Head-to-head dispatch
Onyx Weight Loss vs Peak Wellness
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
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.
$228/mo (starting dose, compounded) sema · $280/mo (starting dose, compounded) tirz · Verified July 4, 2026
Marked down on: Only 8 states (NC, CO, ME, VT, VA, IA, NH, PA) — excludes the majority of the US
Desk Score
Premium injectable pricing with full nationwide reach, but no third-party verification to back it.
$249/mo sema · $349/mo tirz
Marked down on: Premium pricing on both molecules
Peak Wellness takes this head-to-head with the higher Desk Score, 80/100 (B−) against 62/100 (C) for Onyx Weight Loss. Onyx Weight Loss still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Onyx Weight Loss
62/100
C
Peak Wellness
80/100
B−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Onyx Weight Loss | Peak Wellness |
|---|---|---|
| Semaglutide | $228/mo (starting dose, compounded) | $249/mo |
| Tirzepatide | $280/mo (starting dose, compounded) | $349/mo |
| Coverage | 8 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | NP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl. | Patients who value 50-state availability and aren't chasing the lowest price. |
| Desk Score | 62/100C | 80/100B− |
The verdict
Desk pick — Peak WellnessPeak Wellness takes this head-to-head with the higher Desk Score, 80/100 (B−) against 62/100 (C) for Onyx Weight Loss. Onyx Weight Loss still holds its ground where its strengths line up with yours.
Choose Onyx Weight Loss if…
NP-led GLP-1 telehealth across 8 states; sema from $228/mo or tirz from $280/mo, med+ship incl.
$228/mo (starting dose, compounded) sema · $280/mo (starting dose, compounded) tirz · 8 states
Choose Peak Wellness if…
Patients who value 50-state availability and aren't chasing the lowest price.
$249/mo sema · $349/mo tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Onyx Weight Loss · Peak Wellness.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
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- Peak Wellness vs Vytora Health
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.