Head-to-head · computed 2026-08-11
LillyDirect (Zepbound) vs Noom Med
LillyDirect (Zepbound): The manufacturer's own cash channel for FDA-approved Zepbound single-dose vials: $299/month at 2.5 mg, $399 at 5 mg, and $449 for every dose from 7.5 to 15 mg through the Self Pay Journey Program — provided each refill lands within 45 days of the last, otherwise that refill reverts to $599–$1,049 by dose. This is the cheapest FDA-approved tirzepatide in the country and the benchmark every compounded price should be judged against. Noom Med: Noom bundles its behavior program with medication access; compounded semaglutide lists at $199/month all-in.
Tirzepatide
| LillyDirect (Zepbound) | Noom Med | |
|---|---|---|
| All-in maintenance | $449/mo | $299/mo |
| Best plan rate | $449/mo | $299/mo |
| 12-month total | $5,388 | $3,588 |
| Status | Verified · 2026-08-11 | Reported · 2026-08-11 |
The arithmetic
On the figures our desk holds, Noom Med's $299 a month undercuts LillyDirect (Zepbound)'s $449 by $150 a month at the 10 mg/wk maintenance basis — $1,800 across a year. Noom Med's figure is reported (captured 2026-08-11) and LillyDirect (Zepbound)'s is verified (captured 2026-08-11); a status below 'verified' means our independent checkout capture is still pending, so treat the gap as the best current evidence rather than settled fact.
LillyDirect (Zepbound)'s tirzepatide ladder runs $449 a month billed monthly. Noom Med's runs $299 a month billed monthly. On the twelve-month basis Noom Med's $3,588 beats LillyDirect (Zepbound)'s $5,388 by $1,800 — with the winner's figure resting on twelve months at the month-to-month rate with no commitment, a structural difference that matters if you might stop early.
Semaglutide
Only Noom Med offers semaglutide ($249 a month billed monthly); LillyDirect (Zepbound) does not, so there is no contest to score.
Where the structures genuinely differ
On dose economics, Noom Med is dose-flat — the price survives titration — while LillyDirect (Zepbound)'s pricing can move with the dose, a difference that compounds through a standard escalation schedule and matters most to buyers expecting to reach the higher maintenance doses.
Structure, side by side
LillyDirect (Zepbound)
- MembershipNone
- Dose policyBy dose: $299 (2.5 mg), $399 (5 mg), $449 (7.5–15 mg in-window; $599–$1,049 off-window)
- CommitmentNone; Journey Program pricing requires refill within 45 days on 7.5 mg+
- CancellationNo subscription lock
- PharmacyEli Lilly self-pay pharmacy (GiftHealth)
Noom Med
- MembershipNone
- Dose policyFlat at published rate
- CommitmentProgram-based
- CancellationPer plan terms
- PharmacyPartner pharmacies
What our desk is watching on each
LillyDirect (Zepbound): The 45-day refill window is the whole game: one late refill at 10 mg costs $699 instead of $449.
Noom Med: Basis correction on record: the $199 figure previously recorded reflects Noom's microdose tier, which caps at 0.6 mg and therefore fails this site's maintenance-dose comparison basis; the standard compounded tiers — $249/mo semaglutide, $299/mo GLP-1/GIP Plus (tirzepatide) — are the rankable figures. Microdose tiers ($179 semaglutide / $199 tirzepatide per Noom's July 27, 2026 pricing) exist for gentler entry. All plans bill quarterly, not monthly; the branded-medication track ($99/mo after a $149 first month, medication separate) is a different product. Compounded not available in all states per Noom's own materials.
Questions people ask
Is LillyDirect (Zepbound) or Noom Med cheaper in 2026?
The tirzepatide and semaglutide verdict blocks above give the computed answer at the maintenance basis, with the verification status of each figure; the short version is that whichever program's all-in monthly number is lower on this page is cheaper on the evidence we hold today, and both rows carry capture dates so you can judge freshness.
What does LillyDirect (Zepbound) vs Noom Med miss that checkout will show?
Taxes, state availability, current promotions, and any dose surcharge introduced after our capture date. Screenshot the order summary before paying — that capture, not any comparison page, is your contract.
Why do you compare at the maintenance dose instead of the starting dose?
Because starter pricing lasts one or two months and maintenance pricing lasts the rest of the year; comparing starts against maintenances is the single most common way GLP-1 comparisons mislead.
What do LillyDirect (Zepbound) and Noom Med cost over a full year of tirzepatide?
On the plans our database holds, a year of tirzepatide runs $5,388 at LillyDirect (Zepbound) and $3,588 at Noom Med — computed from each program's best published twelve-month route, with promotional figures labeled in the sections above and every number carrying its capture date.
Both records live in the normalized database; re-run the math yourself from the downloads. Full record pages: LillyDirect (Zepbound) · Noom Med. Official sites: LillyDirect (Zepbound) ↗ · Noom Med ↗. Nothing here is medical advice.