COMLEX-USA Level 1

2020-2025 NBOME Cycle Data

First-Time Pass Rate & Mean Scores

COMLEX-USA Level 1	NBOME Cycle 05/01/2020- 04/30/2021	NBOME Cycle 05/01/2021- 04/30/2022	NBOME CYCLE 05/10/2022- 03/15/2023	NBOME CYCLE 05/04/2023- 04/11/2024*	NBOME CYCLE 05/07/2024- 04/11/2025*	Five-year  Average
CUSOM First-Time Pass Rate	96.69%	93.13%	97.37%	96.10%	90.91%	94.81%
National First-Time Pass Rate	93.70%	92.20%	90.58%	93.05%	91.12%	92.11%
CUSOM Mean	550.88	551.96	—	—	—	—
National Mean	529.89	526.19	—	—	—	—

Historical Score Distribution (05/01/2018 – 04/30/2022)

Score Range	Percentage of CUSOM Students
800+	0.16%
700-799	3.37%
600-699	26.97%
500-599	43.34%
400-499	22.63%
<400	3.53%

CUSOM Scores ≥ 600     30.50%

CUSOM Scores ≥ 500     73.84%

*Note: Beginning in the 2022-2023 cycle, the NBOME no longer reports three-digit scores for COMLEX-USA Level 1, only Pass/Fail.

Data as of 10/25/2024

Learn more about COMLEX-USA Level 1 at NBOME.org