LillyDirect (Zepbound) vs Noom Med (2026): prices, structure, verdict
On tirzepatide, only LillyDirect (Zepbound)↗ has a rankable figure: $449 a month all-in; Noom Med↗ does not offer tirzepatide.
Updated 2026-08-10 · figures captured 2026-08-09 · how we verify
On semaglutide, only Noom Med has a rankable figure: $199 a month all-in; LillyDirect (Zepbound) does not offer semaglutide.
LillyDirect (Zepbound)
- Tirzepatide all-in
- $449/mo
- Semaglutide all-in
- not offered
- 12-mo tirzepatide (best path)
- $5,388
- Membership
- none
- Shipping
- included (or same-day retail pickup)
- Commitment
- 45-day refill cadence to keep pricing
- Cancellation
- no subscription; refill-window rules apply
- Pharmacy
- ✔ Eli Lilly direct / retail partners
- States
- 50 states
- Insurance
- no
- Evidence
- source-verified · 2026-08-09
Noom Med
- Tirzepatide all-in
- not offered
- Semaglutide all-in
- $199/mo · flat
- 12-mo tirzepatide (best path)
- —
- Membership
- none
- Shipping
- included
- Commitment
- 12-week cycles
- Cancellation
- 12-week billing cycles
- Pharmacy
- ✔ Tailor Made Compounding (named)
- States
- most states
- Insurance
- no
- Evidence
- source-verified · 2026-08-08
The two records, condensed
LillyDirect (Zepbound): the record, condensed
LillyDirect (Zepbound)’s tirzepatide program bills $449 a month once every mandatory fee is counted, measured at the 10 mg maintenance basis. Note the shape: $299 is the number in the marketing, $449 is the number at maintenance. The $150 difference is not a fee or a trick per se — it is dose-tiered pricing doing what dose-tiered pricing does — but it means the advertised figure describes month one, not month twelve.
There is no membership line. $449 is the billed total — consultation and clinical review are inside it, and no platform fee recurs beside it, which removes the most common way advertised GLP-1 prices understate billed ones.
Context for that figure: it ranks #0 of 17 in the verified tirzepatide index — $234/month above the floor (NexLife↗, $215) — and sits $0 over the brand benchmark (Zepbound (LillyDirect), $449 at maintenance). Annualized, a monthly-billed year here runs $5,388.
Operationally at LillyDirect (Zepbound): shipping included (or same-day retail pickup); commitment 45-day refill cadence to keep pricing; cancellation no subscription; refill-window rules apply; pharmacy named (Eli Lilly direct / retail partners); states: 50 states; evidence source-verified, captured 2026-08-09. The full record with source and archive links: the LillyDirect (Zepbound) page · visit LillyDirect (Zepbound) ↗
Noom Med: the record, condensed
On semaglutide, the number that matters at Noom Med is $199 a month all-in — the figure at the 2.4 mg maintenance basis this whole site ranks on. It is a flat structure: 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg all bill identically. In a market where most low advertised prices quietly belong to the starter dose, a flat figure is the difference between a quote and a teaser.
Nothing recurs on top: no membership, no platform fee, no “provider access” line. The $199 is the whole subscription, which makes Noom Med unusually easy to compare and unusually easy to leave.
To place the number: #12 of 20 verified programs, with the floor $66/month below at Oak Longevity ($133); the approved-product yardstick (Wegovy (NovoCare↗)) sits at $349, so the compounded case here is worth $150 a month. A year at this figure: $2,388 monthly-billed.
Operationally at Noom Med: shipping included; commitment 12-week cycles; cancellation 12-week billing cycles; pharmacy named (Tailor Made Compounding (named)); states: most states; evidence source-verified, captured 2026-08-08. The full record with source and archive links: the Noom Med page · visit Noom Med ↗
Everything besides the price
Coverage: LillyDirect (Zepbound) publishes “50 states”; Noom Med publishes “most states” — for anything short of an explicit 50-state claim, intake is the final word.
Pharmacy transparency: both name fulfillment (Eli Lilly direct / retail partners / Tailor Made Compounding (named)) — rare in this market, and it makes both independently checkable.
Exit terms: LillyDirect (Zepbound) — 45-day refill cadence to keep pricing; no subscription; refill-window rules apply. Noom Med — 12-week cycles; 12-week billing cycles.
Evidence: LillyDirect (Zepbound) source-verified (captured 2026-08-09); Noom Med source-verified (2026-08-08).
A rule that has held across this index: disclosure predicts disclosure. Whichever of these two publishes more — pharmacies, states, exit terms — is usually the one whose invoice matches its ad.
Switching between LillyDirect (Zepbound) and Noom Med
Prescriptions do not transfer like phone numbers: moving in either direction means completing the destination’s intake and having its prescriber write a new patient-specific prescription. The mechanics that prevent a bad month: confirm the destination serves your state and quotes your current dose in writing before cancelling anything; time the first new shipment to overlap the last old one rather than gap it; cancel the origin per its published terms (LillyDirect (Zepbound): no subscription; refill-window rules apply; Noom Med: 12-week billing cycles) and screenshot the confirmation; and never leave a prepaid balance stranded — which is the standing argument for prepaying only after a program has already earned a few monthly cycles.
Which one, for whom
Cheapest tirzepatide month-to-month: LillyDirect (Zepbound) ($449).
Cheapest 12-month path: LillyDirect (Zepbound) at $5,388 (monthly billing).
Cheapest semaglutide: Noom Med ($199).
Where a like-for-like price does not exist, the comparison becomes a disclosure contest: the program that answers the pharmacy, states, and maintenance-price questions plainly is the one whose other claims deserve weight.
Verdicts are computed from the records above — recompute them from the dataset. Full profiles: LillyDirect (Zepbound) · Noom Med.
Frequently asked
Which is cheaper, LillyDirect (Zepbound) or Noom Med?
On tirzepatide, only LillyDirect (Zepbound) has a rankable figure: $449 a month all-in ; Noom Med does not offer tirzepatide. On semaglutide, only Noom Med has a rankable figure: $199 a month all-in ; LillyDirect (Zepbound) does not offer semaglutide.
Is there a membership fee at LillyDirect (Zepbound) or Noom Med?
LillyDirect (Zepbound): none. Noom Med: none.
Where do these numbers come from?
From each provider's own published pages, captured 2026-08-09 (LillyDirect (Zepbound)) and 2026-08-08 (Noom Med), normalized to the all-in maintenance basis and archived. Full records: the provider pages and the public dataset.
Is LillyDirect (Zepbound) or Noom Med dose-flat?
LillyDirect (Zepbound): no flat structure verified — get the maintenance-dose price in writing. Noom Med: yes — flat across doses. Flat pricing turns the advertised number into a ceiling; tiered pricing makes it a floor.
Can I check both LillyDirect (Zepbound) and Noom Med against their sources?
Yes — that is the design. Each record carries a capture date (2026-08-09 / 2026-08-08), a source link, and an archive link in the database; the figures on this page regenerate from those records, so any discrepancy you find is reportable and fixable sitewide in one pass.
What states do LillyDirect (Zepbound) and Noom Med serve?
LillyDirect (Zepbound): 50 states. Noom Med: most states. Telehealth availability rides on clinician licensure and pharmacy permits, so for anything short of an explicit 50-state claim the enrollment flow is the final word; the state-by-state index adds the known exceptions.
Is shipping included at LillyDirect (Zepbound) and Noom Med?
LillyDirect (Zepbound): included (or same-day retail pickup). Noom Med: included. Cold-chain delivery is a real cost; programs that fold it into the all-in figure remove a checkout surprise, and any separate shipping line belongs in your comparison math before the prices above are treated as equivalent.
Which is more transparent, LillyDirect (Zepbound) or Noom Med?
On the checkable axes: pharmacy named — LillyDirect (Zepbound) yes (Eli Lilly direct / retail partners), Noom Med yes (Tailor Made Compounding (named)); state list — LillyDirect (Zepbound) published, Noom Med published; cancellation terms — LillyDirect (Zepbound) published, Noom Med published; evidence — source-verified vs source-verified. Disclosure predicts disclosure in this market, and the axis where one of these two goes quiet is usually where your intake questions should get loud.