altRx vs Noom
altRx and Noom are both telehealth GLP-1 programs, but they differ on price, medications, shipping and how you pay. Here's the side-by-side, with the numbers, so you can pick the right one.
Last reviewed 2026-09-01 · Pricing is provider-reported and changes often — confirm current rates on each provider's site. We may earn a commission.
Educational, not medical advice. This page explains GLP-1 medications in general terms. Only a licensed clinician who knows your history can decide what's right for you.
altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Consider Noom instead if its strength — the strongest behavior-change program of any GLP-1 option — matters more to you.
View Plan: altRxChoose altRx if…
you want altRx's edge — lowest compounded entry price and brand-name options under one roof.
Choose Noom if…
you want Noom's edge — the strongest behavior-change program of any GLP-1 option.
Cost breakdown
The numbers that actually decide it, side by side.
| | |
|---|---|---|
| Starting price | $89/mo (compounded semaglutide) | Membership + medication |
| Semaglutide | $89/mo (compounded) | Brand / plan-dependent |
| Tirzepatide | From $149/mo (compounded GLP-1 + GIP) | Brand / plan-dependent |
| Offering | Both | Branded |
| Shipping | Included | Via pharmacy |
| Insurance | Cash; Buy Now, Pay Later available | Varies |
On price, altRx lists $89/mo (compounded) for compounded semaglutide and From $149/mo (compounded GLP-1 + GIP) for tirzepatide, while Noom lists Brand / plan-dependent and Brand / plan-dependent. Where prices are published, altRx is the lower-cost option.
The two differ on branded vs compounded, so your insurance situation usually decides it: a covered branded prescription can beat cash compounding, but without coverage compounded is far cheaper.
Full specs, side by side
| | |
|---|---|---|
| Starting price | $89/mo (compounded semaglutide) | Membership + medication |
| Compounded semaglutide | $89/mo (compounded) | Brand / plan-dependent |
| Tirzepatide | From $149/mo (compounded GLP-1 + GIP) | Brand / plan-dependent |
| GLP-1 + GIP option | Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo | Yes — where prescribed |
| Offering type | Both | Branded |
| New-patient offer | Buy Now, Pay Later financing available | Varies by promotion |
| Billing model | Monthly plans; multi-month options | Membership plus medication cost |
| What's included | Online medical evaluation, Medication, Shipping, Dose adjustments | Psychology-based program, Coaching, Medical support |
| Lab work | Online intake; labs may be requested for some patients | May be required |
| Shipping | Included | Via pharmacy |
| Refills | Monthly refills | Per prescription |
| States | Most US states | Nationwide |
| Pharmacy | US compounding pharmacies (503A); brand via licensed pharmacies | Licensed pharmacies |
| Clinicians | US-licensed prescribers | US-licensed clinicians + coaches |
| Insurance | Cash; Buy Now, Pay Later available | Varies |
| Consultation | Asynchronous online medical intake | App-based program + medical |
| Our rating | 9.6 · Excellent | 8.8 · Very Good |
Medications & formulations
- altRx: both GLP-1. Yes — compounded tirzepatide (GLP-1 + GIP) from $149/mo
- Noom: branded GLP-1. Yes — where prescribed
New to the drugs themselves? Read our plain-language guides to semaglutide and tirzepatide.
Pros & cons
Pros
- Lowest published compounded entry price in our list
- Rare option to choose compounded OR brand-name in one place
- Buy Now, Pay Later spreads the cost
- No insurance needed to start
Cons
- Compounded products aren't FDA-approved finished drugs
- Brand-name pricing depends on insurance/eligibility
Pros
- Best-in-class behavior-change program
- Large, trusted brand
- Medication plus habit coaching
Cons
- Membership on top of medication cost
- Program-first, not lowest-price GLP-1
Where each one has the edge
We don't tally a winner — that hides the trade-offs. Here's who leads on each dimension and why.
altRx: $89/mo (compounded). Noom: Brand / plan-dependent.
altRx offers both; Noom offers branded.
altRx: Included. Noom: Via pharmacy.
Comparable pharmacy disclosures.
Both are primarily cash-pay for compounded GLP-1.
Match by your priority
The fastest way to decide: find your top priority, see which program we'd point you to.
If your priority is the lowest published price
If your priority is the best shipping
If your priority is our overall pick
altRx vs Noom: common questions
The bottom line
altRx is our pick in this matchup — lowest compounded entry price and brand-name options under one roof. Choose Noom only if its strength (the strongest behavior-change program of any GLP-1 option) matters more to you than price and our overall rating.
How we compare — and how to read this
We compare programs on the factors that actually affect a patient: real price (including whether it's compounded or branded), medications and formulations offered, shipping, pharmacy accreditation and clinician model, insurance stance, and commitment. We name a top pick for most people, but we show the trade-offs in full so you can override it when your priorities or insurance point the other way. Pricing is provider-reported and changes frequently — and compounded-drug availability shifts with FDA shortage status — so always confirm the current details on the provider's own site before enrolling. Affiliate relationships do not change a program's placement. This page is educational and not medical advice; see our disclaimer.