Onyx Weight Loss review
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.
- Scores never bought
- 497 providers tracked
- Every factor auditable
- Updated July 2026
Onyx Weight Loss earns a Match Score of 62/100 (grade C) and sits #261 of 497 on our board under the balanced default weighting.
- Semaglutide
- $228/mo (starting dose, compounded)
- Tirzepatide
- $280/mo (starting dose, compounded)
- Coverage
- 8 states
- Brand-name
- Compounded only
- Oral option
- Injectable only
- Verification
- Not independently listed
Best for: People who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.
MatchScript's take: Our #261 pick of 497 — a focused, straightforward program, scored on the same six factors as everyone else.
The factor breakdown
Onyx Weight Loss on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $228/mo (starting dose, compounded) puts Budget Fit at a below-par 43 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 38 on Speed to Start.
Onyx Weight Loss sticks to compounded injectables, for a below-par 72 on Formulary Match.
Support lands at a below-par 74 — lighter, meds-first support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
Disclosure here is thinner than the top of the board give a strong 90 on Transparency.
Pricing in context
How Onyx Weight Loss's monthly price sits against the category median and the cheapest provider we track.
What we like
- 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
The caveats
- 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
Who it's for — and who should skip it
Choose Onyx Weight Loss if people who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.
Skip it if that doesn't sound like you. A closer fit may be Aquivia Health (Match Score 62) — or take the quiz to see where Onyx Weight Loss lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Onyx Weight Loss against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Onyx Weight Lossthis provider | CoreAge Rxour #1 | Aquivia Healthclosest scorer |
|---|---|---|---|
| Sema price | $228/mo (starting dose, compounded) | $149/mo | $149/mo |
| Coverage | 8 states | All 50 states | Coverage not published |
| Formulary | Injectable | Injectable | Injectable + brand |
| Match Score | 62 · C | 91 · A− | 62 · C |
Onyx Weight Loss, answered
Is Onyx Weight Loss legit?
Onyx Weight Loss is a real, operating GLP-1 telehealth program, but we don't find it on the LegitScript registry, so it carries less third-party verification than the certified providers on our board. It dispenses compounded medication, which isn't FDA-approved. Vet the prescriber and pharmacy before you commit.
How much does Onyx Weight Loss cost?
Onyx Weight Loss lists compounded semaglutide from $228/mo (starting dose, compounded) and tirzepatide from $280/mo (starting dose, compounded) — above our category median of $179/mo. These are the provider's public figures at our last review (July 2026); confirm on their site, since some teaser tiers step up after month one.
Does Onyx Weight Loss ship to my state?
Onyx Weight Loss operates in a limited set of states (8 states). If yours isn't on that list, you'll need a nationwide provider instead.
Onyx Weight Loss vs CoreAge Rx — which is better?
Both are on our board. Onyx Weight Loss scores 62/100; CoreAge Rx leads our default ranking at 91/100 for its flat nationwide pricing on both molecules and easy cancellation. Onyx Weight Loss can still win for you if its strengths match your priorities — best for: People who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl. Run the quiz to see which comes out ahead for you.
Pricing & state data last verified July 2026 from Onyx Weight Loss's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Onyx Weight Loss's site. Not medical advice; see our disclosure.
Onyx Weight Loss earns a Match Score of 62/100 (grade C) and sits #261 of 497 on our board under the balanced default weighting. 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. Best for: People who want nP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl. If it isn't the right fit, Aquivia Health is a sensible alternative to weigh next.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Onyx Weight Loss on the board.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match88/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry on this board.88/100
- #3Match86/ 100HealthRXA LegitScript-certified, physician-supervised program with a rare oral GLP-1 tablet alongside injectables — both molecules, transparent no-insurance pricing, and a brand-name path.86/100
- #4Match86/ 100ShedRxA weight-focused program that also offers an oral/sublingual route for the needle-averse.86/100
- #5Match88/ 100Ondra HealthNear rock-bottom pricing on both molecules plus some brand access — a rare budget-and-breadth combo, nationwide.88/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| PauseRX#262 | 62 | $199/mo | $249/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Pomegranate Health#263 | 62 | $90/mo (starting dose, compounded) | $166/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Silhouette MD#264 | 62 | $149/mo (compounded) | $299/mo (compounded) | Coverage not published | Alternatives | Visit |
| SnagRx#265 | 62 | $299/mo (starting dose, compounded) | $399/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Spry#266 | 62 | $199/mo (starting dose, compounded) | $299/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Sumbare Wellness#267 | 62 | $199/mo (all doses, compounded) | $199/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| TeleHealth Weight Solutions#268 | 62 | $325/mo (all doses, compounded) | $375/mo | Coverage not published | Alternatives | Visit |
| The Aesthetic Concierge#269 | 62 | $414/mo | Not disclosed | 13 states | Alternatives | Visit |
| The Virtual NP#270 | 62 | Not disclosed | Not disclosed | 7 states | Alternatives | Visit |
| Tru2u#271 | 62 | $225/mo | $345/mo | Coverage not published | Alternatives | Visit |
| Willow#272 | 62 | $299/mo (starting dose, compounded) | $399/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| AquaVita NextGen#273 | 61 | $375/mo (first-month rate, compounded) | $320/mo (starting dose, 3-month plan, compounded) | 5 states | Alternatives | Visit |
| Ark Health#274 | 61 | $1,399/mo (brand Ozempic) | $1,499/mo (brand Mounjaro) | Coverage not published | Alternatives | Visit |
| Aurelius Health Group#275 | 61 | Not disclosed | $199/mo (microdose tier, compounded) | Coverage not published | Alternatives | Visit |
| Avono Health#276 | 61 | $269/mo (compounded) | $349/mo (compounded) | Coverage not published | Alternatives | Visit |
| BeyondMD#277 | 61 | $139/mo (starting dose, compounded) | $209/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| Center for Medical Weight Loss (CMWL)#278 | 61 | $149/mo (all doses, compounded) | $239/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| Fitstry#279 | 61 | $179/mo (annual plan, plus a separate fee, compounded) | $269/mo (annual plan, compounded) | Coverage not published | Alternatives | Visit |
| FuturHealth#280 | 61 | $199/mo (compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| HealthOn#281 | 61 | $189/mo (starting dose, 12-month plan, compounded) | $290/mo (starting dose, 12-month plan, compounded) | Coverage not published | Alternatives | Visit |
| Human+#282 | 61 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| iThriveMD#283 | 61 | $299/mo (starting dose, compounded) | $399/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| KERNX Health#284 | 61 | $129/mo (promotional rate, plus a separate fee, compounded) | $199/mo (promotional rate, plus a separate fee, compounded) | Coverage not published | Alternatives | Visit |
| Livea#285 | 61 | $99/mo (plus a separate fee, compounded) | $199/mo (compounded) | 4 states | Alternatives | Visit |