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Onyx Weight Loss vs Noom Med

An in-depth comparison of two leading GLP-1 Providers

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Onyx Weight Loss logo

Onyx Weight Loss

6.1
★★★☆☆3.1

Best for: NP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.

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VS
Noom Med logo

Noom Med

8.6
★★★★4.3

Best for: psychology + medication combo

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Onyx Weight Loss 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, both start around $99/mo, and Noom Med edges ahead overall (8.6 vs 6.1 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

Onyx Weight Loss

Starting doseCompounded
$228/mo
semaglutide

Verbatim: 'Starting at $228/month' (GLP-1 Agonist plan). Includes medication and supplies shipped to home. Entry tier only; higher-dose pricing not disclosed.

Starting doseCompounded
$280/mo
tirzepatide

Verbatim: 'Starting at $280/month' (GLP-1/GIP Agonist plan). Includes medication and supplies. Entry tier only; specific drug name inferred from GLP-1/GIP dual agonist designation.

MicrodoseCompounded
$99/mo
semaglutide

Verbatim: '$99/MONTH' (GLP-1 Microdosing plan). Low-dose gradual-start option.

Noom Med

MonthlyCompounded
$99/mo

What’s included

Onyx Weight Loss

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

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.

Onyx Weight Loss

6.1/10

Overall

Noom Med

8.6/10

Value25%

7.0A
vs
B
8.5

Effectiveness25%

6.5A
vs
B
8.0

User Experience15%

5.5A
vs
B
9.0

Trust & Safety15%

5.5A
vs
B
9.0

Accessibility10%

4.0A
vs
B
9.0

Support10%

7.0A
vs
B
9.0

Features & Coverage

FeatureOnyx Weight LossNoom Med
Starting Price$99/mo$99/mo
Features8 features3 features
States Available8Not disclosed
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About Onyx Weight Loss

Onyx Weight Loss is a nurse-practitioner-led telehealth clinic based in Mooresville, NC, offering GLP-1 and GLP-1/GIP weight-loss medications alongside peptides and HRT across 8 states. Founded by Tasha Vangile FNP-C and Madalyn Vangile RN, plans start at $228/month for GLP-1 (semaglutide-type) and $280/month for GLP-1/GIP (tirzepatide-type), with medication and supplies shipped home via Strive Pharmacy partner. A $99/month GLP-1 microdosing option is also available for a gradual-titration start.

Read our full Onyx Weight Loss 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

Onyx Weight Loss

What we like

  • Competitive entry pricing: semaglutide from $228/mo and tirzepatide from $280/mo with medication + supplies included
  • Nurse-practitioner-led care: founder Tasha Vangile FNP-C (20+ years) and Stephanie Robison APRN-CNP (27 years experience)
  • Low-cost $99/mo GLP-1 microdosing option for patients who prefer a gradual titration start
  • Strive Pharmacy partnership implies compounded 503A-quality supply chain from a known pharmacy
  • Multi-modal clinic: GLP-1 + peptides + HRT + nutrition coaching available under one provider team

Watch-outs

  • Only 8 states (NC, CO, ME, VT, VA, IA, NH, PA) — excludes the majority of the US
  • No LegitScript certification; credentialing evidence limited to local 2025 Best of Iredell award
  • Specific drug names (semaglutide/tirzepatide) never stated on website; compounded status inferred, not disclosed
  • Labs not included or mentioned; no baseline bloodwork protocol published
  • Pricing shown as 'Starting at' with no dose-escalation tier pricing disclosed publicly

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

Winner: Noom Med

Noom Med edges out Onyx Weight Loss with a higher overall score of 8.6/10 and is particularly strong for psychology + medication combo. Onyx Weight Loss remains a solid alternative, especially if you're looking for NP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl..

Choose Onyx Weight Loss if…

You want NP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl. and a starting price around $99/mo.

Choose Noom Med if…

You want psychology + medication combo and a starting price around $99/mo.

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Onyx Weight Loss vs Noom Med: FAQ

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