Head-to-head · WeighScore
Onyx Weight Loss vs ZipHealth
The verdict
Onyx Weight Loss takes it — 58.8/100 to 55.6/100.
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.
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.
The numbers
| Metric | Onyx Weight Loss | ZipHealth |
|---|---|---|
| WeighScore | 58.8/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #359 | #438 |
| Semaglutide | $228/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $280/mo (starting dose, compounded) | Not disclosed |
| Coverage | 8 states | Coverage not published |
| 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 #438 · C
Strengths
- LegitScript certified with a named in-house US-licensed pharmacy
- Transparent clinical team including a board-certified MD and PharmD
- Same-day prescriptions and express overnight discreet shipping
- Lowest-price guarantee, no insurance required
- 230,000+ customers with a 4.4/5 Trustpilot rating
Where it loses points
- GLP-1 offering limited to compounded liraglutide (a daily injection)
- Monthly pricing not posted on public pages
- State availability not enumerated publicly
- No branded semaglutide or tirzepatide confirmed
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.