Noom HRT Cost: What You'll Really Pay for the $89 and $149 Plans

The HRT Index Editorial TeamIndependent women's health research

Last reviewed:August 17, 2026

Editorial research — not medically reviewed by a clinician. Why this label

Last updated: August 17, 2026 · Last verified: August 17, 2026 · By The HRT Index Editorial Team. Educational research, not medical advice, and not reviewed by a clinician. See our medical review policy. Full disclosure.

Before you compare the starter prices

Noom's $69 and $99 starter prices do not reveal the full billing term, medication inclusion, or route fit. Compare the care model before you pay.

Find the HRT cost model that fits

Noom HRT currently lists a compounded bi-est cream at $69 to start, then $89 per month, and an FDA-approved estradiol patch at $99 to start, then $149 per month. If the starter price covers one month, the illustrative first-year totals are $1,048 and $1,738 before tax—but Noom does not publish the HRT starter period or billing interval.

Now here's the part almost nobody tells you, and it's the reason the two prices are so far apart.

The cheaper plan is the compounded one. Noom's $89 cream is a compounded bi-est body cream containing estradiol and estriol. The FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Noom describes the $149 estradiol patch as FDA-approved.

At Noom, paying the extra $60 per ongoing month changes the medication category from a compounded preparation to an FDA-approved estradiol patch. Noom does not publish a cost breakdown showing why the two plans are priced differently.

What can change your number: how long the starter price lasts, whether the plan bills monthly or in a prepaid block, whether progesterone is included when prescribed, whether taxes apply, whether any labs are ordered, whether you enter through an employer or private health plan, and whether Noom HRT is available in your state.

Noom HRT cost at a glance

Noom currently publishes two HRT price paths: a lower-priced compounded bi-est cream and a higher-priced estradiol patch that Noom describes as FDA-approved. This table separates Noom's posted figures from our assumption-labeled annual math and shows the terms the public price page still leaves unresolved.

Cost or term	Compounded cream plan	FDA-approved patch plan
Due to start	$69	$99
Published ongoing price	$89/month	$149/month
Medication Noom publishes	Compounded bi-est body cream: estradiol + estriol	FDA-approved estradiol patch
FDA status	Compounded — not FDA-approved	Noom describes the patch as FDA-approved; exact product not publicly named
Exact product and strength published before prescribing?	No	No
Illustrative first year if starter price covers month 1	$1,048 before tax	$1,738 before tax
Twelve months at the ongoing rate	$1,068 before tax	$1,788 before tax
Illustrative first-year monthly average	$87.33	$144.83
HRT billing interval published?	No	No
Progesterone price published?	No	No

Source: Noom's current cost page, published July 15, 2026 and updated July 27, 2026; reviewed August 17, 2026. The annual figures are The HRT Index's calculations, not quoted Noom annual prices. They assume one starter charge followed by 11 ongoing charges. Confirm the actual starter period, taxes, billing interval, and next charge at checkout.

Noom may be a good fit if you

Want menopause care and a weight-and-habit program, and would otherwise pay for both separately
Like one recurring price that Noom says covers the prescription, clinical guidance, and wellness tools
Prefer estrogen delivered through the skin rather than an oral estrogen pill
Want medication delivery, app-based clinician messaging, food logging, coaching, and resistance-training content in one program
Are comfortable completing an online intake and letting a licensed clinician decide whether treatment is appropriate

Noom is probably the wrong door if you

Want the direct retail program billed to Medicare or Medicaid
Want your commercial insurance used at the point of care and you are not entering through an employer or private-plan Noom benefit
Want the lowest-cost route to an FDA-approved estradiol patch and already have a prescriber
Need a published HRT refund rule before paying
Want to pay for one visit without an ongoing subscription
Need a vaginal estrogen product: Noom's published formulary lists a transdermal patch, a transdermal bi-est body cream, and oral progesterone, but does not list a local vaginal estrogen product

A quick note on money, because you should know it before you read another word.
Noom is not listed as an active affiliate partner on The HRT Index’s current disclosure, and the Noom links on this page are presented as editorial links rather than affiliate CTAs. Winona and Sesame are active affiliate partners, and we may earn a commission if you use those links, at no extra cost to you. Midi is not listed as an active affiliate partner on our current disclosure page.
We're telling you this up top instead of burying it, because it should change how you weigh every recommendation below.

The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.

Everything below was checked under The HRT Index Verification Standard: read every published price, separate FDA-approved from compounded, verify state availability and insurance where the provider publishes it, record what remains unresolved, and re-check on a fixed schedule.

The right online HRT provider isn't the same for every woman — it depends on your symptoms, your age and whether you have a uterus, your medication route preference (patch, pill, gel, or vaginal estrogen), your risk history, your insurance or cash-pay situation, and your state. Some situations belong with an in-person clinician first. Because a general answer can't resolve those for you, use The HRT Index's Find My HRT Path tool to match your situation to the right provider — and to flag when online care isn't the right starting point — before your first consult.

How much does Noom HRT cost in 2026?

Noom publishes a $69 starter price followed by $89 per month for its compounded bi-est cream, or a $99 starter price followed by $149 per month for its FDA-approved estradiol patch. Noom does not define how long the starter period lasts or whether the HRT subscription bills monthly, so any annual total must be labeled as a scenario until checkout confirms the term.

Those are Noom's current posted numbers. The useful annual figures require one visible assumption instead of pretending the term is settled.

The month-by-month scenario most shoppers will calculate

If the starter price covers the first month:

Plan	Month 1	Months 2–12	Illustrative year one	12 months at ongoing rate
Compounded cream	$69	11 × $89 = $979	$1,048	$1,068
FDA-approved patch	$99	11 × $149 = $1,639	$1,738	$1,788

That makes the cream scenario $690 less in year one and $720 less over 12 months at the ongoing prices.

The entry-page gap is only $30. The ongoing gap is $60 every published month. That is why shopping on the starter number alone gives you the wrong mental picture.

Use this formula for any number of months

Until Noom defines the starter period, this calculator works only as an illustrative one-month-starter scenario:

Cream: $69 + ($89 × every month after month 1)
Patch: $99 + ($149 × every month after month 1)

Months in program	Cream scenario	Patch scenario	Difference
1	$69	$99	$30
3	$247	$397	$150
6	$514	$844	$330
12	$1,048	$1,738	$690
18	$1,582	$2,632	$1,050
24	$2,116	$3,526	$1,410

These figures exclude tax and any charge that is not disclosed on Noom's public HRT pricing page. Replace them with the exact checkout terms once Noom shows your billing period.

Why “starts at $69” is the wrong number to shop on

Noom's launch announcement in February 2025 and its July 2026 cost page publish the same $69/$89 and $99/$149 figures. The price may genuinely have remained stable. The public record does not establish anything more than that.

What it does establish is this:

“$69 to start” is not the ongoing cream price.
“$99 to start” is not the ongoing patch price.
Noom's terms say the billing period is disclosed at signup and may be measured in days, weeks, or months.
The public HRT price row does not state that billing period.
Noom's terms allow applicable taxes and price changes.

One starter payment does not tell you what a year costs. The checkout screen does.

The checkout evidence to save

Before you authorize the card, take one screenshot that shows:

The amount due today
What period that amount covers
The exact next charge amount
The exact next charge date
Whether the renewal is monthly or prepaid for a longer term
Whether tax is added
Whether every prescribed medication is included

That screenshot is more useful than a promise buried in marketing copy because it records the terms attached to your account.

Why does Noom's cream cost less than its patch?

Noom does not publish a cost breakdown explaining the $60 ongoing difference. What it does publish is that the lower-priced option is a compounded bi-est cream and the higher-priced option is an FDA-approved estradiol patch. The price step therefore changes both the formulation and regulatory category; it is not merely a convenience upgrade.

This is the single most important thing on this page, so let's slow down on it.

What “compounded” actually means

A compounded medication is prepared for an individual patient by a compounding pharmacy. Compounding has legitimate uses, including when a patient needs a dosage form or ingredient configuration that an approved product cannot provide.

What compounded does not mean is FDA-approved.

The FDA states that compounded drugs are not FDA-approved and that the agency does not verify their safety, effectiveness, or quality before they are marketed. In June 2026, the FDA also warned telehealth companies not to imply that a compounded drug is the same as an FDA-approved product, a generic equivalent, or proven safe and effective when those claims are unsupported. (FDA compounded-drug guidance; FDA telehealth-promotion guidance)

Noom's body cream is a compounded bi-est preparation containing estradiol and estriol. Noom's finished cream itself is not FDA-approved. Noom describes its transdermal estradiol patch and micronized progesterone pills as FDA-approved.

That separation matters. “Contains a familiar hormone,” “made to a pharmacy standard,” “batch tested,” and “FDA-approved drug product” are not interchangeable claims.

Credit where it's due: Noom does disclose the difference

Noom's HRT pages state that compounded medications are not reviewed by the FDA for safety, efficacy, or quality. Noom also says its cream is USP-compliant, produced in U.S.-based state-regulated compounding pharmacies, and batch tested by a third-party laboratory registered with the FDA. Its safety page says a Certificate of Analysis is available for each medication dispensed. (Noom HRT safety and transparency)

That's better disclosure than a lot of compounded-hormone marketing.

But the labels still matter:

USP-compliant is a provider-stated quality claim.
State-regulated pharmacy describes oversight of the pharmacy.
Third-party batch testing describes a quality-control step.
FDA-registered laboratory does not mean the FDA approved the laboratory's findings or the finished cream.
FDA-approved describes a drug product that completed the FDA approval process.

Noom's cream remains compounded and not FDA-approved. Noom's patch is the FDA-approved lane.

What major medical and regulatory sources say

Source	What it says about compounded menopausal hormones
FDA	Compounded drugs are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality before marketing.
National Academies (NASEM)	The evidence base for compounded bioidentical hormone therapy is limited; the report recommended restricting use mainly to documented needs that approved products cannot meet.
The Menopause Society	Custom-compounded hormones are not safer or more effective than approved products, are not tested the same way, and may not provide predictable amounts or absorption.

Those are not claims that every compounded prescription is bad or unlawful. They are a warning not to erase the difference between a custom-compounded preparation and an FDA-approved finished drug.

The 2023 estradiol-exposure study: what it proves and what it does not

A peer-reviewed 2023 retrospective cohort study compared urinary estradiol exposure among users of compounded transdermal estradiol creams and users of FDA-approved estradiol patches and gels. The researchers found lower estrogen exposure in the compounded-cream groups at the doses studied.

That study did not test Noom's bi-est cream, did not establish what dose Noom prescribes to any individual patient, and cannot tell you how much estrogen a Noom customer will absorb. Three of the four authors disclosed relationships with the laboratory whose data were used.

The fair takeaway is narrower and more useful: formulation, strength, dose, and measured exposure matter. Because Noom does not publish the exact cream strength or the exact patch product before prescribing, ask for those details before comparing the two plans as though the price is the only difference.

The question that turns this into a real comparison

Ask the clinician:

“What exact product, strength, and dose would I receive on each plan, and why is that formulation the better fit for my symptoms and medical history?”

Price tells you what leaves your account. That answer tells you what you are actually buying.

Which lane fits you is not a price question alone. It depends on your symptoms, whether you have a uterus, your risk history, the route you prefer, and whether you specifically want an FDA-approved product.
Use Find My HRT Path to see which care model fits those constraints →

What do you actually get for $89 or $149 a month?

Noom says the HRT price covers the prescription, clinical guidance, and its wellness tools. Current support pages also describe medication shipping within 3–7 business days for most HRT orders, clinician replies usually within 36 hours, and nonmedical Care Team support seven days a week with a 24-hour response target. These are provider-stated service targets, not guarantees.

Here is the clearest provider-stated-versus-unresolved ledger we could build from Noom's current pages.

Item	What Noom publishes	What still needs confirmation
Medical intake	Health intake followed by clinician review	Whether a live video visit is required for your state or situation
Prescription	Cost page says the price covers your prescription	Whether every medication prescribed, including progesterone, is included in your displayed price
Estrogen options	Compounded bi-est body cream or FDA-approved estradiol patch	Exact product, strength, dose, and dispensing pharmacy before prescribing
Progesterone	Oral micronized progesterone for patients with a uterus, when prescribed	Whether it is included or charged separately
Clinician messaging	Replies usually within 36 hours	Your actual response time and follow-up cadence
Nonmedical support	Care Team available 7 days, 8 a.m.–midnight ET; aims within 24 hours	Your actual response time
Shipping	Most Noom Med medication, including HRT, ships within 3–7 business days	Whether that clock starts at prescription, pharmacy processing, or order placement for your specific order
Wellness program	Food logging, meal planning, coaching/check-ins, resistance-training content, community and menopause content	Which features are active in your exact plan and whether you will use them
Labs	No HRT-specific lab requirement or included-lab list published	Whether your clinician orders testing and who pays
State availability	No public HRT state list	Whether both cream and patch are available where you live

The clinical side

Noom describes:

A health intake
Review by an independent licensed clinician
A prescription when the clinician decides it is appropriate
In-app messaging with the clinician
Dose and side-effect follow-up through the platform
Medication fulfillment and shipping through its pharmacy network

Noom itself is not the healthcare provider. Its terms say medical and pharmacy decisions are made by independent clinical and pharmacy partners available through the platform.

The program side

Noom also describes:

Medication tracking
Coaching and in-app check-ins
Food logging and weekly meal planning
Resistance-training content, including Muscle Defense™
Community access
Menopause and behavior-change content

This is the part that makes Noom different from a visit-plus-pharmacy model. It is also the part that decides whether the price is fair for you.

If you would pay for a menopause provider and a structured weight-and-habit program separately, the bundle can be efficient. If you already know you will ignore the app, most of the bundle's differentiated value disappears.

Does the $89 or $149 include the medication?

Noom's cost page says the HRT price covers your prescription. Its HSA/FSA support page separately tells members to use the pharmacy's receipt for medication reimbursement. That documentation split may be administrative rather than a second charge, but the public pages do not explicitly resolve it. Confirm that every prescribed medication is included in the amount shown at checkout.

This is the most practical ambiguity in the program. (Noom cost page; Noom HSA/FSA instructions)

What Noom's cost page says: the HRT price covers the prescription, clinical guidance, and the wellness tools.

What Noom's HSA/FSA support page says: use the Noom subscription receipt and a Letter of Medical Necessity for the subscription; use the pharmacy's receipt for medication costs, which may also qualify.

Those statements can coexist without a second pharmacy bill. A pharmacy receipt can document the medication portion of a bundled payment.

But the public pages never say that directly. And the difference between “separate documentation” and “separate payment” belongs in writing before you authorize a recurring charge.

The exact question to ask

Copy this into Noom's chat before you pay:

“Does the amount shown today include the full cost of every medication my clinician may prescribe—including progesterone—or will the dispensing pharmacy charge me any amount separately?”

Ask it in writing. Save the answer with the checkout screenshot.

Until you have that answer, neither “all medication is definitely included” nor “the pharmacy definitely charges extra” is established.

Is progesterone included in the $89 or $149 price?

Noom publishes that clinicians prescribe oral micronized progesterone to patients with a uterus when appropriate, but we found no public Noom page that states whether progesterone is included in the cream or patch price. Because progesterone may be a necessary part of systemic estrogen treatment for a patient with a uterus, this is a material checkout term—not a minor add-on question.

The Menopause Society explains that a person with a uterus who uses systemic estrogen generally needs endometrial protection with a progestogen. The exact regimen is a clinical decision, not something a cost page can choose for you.

What the cost page can do is refuse to hide the money question.

What Noom gets right in its published formulary

Noom publishes an oral micronized progesterone pill, not a compounded transdermal progesterone cream, as its progesterone option.

That is a meaningful formulation detail. A British Menopause Society clinical review states that transdermal micronized progesterone in creams or gels has variable absorption and is unlikely to provide sufficient endometrial protection. Oral micronized progesterone has evidence for protection in specified regimens.

That does not mean every oral regimen is automatically correct. It means Noom's published route avoids one well-documented problem with relying on progesterone cream for uterine protection.

What to ask

“I have a uterus. If my clinician prescribes micronized progesterone, is it included in the $89 or $149 price or billed separately? What product, dose, and schedule would I receive?”

One safety note that is not about money

Noom lists temporary bleeding or spotting among possible effects. The Menopause Society also notes that irregular bleeding or spotting can occur with hormone therapy.

Bleeding after menopause still needs clinical evaluation. ACOG's guidance says transvaginal ultrasound is often an appropriate initial evaluation for a first episode of postmenopausal bleeding, with further evaluation when bleeding persists or recurs.

A product page cannot decide which bleeding is expected in your regimen and which needs workup. Contact a clinician rather than treating reassurance copy as a diagnosis.

How long does “to start” last, and how will Noom bill you?

Noom does not define the HRT starter period or billing interval on its public cost page. Its terms say the subscription term and billing period are shown at signup and may be measured in days, weeks, or months. That makes the checkout screen—not the headline price—the controlling place to confirm what the first payment buys and when the next charge hits.

This is not a technicality. It is the difference between an annual figure you can trust and one built on an assumption. (Noom cost page; Noom Terms and Conditions)

The current footnote problem

On Noom's live cost page, the HRT row says only:

Cream: $69 to start, then $89 per month
Patch: $99 to start, then $149 per month

There is no HRT footnote defining:

The length of the starter period
Whether “per month” means a calendar-month billing cycle
Whether the ongoing term is prepaid in a multi-month block
Whether tax applies
What happens to the price if the clinician does not prescribe the option you expected

Noom's other medication pricing on the same current page contains more detailed promotional and renewal terms. That is exactly why the HRT checkout terms should be captured instead of inferred from another Noom program.

What the terms establish

Noom's current terms say:

Your billing period is disclosed at signup.
It may be measured in days, weeks, or months.
The subscription auto-renews at the end of the disclosed period unless canceled.
Promotional pricing can convert to the then-current nonpromotional price.
Taxes may apply.
Noom may change prices and billing methods subject to applicable notice requirements.

Those are the rules. The missing HRT-specific term still has to come from your checkout.

What to confirm at checkout

“How long does the $69 or $99 starting price cover? After that, am I charged monthly or prepaid for a longer term? What exact amount will be charged next, on what date, and does tax apply?”

Do not authorize the card until the answer on screen matches the answer in support chat.

Can you get a refund if you cancel Noom HRT?

Noom's current refund page gives rules for Noom Weight, Noom Med, and Telehealth for Branded Meds, but it does not name Noom + HRT Rx separately. For Noom Med programs with medication included, Noom says refunds are unavailable once a prescription has been written, and renewal charges are not refundable. Get the rule for your HRT plan in writing before paying.

Here is what the published Noom refund policy currently says.

Program or category named by Noom	Published rule
Noom Weight	Refunds may be available within 14 days of the first charge; renewal charges are not refundable
Noom Med with medication included	Refunds may be available until a prescription is written; no refunds after that point
Telehealth for Branded Meds	Refunds may be available within 7 days unless a clinical visit has occurred
Noom + HRT Rx	Not separately named

The page may intend HRT to fall under “Noom Med with medication included.” It does not say that by name. For a final-sale trigger this important, intent is not enough.

The window that may matter more than the number of days

If the medication-included Noom Med rule applies to HRT, the practical refund window closes when the prescription is written—not when the medication ships and not after you test the program for a month.

That means “I'll try it and cancel if I don't like it” may be the wrong assumption.

Decide whether the plan, formulation, billing term, and refund rule work before the prescription is issued.

What Noom's terms say about cancellation

Noom's current terms say:

Cancel before 11:59 p.m. Eastern time on the day before the next recurring billing date to avoid the next charge.
Cancellation generally takes effect at the end of the current billing period.
Partially used billing periods generally do not receive a refund or credit.
California residents have a three-business-day statutory rescission route described in the terms.
Third-party subscriptions must be canceled through the relevant app store.

How to cancel

Noom's support pages direct members to the Subscription Portal or app. For Noom Med, the Patient Portal may also be used.

Deleting the app does not cancel the subscription.

And one thing people miss: canceling a Noom Med subscription does not necessarily stop an upcoming refill already in motion. Noom tells members to contact support separately about refills they no longer want.

Save the confirmation. Screenshot the end date. Check the next statement.

The exact refund question

“Which published refund category applies to Noom + HRT Rx? Is any refund available before my prescription is written, and does the refund window close immediately when the prescription is issued?”

Does insurance, HSA, or FSA lower the Noom HRT cost?

For a direct retail Noom Med purchase, Noom's terms say healthcare services, labs, and prescriptions are cash-pay and that claims will not be submitted to Medicare or Medicaid. The same terms create a separate exception for access through an employer or private health plan. HSA/FSA use is reimbursement-only: Noom does not accept those cards directly at checkout.

That is more precise than “No insurance applies.” There are two different doors. (Noom Terms and Conditions)

Direct retail door

For direct Noom Med services, Section 16.2 says:

Noom is not enrolled with Medicare or Medicaid.
The healthcare services available through the platform are cash-pay.
Noom and its clinical partners will not submit claims to federal or state payer programs.

Do not buy the retail plan expecting a Medicare, Medicaid, or direct commercial-insurance claim afterward.

Employer or private-plan door

Section 16.3 says that when Noom Med access comes through an employer or private health plan, clinical partners may submit claims and copays or deductibles may apply depending on that benefit's structure.

That exception does not prove your employer offers HRT Rx or that your specific plan covers it. It means the blanket statement “Noom never uses insurance” is too broad. Our dedicated Noom HRT insurance guide breaks down the two access paths in more detail.

The HSA/FSA process

Noom's support page says Noom + HRT Rx should generally qualify under many HSA/FSA plans, while warning that reimbursement is not guaranteed.

The published process is:

Pay with a personal payment method.
Save the Noom subscription receipt.
Request a Letter of Medical Necessity from the clinician or Care Team.
Submit both documents to your HSA/FSA administrator.
Keep the pharmacy receipt for the medication portion.

Noom currently says it does not accept an HSA or FSA card directly at checkout.

Before we point to an insurance-billing alternative, here's what's wrong with it

Midi is not cheaper on day one for a cash-pay patient. Its current published self-pay price is $250 for the initial visit and $150 for continued-care visits, with medication and any external services separate. That is more than Noom's first displayed payment on either HRT plan.

Midi also says:

It is in-network with most PPO plans, but coverage varies by plan.
Deductibles, coinsurance, and copays can still apply.
It cannot treat Medicaid or Medi-Cal patients, even as self-pay.
It is not covered by Medicare, although Medicare beneficiaries may self-pay and cannot submit claims related to Midi care.

Here's why it can still be the right door: Midi is available in all 50 states, bills participating commercial insurance for visits when covered, and sends prescriptions through the patient's pharmacy pathway rather than bundling the medication into a Noom-style HRT subscription.

That is a different relationship with your money. It is not automatically cheaper. It is simply the cleaner fit when using a PPO and your pharmacy benefit is the priority.

Does that sound like your situation?
Check Midi's current coverage for your state and plan → (editorial link; Midi is not listed as an active affiliate partner on our current disclosure page)

If you already pay for Noom Weight, does HRT replace it or add to it?

Noom's current HRT cost page says the HRT price includes its wellness tools. A general Noom Med support page says upgrading from Noom Weight ends the existing Weight subscription and starts the Noom Med plan immediately. That support page does not name HRT Rx specifically, so existing members should still confirm the account-level transition before accepting the upgrade.

This is a correction worth making because the public record is stronger than “Noom's documents completely conflict.”

Here is what is published now (current Noom cost page; Noom Med upgrade instructions; 2025 HRT launch announcement):

Noom's HRT cost page says the HRT price includes access to its full wellness suite.
Noom's generic “upgrade to Noom Med” support page says upgrading ends the current Noom Weight subscription.
Noom's 2025 launch announcement described HRT as an optional upgrade offered to new Healthy Weight subscribers.

The current support instruction suggests replacement rather than stacking for a standard Noom Med upgrade. But because HRTRx is not named in that instruction, confirm how your exact account will be handled.

“I currently pay for Noom Weight. If I accept this HRT offer, will the Weight subscription end immediately, receive a prorated adjustment, or continue as a separate charge? Show me my combined amount due and next renewal date.”

That question protects both sides of the transition: the old subscription and the new one.

How does Noom's cost compare with Winona, Midi, Sesame, and your own clinician?

Noom's ongoing prices are not directly comparable with every competitor's headline number. Winona processes a 30-day supply every 28 days, Midi charges per visit and may bill a PPO, Sesame publishes a $59 monthly menopause subscription with medication excluded, and a clinician-plus-retail-pharmacy route separates care from the medication. Billing model—not sticker price—determines the real total.

Here is the comparison we would want before paying.

What these totals exclude unless stated: tax, additional medication, externally billed labs, and services a clinician adds after intake. A scenario is labeled as a scenario. An unpublished term stays unpublished.

Option	Billing model	Published entry or care price	Illustrative annual care/program cost	Medication handling	Insurance/HSA-FSA
Noom — compounded cream	HRT subscription; public billing interval not stated	$69 to start; $89/month ongoing	$1,048 if starter covers month 1; $1,068 for 12 ongoing-price months	Cost page says prescription covered; confirm every prescribed medication	Direct retail cash-pay; HSA/FSA reimbursement only
Noom — FDA-approved patch	HRT subscription; public billing interval not stated	$99 to start; $149/month ongoing	$1,738 if starter covers month 1; $1,788 for 12 ongoing-price months	Cost page says prescription covered; confirm progesterone	Direct retail cash-pay; HSA/FSA reimbursement only
Winona — FDA-approved patch	Automatic refill: 30-day supply processed every 28 days	From $149 per cycle	About $1,942/year at 365 ÷ 28 cycles	Patch included	No direct insurance billing; HSA/FSA card accepted
Winona — patch + FDA-approved progesterone capsule	Every 28 days for a 30-day supply	From $188 per cycle	About $2,451/year	Both included; capsule contains peanut oil	No direct insurance billing; HSA/FSA card accepted
Midi — insurance	Per visit	Copay/deductible/coinsurance depend on plan	Plan- and visit-dependent	Prescription follows the patient's pharmacy pathway	In-network with most PPOs; coverage varies; no Medicaid/Medi-Cal treatment; Medicare not covered
Midi — self-pay	Per visit	$250 initial; $150 continued care	Depends on follow-up count	Medication separate	Self-pay
Sesame menopause subscription	Monthly subscription	From $59/month	$708/year at $59/month	Medication cost not included; prescription sent to preferred pharmacy	Cash-pay; many services may be HSA/FSA reimbursable; labs included if ordered, with state exceptions
Your own clinician + retail pharmacy	Visit plus pharmacy	Visit/copay varies	Visit cost + roughly $698–$904/year in the spot-priced patch-and-progesterone example below	Medication purchased separately	Depends on plan and pharmacy benefit

Competitor prices and terms checked August 17, 2026 from Winona, Midi, and Sesame. Annual figures using 28-day cycles are our calculations. Retail drug figures are spot prices, not guaranteed quotes. For the care-quality and medication-fit comparison beyond price, read our full Noom HRT review and online HRT provider comparison.

The finding most people miss: $149 “per month” is not always 12 charges

Noom's patch page says $149 per month after the starter price. Noom does not publicly define its HRT billing interval, so the clean annual comparison still depends on checkout.

Winona's FAQ does define its interval: a 30-day supply is automatically processed every 28 days.

A 28-day cycle produces about 13.04 charges per 365-day year.

$149 × 365 ÷ 28 = about $1,942 per year
$188 × 365 ÷ 28 = about $2,451 per year for the patch-plus-capsule combination

Against 12 months at Noom's ongoing $149 price, the same $149 headline is about $154 apart annually before any other difference.

That is why the unit beside the number matters as much as the number itself.

Where each option actually wins

Noom wins for the reader who wants HRT access and a weight-and-habit program in one recurring package and will use both sides of it.

Midi wins when a participating PPO and the ability to use a pharmacy benefit matter more than a low first payment. It is not the low-cash-price winner.

Winona's patch lane wins for a cash-pay reader aged 35–59 in a served state who wants an FDA-approved patch shipped through one subscription and wants to use an HSA/FSA card directly. The 28-day cycle and age/state limits are the tradeoffs.

Sesame wins for a reader who wants a lower-cost monthly care subscription, video visits as needed, messaging, and prescriptions sent to a preferred pharmacy. Its medication is not included, so $59 is not the full treatment cost.

Your own clinician usually wins on medication-only cost when you already have a prescriber, a covered visit, and the bandwidth to manage refills yourself.

Two compounded-first alternatives we are not using as the answer here

Winona's compounded creams and Inner Balance's Oestra may be legitimate choices for a reader who intentionally wants a compounded route after discussing it with a clinician. They are not the recommendation produced by this page's central finding.

This page exists because Noom puts a compounded option and an FDA-approved option beside two different prices. It would be incoherent to explain why that separation matters and then blur it in the alternative section.

Winona appears here only in its provider-labeled FDA-approved patch and progesterone-capsule lane.

Choose the next step that matches the problem you actually have:
Using a PPO is the priority: Check Midi's plan coverage and self-pay terms → (editorial link)
Using an HSA/FSA card directly for a shipped FDA-approved patch is the priority: Check Winona's current patch price, age limit, and state list → (affiliate link — we may earn a commission)
A lower-cost care subscription with medication sent to your pharmacy is the priority: See Sesame's current menopause subscription terms → (affiliate link — we may earn a commission)

What would an estradiol patch and progesterone cost without a subscription?

At spot cash prices checked August 17, 2026, twice-weekly generic estradiol patches across common strengths were about $35.82 to $53.05 for eight patches, while GoodRx showed generic progesterone 100 mg, 30 capsules, at about $22.32. That example totals roughly $58 to $75 per month, or $698 to $904 per year, before the prescriber visit.

Those are not Noom's exact products, strengths, or negotiated pharmacy costs. They are a transparent retail comparator showing how much of a bundled subscription may be paying for care, access, fulfillment, and the behavior-change program rather than the medication alone.

Retail comparator checked August 17, 2026	Spot cash price
Estradiol patch, 0.025 mg/24 hours twice weekly, 8 patches	$35.83
Estradiol patch, 0.0375 mg/24 hours twice weekly, 8 patches	$35.82
Estradiol patch, 0.05 mg/24 hours twice weekly, 8 patches	$44.15
Estradiol patch, 0.075 mg/24 hours twice weekly, 8 patches	$43.50
Estradiol patch, 0.1 mg/24 hours twice weekly, 8 patches	$53.05
Generic progesterone 100 mg, 30 capsules	About $22.32

Prices move by pharmacy, location, product, strength, coupon, and date. They are not a quote for your prescription. (Drugs.com estradiol patch price guide; GoodRx progesterone price guide)

What the difference buys at Noom

Compare the illustrative Noom patch first year of $1,738 with the retail medication example of roughly $698–$904.

The difference is about $834–$1,040 before the outside prescriber visit.

That difference is not automatically an overcharge. It can buy:

Access to a clinician through the platform
Ongoing messaging
Dose and side-effect follow-up
Pharmacy coordination and shipping
Coaching and check-ins
Food logging and meal planning
Resistance-training content
A program structure you may actually use

The point of the math is not “Noom is too expensive.”

It is this: the program layer is a major part of the price.

If you want that layer, judge it as a program. If you do not, stop comparing only the medicine names and choose a care model that lets you buy the medicine separately.

Who the clinician-plus-pharmacy route is better for

You already have a clinician willing and able to prescribe
Your visit is covered or affordable
You want to use your own pharmacy and drug benefit
You are comfortable managing refills and follow-up
You do not want a behavior-change app bundled into HRT care

Who it is worse for

Finding a menopause-informed prescriber is the bottleneck
You want questions and dose changes handled inside one platform
Pharmacy coordination and refill chasing are exactly what you are paying to avoid
You will use Noom's food, coaching, and resistance-training tools

The pharmacy price is only useful once you have the prescription pathway. See our comparison of online HRT pay-per-visit options when you want care separated from the medication bill.

Are you buying HRT, or a weight-loss program with HRT attached?

Both, by design—and which part you actually want determines whether Noom's price is fair value. Noom markets the menopause program around both symptom care and weight support. Its own clinical blog also says HRT is not a weight-loss treatment. Buy the bundle for menopause care plus behavior-change support, not because you expect estrogen itself to function as a weight-loss drug.

This is the section we'd want a friend to read.

The fork

If this is you	What the bundle means
Menopause symptoms and a weight goal, and you would otherwise buy two services	Potentially efficient. One program may replace two separate subscriptions.
Menopause symptoms only, with no interest in coaching, logging, meal planning, or training content	A large part of the bundle may go unused. Compare a visit-plus-pharmacy model.
Mostly a weight goal, hoping HRT itself will produce the loss	Wrong reason to choose HRT. Read Noom's own two statements below before paying.

Two statements from the same company

Noom's menopause landing page says women using Noom with HRT lost 3.3 times more weight than people trying on their own. The footnote describes a comparison involving 200 Noom users and an independent third-party education group.

We did not locate a peer-reviewed publication for that specific 3.3-times claim as of August 17, 2026. That does not prove the claim is false. It means the public marketing figure could not be independently evaluated like a published clinical study.

Noom's own clinical blog says:

“Hormone replacement therapy is not a weight loss treatment, but it may help address some of the underlying factors that contribute to weight gain during menopause.”

Those ideas can coexist: symptom improvement and structured behavior support may make weight-management efforts easier without turning HRT into a weight-loss medication.

The clean buying rule is simple:

Buy Noom HRT because the clinician-selected menopause treatment and the attached program fit your situation. Do not buy it because a weight headline made the hormone itself sound like a weight-loss drug.

Is Noom HRT available in your state?

Noom does not publish a state-by-state availability list for HRT Rx. Current support language says availability varies by location, and the eligibility flow is the public route Noom provides for an account-specific answer. Do not use the 46-state pharmacy footprint from Noom's Tailor Made Compounding acquisition as a substitute for a telehealth-prescribing availability list.

That distinction prevents a very easy mistake.

Noom announced in April 2026 that it acquired Tailor Made Compounding, a licensed 503A pharmacy operating in 46 states.

A pharmacy's ability to operate or ship into a state is not the same as:

A Noom-affiliated medical practice having a clinician licensed there
The HRT program being offered there
Both the cream and patch being available there
Your clinical profile being eligible there

Those pieces may overlap. They are not interchangeable.

We will not publish a Noom HRT state count until Noom publishes one or the program provides a reproducible state-by-state eligibility result.

The question to ask before giving payment information

“Is Noom + HRT Rx currently available in [state], and are both the compounded cream and FDA-approved estradiol patch available there?”

If state is your main uncertainty, use Find My HRT Path before starting multiple provider intakes. It routes by state and flags when online care is not the right starting point.

Who is Noom HRT the best value for—and who should skip it?

Noom is the strongest value for a woman who wants menopause care and a structured weight-and-habit program together, prefers a transdermal estrogen route, accepts a recurring cash-pay model, and will use the app. It is a weaker value when insurance, local vaginal therapy, one-time visits, or the lowest medication-only cost is the deciding factor.

Find yourself in this table.

If this is you	Best first door	Why
Menopause symptoms and a weight goal; you want one integrated program	Noom	The behavior-change platform is part of what you are paying for, not an afterthought
You want the Noom bundle but refuse compounded medication	Noom patch lane, if prescribed	Noom describes the patch as FDA-approved; confirm product, strength, and total cost
You want an FDA-approved patch at the lowest medication-only cost and already have a prescriber	Your clinician + pharmacy	The retail medication example is far below the bundled subscription before visit cost
You have a PPO you want to use	Midi	In-network with most PPOs; coverage varies; prescriptions follow the pharmacy pathway
You want to use an HSA/FSA card directly for a shipped patch subscription	Winona patch lane	Direct HSA/FSA card use; check the 28-day cycle, age 35–59 limit, and state list
You want lower-cost monthly care with prescriptions sent to your pharmacy	Sesame	From $59/month for care; medication is separate; basic labs included if ordered, with state exceptions
A local vaginal estrogen product is your priority	Not Noom's published formulary	Noom publicly lists transdermal systemic options, not a local vaginal estrogen product
You use Medicare or Medicaid	Not direct retail Noom; not Midi coverage	Noom does not submit federal/state payer claims; Midi does not participate in Medicare/Medicaid
You want one visit and no subscription	A pay-per-visit provider	No recurring care fee
You need a clearly published refund window before paying	Not Noom until support answers in writing	HRTRx is not separately named in Noom's refund page

Who should not use a questionnaire-only start as the first move

Price should not talk you past a safety issue.

Get clinical evaluation before starting online HRT when you have:

Unexplained or postmenopausal bleeding
A personal history of breast, endometrial, or another hormone-sensitive cancer
A history of blood clots, stroke, or a known clotting disorder
Active liver disease
Symptoms that may not be menopause and have not been evaluated
A complex medical history that requires records, examination, imaging, or specialist coordination

That does not automatically mean hormone therapy is forever off the table. It means a fast questionnaire is not enough to settle the order of operations.

If any of that sounds like your situation, do not guess at the next door.
Use Find My HRT Path → It matches symptoms, state, insurance, route preference, and safety flags to a care path—and says when online care is not the right starting point. About 90 seconds. No email required. Nothing is stored.

What should you ask Noom before you pay?

Seven material HRT terms remain unpublished or incomplete on Noom's public pages: the starter period, billing interval, progesterone inclusion, the HRTRx-specific refund rule, state availability, HRT-specific lab costs, and how an existing Noom Weight account transitions. None proves the answers are bad. They are simply terms you should get in writing before authorizing a recurring charge.

Screenshot this section. Paste the questions into support chat. Save the transcript.

1. Is every prescribed medication included?

“Does the amount shown today include the full cost of every medication my clinician may prescribe, including progesterone, or can the pharmacy charge me separately?”

2. How long does “to start” last?

“What exact dates does the $69 or $99 starter payment cover?”

3. What is the billing interval after that?

“Will I be charged monthly or prepaid for a longer term? What is my next charge amount and date, including tax?”

4. What refund rule applies to HRT Rx?

“Does Noom + HRT Rx fall under the Noom Med medication-included refund rule? When does my refund eligibility end?”

5. Is my state served for both options?

“Is Noom + HRT Rx available in [state], and can a clinician there prescribe both the cream and the patch?”

6. Are any labs required or billed separately?

“Does this program require or include any baseline or follow-up testing for me? Who pays if the clinician orders it?”

7. What happens to my Noom Weight subscription?

“Will my current Noom Weight subscription end, receive a credit, or continue separately when HRT starts?”

Bonus question for the compounded cream

“What is the exact cream strength and dose, which pharmacy will compound it, and how do I obtain the Certificate of Analysis Noom says is available for my dispensed medication?”

That is not confrontational. It is the document Noom says exists.

How did The HRT Index verify this Noom HRT cost page?

Every provider price, policy, formulation label, shipping target, billing term, and alternative on this page was checked against a live primary provider page on August 17, 2026. Medical and regulatory statements were checked against FDA, The Menopause Society, National Academies, ACOG-indexed guidance, and peer-reviewed literature. We did not pose as a customer or invent checkout findings.

What we actually verified

Noom's current HRT price block and the page's July 2026 publication and update dates
The exact cream and patch prices
Noom's published description of the compounded bi-est cream, estradiol patch, and micronized progesterone pill
Noom's compounded-drug disclosure and provider-stated quality controls
The absence of an HRT-specific starter-period or billing-interval footnote on the public cost page
Noom's general terms for billing periods, renewals, taxes, cancellation, direct cash-pay care, employer/private-plan access, and pharmacy choice
The refund page's named program categories and the absence of a separately named HRTRx rule
The HSA/FSA reimbursement process and separate pharmacy-receipt instruction
The 3–7-business-day provider-stated shipping window
The 36-hour provider-stated clinician-reply window and 24-hour nonmedical Care Team target
The generic Noom Med instruction that an upgrade ends the current Noom Weight subscription
Winona's published patch and capsule prices, 28-day refill cycle, HSA/FSA card acceptance, age range, and state list
Midi's current insurance language and $250/$150 self-pay prices
Sesame's current $59 monthly menopause subscription, medication exclusion, and lab exceptions
Current spot cash prices used in the pharmacy comparison

What we could not verify from public pages

How long Noom's HRT starter price lasts
The actual HRT billing interval
Whether tax will be added to your checkout
Whether progesterone is included in either displayed price
Whether the pharmacy receipt represents only documentation or a separate payment
The refund rule for Noom + HRT Rx by name
A public Noom HRT state list
An HRT-specific published lab requirement or included-lab list
The exact cream strength, exact patch product, or exact individualized dose before prescribing
Whether every existing Noom Weight account follows the generic Noom Med replacement process
The current checkout flow, cancellation flow, or refill-stop flow for an actual HRT customer

We did not complete a personalized Noom checkout, receive a prescription, order medication, or test cancellation. This is document verification—not a fabricated first-person review.

Why there are no Noom HRT testimonials here

We did not find enough independently attributable reviews that specifically identified Noom + HRT Rx to responsibly summarize a customer pattern during our August 17, 2026 review.

Noom's testimonials on the cost page are weight-program testimonials. They are not evidence about this specific menopause prescription service, so we do not use them as HRT social proof.

An empty evidence pool is better than borrowing praise from a different product.

Corrections and recency

We re-check:

Monthly: Noom HRT prices, checkout language available publicly, refund page, state language, terms, and competitor prices
Weekly: retail medication spot prices when they remain in the article
Quarterly: FDA compounding guidance, medical-society guidance, and the full provider-policy roster

“Last verified” changes only after the money and policy fields are rechecked—not because a sentence was edited.

Noom HRT cost: quick answers

The direct answers below cover the price, medication status, insurance, labs, state availability, shipping, cancellation, and value questions most likely to remain after the comparison. The starter period, HRT billing interval, progesterone inclusion, and HRTRx-specific refund rule still require written confirmation from Noom.

How much is Noom HRT per month?

Noom publishes $89 per month after a $69 starter price for the compounded bi-est cream, or $149 per month after a $99 starter price for the FDA-approved estradiol patch. Noom does not publish the HRT starter-period length or billing interval.

Is the $1,048 or $1,738 first-year total guaranteed?

No. Those are transparent illustrations assuming the starter price covers month one and the ongoing price is charged 11 times after it. Confirm the actual billing term, tax, and medication inclusion at checkout.

Is Noom's hormone cream FDA-approved?

No. Noom labels it a compounded bi-est cream, and states that compounded medications are not reviewed by the FDA for safety, efficacy, or quality. Noom describes its estradiol patch and micronized progesterone pill as FDA-approved.

Why is Noom's cream cheaper than the patch?

Noom does not publish a cost breakdown. What it does publish is that the lower-priced option is compounded and the higher-priced option is an FDA-approved estradiol patch. The $60 ongoing step changes formulation and regulatory category.

Does Noom HRT include progesterone?

Noom says it prescribes oral micronized progesterone to patients with a uterus when appropriate. It does not publicly state whether that prescription is included in the $89 or $149 price. Ask before paying.

Does the Noom HRT price include medication?

Noom's cost page says the price covers the prescription. Its HSA/FSA page separately tells members to use a pharmacy receipt for medication costs. Confirm that every prescribed medication is included and that the pharmacy will not collect a separate payment.

Does Noom accept insurance for HRT?

Direct retail Noom Med care is cash-pay under Noom's terms, and Noom does not submit claims to Medicare or Medicaid. The terms separately allow employer or private-health-plan programs that may involve claims, copays, and deductibles. Ask whether your HRT access comes through that separate benefit route.

Can you use an HSA or FSA for Noom HRT?

Noom says Noom + HRT Rx should generally qualify for many HSA/FSA plans, but it does not accept the card directly. Pay personally, then request reimbursement using the subscription receipt, Letter of Medical Necessity, and pharmacy documentation. Approval is not guaranteed.

Does Noom require blood tests before prescribing HRT?

No HRT-specific public lab requirement appears on the pages we verified. That is not the same as a promise that no clinician will order testing. Ask whether any test is required for your situation and who pays.

What states offer Noom HRT?

Noom does not publish a state list for HRT Rx. The acquired compounding pharmacy's 46-state footprint is not a telehealth-prescribing availability list. Use the eligibility flow and ask whether both formulations are available in your state.

How fast does Noom HRT medication arrive?

Noom says most Noom Med medications, including HRT prescriptions, ship within 3–7 business days. That is a provider-stated shipping estimate, not a guaranteed delivery date.

How quickly does a Noom clinician respond?

Noom says clinician responses usually come within 36 hours. Nonmedical Care Team support is available seven days a week and aims to respond within 24 hours. Neither is emergency coverage.

How do you cancel Noom HRT?

Use the Noom Subscription Portal, app, or relevant app store, depending on how you subscribed. Deleting the app does not cancel. Contact support separately if a refill is already being processed.

Can you get a refund after canceling Noom HRT?

Noom does not publish a refund rule naming HRTRx separately. Its Noom Med medication-included rule says no refunds are available after a prescription has been written, and renewal charges are not refundable. Get the HRT-specific rule in writing.

Does Noom HRT replace a Noom Weight subscription?

Noom's generic Noom Med upgrade page says upgrading ends the current Noom Weight subscription. Because it does not name HRTRx specifically, confirm how your account, unused term, and next charge will be handled.

Does Noom prescribe vaginal estrogen?

Noom's published HRT formulary lists a transdermal estradiol patch, a transdermal compounded bi-est body cream, and oral micronized progesterone. We did not find a local vaginal estrogen product listed. If vaginal dryness, burning, urinary symptoms, or painful sex is the main problem, ask about local vaginal therapy rather than assuming a body cream serves the same purpose.

Is Noom HRT cheaper than getting a prescription from your own clinician?

Usually not on medication alone. The spot-price example on this page puts a generic patch plus generic progesterone around $698–$904 per year before the visit, versus the illustrative $1,738 Noom patch first year. Noom may still be better value when access, fulfillment, messaging, coaching, and the behavior-change program solve problems you would otherwise pay to solve separately.

Is Noom HRT worth $149 a month?

It is worth considering when you want an FDA-approved patch lane plus Noom's clinician access, medication fulfillment, coaching, food tools, and resistance-training program in one package—and will use them. It is weak value when you already have a prescriber and only need an inexpensive patch prescription.

Still not sure which HRT program is right for you? Take our free 90-second matching quiz.

A price page can narrow the decision, but it cannot safely choose a provider from your symptoms, history, uterus status, state, insurance, and formulation preference. Find My HRT Path turns those constraints into a best-fit care route and flags when online care is not the right starting point.

You now have the posted Noom prices, the assumption behind the annual math, the compounded-versus-FDA-approved difference, the refund and billing gaps, the retail comparator, and seven questions to get answered before paying.

What a general cost page cannot decide is which route fits your symptoms, your state, your insurance, your uterus status, and your medical history.

Use Find My HRT Path →

About 90 seconds. No email needed. Nothing is sold or stored. The tool also flags when online care is not the right starting point; a licensed clinician makes every treatment decision.

The HRT Index is an independent decision resource for online menopause and HRT care. This page is educational and is not medical advice. FDA-approved and compounded options are labeled separately, and compounded medicines are never presented as equivalent to FDA-approved medication. Talk with a licensed clinician about your own symptoms, history, contraindications, product, dose, and monitoring.

Affiliate disclosure · Editorial standards · Medical review policy · Consumer health data privacy policy

Sources

Commercial facts were traced to current provider pages, while medical and regulatory statements were traced to FDA, medical-society, National Academies, and peer-reviewed sources. The pages below were checked for this audit on August 17, 2026 unless another publication or update date is stated in the article.

Noom primary sources

Medical and regulatory sources

Alternative-provider and retail-price sources

Put Noom's price in context

Read the full Noom HRT review, compare online HRT costs and HRT insurance coverage, or use Find My HRT Path if your route, state, symptoms, or coverage changes the answer.

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