Head-to-head · WeighScore
1st Optimal vs Noom Med
The verdict
Noom Med takes it — 68.5/100 to 61.6/100.
Noom Med grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 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…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | 1st Optimal | Noom Med |
|---|---|---|
| WeighScore | 61.6/100 | 68.5/100 |
| Grade | C | C |
| Scorecard rank | #288 | #146 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #288 · C
Strengths
- Offers both semaglutide and tirzepatide with injectable and oral formats
- Functional-medicine approach with at-home labs and blood-work interpretation
- Unlimited coaching and ongoing support included
- No long-term contracts
- Board-certified doctors and nurse practitioners referenced
Where it loses points
- No public monthly pricing disclosed
- No published state availability list
- Compounded vs branded sourcing not clarified on site
- Pricing only revealed after quiz or consultation
Graded #146 · C
Strengths
- 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
Where it loses points
- 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
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.