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LillyDirect Foundayo vs Noom Med

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

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8.5

LillyDirect Foundayo

Best for patients with commercial insurance who want the cheapest legal brand-name GLP-1
★★★★4.3

Starting at $25/mo

Manufacturer DirectFoundayoBrand NameLilly Savings Card
Visit LillyDirect Foundayo
8.6

Noom Med

Best for psychology + medication combo
★★★★4.3

Starting at $99/mo

GLP-1 IntegrationCBT CoachingDietitian
Visit Noom Med

Side-by-Side Comparison

FeatureLillyDirect FoundayoNoom Med
Overall Score8.5/108.6/10
Starting Price$25/mo$99/mo
Editorial Rating4.3 ★ /54.3 ★ /5
Features5 features3 features
States Available510
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

Pros & Cons

LillyDirect Foundayo

Pros

  • Cheapest legal path to a brand-name GLP-1 in 2026 ($25/mo with savings card for commercial insurance)
  • Direct from manufacturer — no compounding, no third-party reseller
  • Daily oral pill, no injections, no refrigeration
  • Available in all 50 states

Cons

  • Lower mean weight loss vs Wegovy (14.9%) and Zepbound (20.9%) — labeled-dose 11.1% per Foundayo PI
  • Requires existing prescription from a separate prescriber (LillyDirect does not write the prescription)
  • $25 savings card requires commercial insurance — Medicare and Medicaid not eligible
  • Strict empty-stomach 30-minute window may be hard for some patients to follow

Noom Med

Pros

  • 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

Cons

  • 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 MedScore: 8.6/10

Noom Med edges out LillyDirect Foundayo with a higher overall score of 8.6/10 and is particularly strong for psychology + medication combo. LillyDirect Foundayo remains a solid alternative, especially if you're looking for patients with commercial insurance who want the cheapest legal brand-name GLP-1.

Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.