Blue Sky MD vs Noom Med
An in-depth comparison of two leading GLP-1 Providers
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Blue Sky MD
Best for: LegitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching
Visit Blue Sky MD →
Blue Sky MD and Noom Med are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Noom Med starts lower at $99/mo versus $160/mo, and Noom Med edges ahead overall (8.6 vs 6.6 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
Blue Sky MD
Verbatim: 'Semaglutide - $40/week in-office' and 'as low as $40/week'. Monthly estimate = $40 × 4 weeks = $160. Compounded formulation; dispensed in-office or shipped to home.
Verbatim: 'Tirzepatide - $60/week in-office'. Monthly estimate = $60 × 4 weeks = $240. Compounded formulation; dispensed in-office or shipped to home.
Noom Med
What’s included
Blue Sky MD
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Billed separately
Coaching
Included
Noom Med
Inclusions not disclosed.
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Blue Sky MD
6.6/10
Noom Med
8.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Blue Sky MD | Noom Med |
|---|---|---|
| Starting Price | $160/mo | ✓$99/mo |
| Features | ✓8 features | 3 features |
| States Available | 1 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Blue Sky MD
Blue Sky MD is a LegitScript-certified medical weight-loss practice founded in 2008 with seven North Carolina clinics and telehealth visits available. The program offers compounded semaglutide starting at $40/week and compounded tirzepatide starting at $60/week, dispensed directly to patients’ homes within 3–5 business days. Physician-supervised care includes 1-on-1 wellness coaching, a nutrition tracking app, hormone analysis, and personalized weight-loss plans. Medication access requires enrollment in their full medical weight-loss program.
Read our full Blue Sky MD review →About Noom Med
Noom Med integrates GLP-1 medication access with Noom's proven cognitive behavioral therapy curriculum, 1-on-1 dietitian coaching, and dedicated care team — the most comprehensive psychology-plus-medication program available.
Read our full Noom Med review →Pros & Cons
Blue Sky MD
What we like
- LegitScript certified and physician-led since 2008; one of the most established GLP-1 practices in the Southeast
- Compounded semaglutide from $40/week (~$160/month) and tirzepatide from $60/week (~$240/month) — well below brand-name cost
- Comprehensive program includes 1-on-1 wellness coaching, nutrition plans, hormone analysis, and a proprietary mobile app
- Medication shipped directly to patients’ homes within 3–5 business days; telehealth visits available
- Insurance accepted in many cases; affordable self-pay options for uninsured patients
Watch-outs
- Geographic reach unclear — physical clinics in NC only; telehealth states beyond NC unconfirmed despite 'from virtually anywhere' claim
- Pricing quoted per-week ($40 sema / $60 tirz) rather than per-month; higher-dose pricing not disclosed
- Must enroll in full medical weight-loss program to access GLP-1 medications — medication-only Rx not offered
- No explicit lab testing protocol published; online FAQ does not confirm labs are included
- Small regional provider vs. national platforms; limited provider footprint outside North Carolina
Noom Med
What we like
- Combines GLP-1 medication with CBT behavior change
- Dedicated dietitian included in every plan
- Highest support score in fitness app category
- Integrated care team for medication and coaching
- Noom's proven behavioral curriculum
Watch-outs
- Available in only 40 states — excludes AK, HI, ID, MT, NM, SD, VT, WV, WY, ND
- More expensive than app-only alternatives
- Requires commitment to both medication and coaching program
Our Verdict
Noom Med edges out Blue Sky MD with a higher overall score of 8.6/10 and is particularly strong for psychology + medication combo. Blue Sky MD remains a solid alternative, especially if you're looking for LegitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching.
Choose Blue Sky MD if…
You want LegitScript-certified, NC-based; compounded sema $40/wk or tirz $60/wk; physician-led + 1-on-1 coaching and a starting price around $160/mo.
Choose Noom Med if…
You want psychology + medication combo and a starting price around $99/mo.
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Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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