One of the largest players still shipping compounded 503A post-crackdown. Quarterly billing detail audit scheduled.
The trust file
| LegitScript | not independently verifiable displays a 'LegitScript Certified' badge that is SELF-HOSTED (assets.noom.com), not LegitScript-served — could not independently confirm |
| Trustpilot | 4.5 / 5 (66,928 reviews) whole-brand score, not Noom Med · source |
| BBB | A+ · accredited · 632 complaints/3yr · source |
| Operating since | 2008 (Noom); Noom Med 2023 |
| Prescriber model | both |
| Contract | membership + med |
| Refunds & cancellation | Refundable until a prescription is written; once written, no refunds; cancellation may not auto-stop an in-process med order |
⚠ Flags on file
- Paid $56M + $6M credits (2022) settling a class action over auto-renewal/cancellation dark patterns
- LegitScript badge self-hosted, not independently verifiable
Compounded 503B partner not publicly named.
The verdict: who it's actually for
- You want compounded pricing with an all-in bill and app coaching on top
- The $179 microdose tier fits your prescriber's plan
- You want the certainty of brand meds
- You've read the refund terms and dislike 'refundable until the prescription is written'
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Pricing from the provider's published pages on the date shown; trust facts from the linked third-party sources on 2026-09-06. No provider pays for placement or previews this page. Some links may earn commissions; verdicts never bend — disclosure. Not medical advice.