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Head-to-head · WeighScore

LevelsRx vs Onyx Weight Loss

LevelsRx
Graded #196

Higher grade

vs+7.5
Onyx Weight Loss
Graded #358

Lower grade

The verdict

LevelsRx takes it — 66.3/100 to 58.8/100.

LevelsRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. LevelsRx is a US direct-to-consumer telehealth offering compounded GLP-1 weight-loss medication, including compounded semaglutide (injectable and an oral liposomal liquid) starting at 150 dollars per month…

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueLevelsRx +24
67
43
Dose & formulationLevelsRx +11
75
64
Clinical oversightLevelsRx +1
76
75
Labs & monitoringOnyx Weight Loss +11
52
63
FulfillmentLevelsRx +16
69
53
Contract termsOnyx Weight Loss +14
41
55
LevelsRx · left barOnyx Weight Loss · right bar

The numbers

MetricLevelsRxOnyx Weight Loss
WeighScore66.3/10058.8/100
GradeCC
Scorecard rank#196#358
Semaglutide$150/mo (starting dose, compounded)$228/mo (starting dose, compounded)
Tirzepatide$240/mo (starting dose, compounded)$280/mo (starting dose, compounded)
CoverageCoverage not published8 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
LevelsRx

Graded #196 · C

Strengths

  • Both injectable and oral semaglutide plus tirzepatide, with same-day virtual visits
  • Weight-loss money-back warranty if targets are not met
  • 24-7 phone and email support with unlimited online provider visits

Where it loses points

  • Compounding pharmacy is not named publicly
  • States served are not published on the site
  • Prices are 'starting at' figures that may rise with dose
Onyx Weight Loss

Graded #358 · C

Strengths

  • 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

Where it loses points

  • 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

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.

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