Gabriel vs Noom

Prices side by side

What Noom offers

• Noom Med: licensed clinicians online who prescribe when clinically appropriate, with brand-name GLP-1s such as Wegovy, Zepbound and Ozempic, plus the Wegovy pill, Foundayo, liraglutide and metformin. It includes the Noom app, coaches and community. $39 to start, then $129 a month, as of October 22, 2026; medication is extra.
• Noom GLP-1Rx and Microdose: compounded semaglutide or tirzepatide with medication and full program access in one plan price. The Microdose plan starts with a 3-week subscription and 4 weeks of medication from $79, then $179 a month on a 12-week subscription, plus tax. Noom's sign-up page says this pricing took effect for new accounts on March 31, 2026.
• Medicare: for people eligible for the Medicare GLP-1 Bridge, Noom checks eligibility, files the prior authorization and ships the medication. Noom says you'd pay $39 to start, the $50 Medicare copay per fill and $387 every 12 weeks for its plan, which Medicare doesn't cover.
• Behavior program: psychology-based lessons, tracking tools and coaching, on their own or with medication.

What Gabriel includes

• Free account (Gabriel Access): ask Gabriel anything about your health by app, web, text or voice, upload any lab report for a plain-words explanation, and pay cost-plus prices on prescriptions, lab tests and supplements.
• Prescription requests: a licensed clinician reviews every request and decides. Compounded semaglutide and tirzepatide are available, and brand-name drugs go through the manufacturer's self-pay pharmacy. The FDA doesn't review compounded medications for safety, effectiveness or quality before they're sold. Prescriptions requested through Gabriel are reviewed by licensed clinicians at Everdawn, Gabriel's clinical partner.
• Gabriel Core, $49 a month: unlimited virtual primary care and virtual urgent care, a care team by text, and member prices close to cost. Kids under 18 are included. See membership.
• Gabriel Plus, $89 a month: everything in Core, plus a yearly root-cause visit (up to $200), a needle-free at-home lab kit each year, two clinician-reviewed health plans a year and two in-person urgent care visits a year (up to $150 each). See Plus.

For eating well on a GLP-1, see GLP-1 diet. For dose-by-dose prices, see semaglutide cost and tirzepatide cost.

Semaglutide, tirzepatide and orforglipron carry a warning about possible thyroid tumors, including thyroid cancer, and aren't for people with a personal or family history of medullary thyroid carcinoma or MEN 2. Common side effects include nausea, diarrhea, vomiting and constipation. See GLP-1 side effects and MedlinePlus on semaglutide and tirzepatide.

Insurance, HSA and FSA

Noom: it says you don't need insurance, and if you have it, Noom works to maximize your coverage for medication and clinician services. It says its GLP-1Rx plans start at $79 regardless of insurance. Noom labels several plans FSA/HSA eligible and says it can't promise every FSA or HSA plan will accept them.

Gabriel: membership is not health insurance. The clinical portion of membership may be HSA or FSA eligible ($39 of Core's $49, $69 of Plus's $89), and the wellness portion is not. Gabriel can provide an itemized statement. Paying with HSA money is different from being allowed to contribute: membership could affect your HSA contributions under IRS Notice 2026-5, so check with your plan administrator or a tax advisor.

Where Noom is the better choice

• You want a structured behavior-change program with your medication. Noom pairs GLP-1s with psychology-based lessons, coaching and community in one app.
• You want one price that covers compounded medication and coaching. Noom's GLP-1Rx plans bundle the medication with full program access.
• You're on Medicare and want help with the GLP-1 Bridge. Noom checks eligibility, files the prior authorization and ships the medication. Gabriel's published plans don't list help with the Bridge.
• You want a lower-dose start. Noom's Microdose plan uses smaller doses than its standard GLP-1 plan. Your clinician decides the dose.

Gabriel fits better when you want compounded semaglutide or tirzepatide priced by dose without a program fee, care for more than one health issue, unlimited virtual primary and urgent care for your household, or help reading your labs.