COMLEX-USA Level 1

NBOME Cycle Data

First-Time Pass Rate & Mean Scores (when available)

COMLEX-USA Level 1

NBOME CYCLE
05/10/2022-
03/15/2023

NBOME CYCLE
05/04/2023-
04/11/2024

NBOME CYCLE
05/07/2024-
04/11/2025

NBOME CYCLE
05/07/2025-
04/10/2026

NBOME CYCLE
05/07/2026-
04/10/2027*

Five-year
 Average

CUSOM First-Time Pass Rate 97.37% 97.37% 92.76% 95.63% 96.00% 95.83%
National First-Time Pass Rate 90.59% 93.05% 90.25% 90.19% 92.11% 91.24%

*Five-year average reported as of the date this table was last updated.

NOTE: This NBOME testing cycle is not yet complete.  Data are current as of the date this table was last updated, and will be updated quarterly as additional examination results become available.  National first-time pass rates are preliminary and may change until the testing cycle concludes in April.

Updated as of 09/21/2026

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%

CUSOM Scores > 400     96.47% of students (a passing score is >400)

*Beginning with the 2022-2023 testing cycle, the NBOME discontinued reporting three-digit scores for COMLEX-USA Level 1.  Results are now reported as Pass/Fail only.

Final COMLEX-USA Level 1 three-digit scores as of 04/30/2022

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