Head-to-head · WeighScore
Onyx Weight Loss vs Revive Meds
The verdict
Onyx Weight Loss takes it — 58.8/100 to 56.9/100, but only just.
Onyx Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Onyx Weight Loss is a nurse-practitioner-led telehealth clinic based in Mooresville, NC, offering GLP-1 and GLP-1/GIP weight-loss medications alongside peptides and HRT across 8 states. Revive Meds is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Onyx Weight Loss | Revive Meds |
|---|---|---|
| WeighScore | 58.8/100 | 56.9/100 |
| Grade | C | C |
| Scorecard rank | #359 | #404 |
| Semaglutide | $228/mo (starting dose, compounded) | $369/mo (starting dose, compounded) |
| Tirzepatide | $280/mo (starting dose, compounded) | $459/mo (starting dose, compounded) |
| Coverage | 8 states | All 50 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #359 · 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
Graded #404 · C
Strengths
- Offers both compounded semaglutide and dual-agonist tirzepatide, each combined with vitamin B12 (cyanocobalamin) in a single injection
- Pay-per-order model with no subscription, sign-up fees, or long-term commitment, and free shipping on every order
- Names its six 503A compounding pharmacies and two prescribing physicians, which is unusually transparent on fulfillment
- Available in all 50 states and HSA/FSA eligible through a Medical Necessity Letter
- Prepaying 3 to 12 months cuts the effective cost to as low as $202/mo (semaglutide) or $300/mo (tirzepatide)
Where it loses points
- Month-to-month pricing is steep: $369/mo semaglutide and $459/mo tirzepatide unless you prepay several months
- No public price list; pricing appears only after you complete a full health intake and create an account
- Not LegitScript-certified (no seal displayed on the site)
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
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.