Purchases · Students

Each COMSAE Phase has multiple forms available, allowing each examination to be taken more than once. COMSAE is only available to osteopathic medical students, residents and colleges; all purchasing restrictions have been established for the purpose of examination security and integrity.


Beginning May 4, 2021, the COMLEX-USA Level 1 examination, which currently contains 400 test items will be reduced to 352 test items. To align with this change, the new COMSAE Phase 1 examinations, will contain only 176 items to reflect the length and timing of the COMLEX-USA Level 1 examination.

Beginning in January 2021 through early April of 2021, COMSAE Phase 1 examination forms containing 200 test items and forms containing 176 test items will be available for purchase.

Please note that there may be an overlap in content between the 200-item exams and the 176-item exams; therefore, it is recommended that you select from the series of COMSAE Phase 1 examinations that correspond with your COMLEX-USA testing date using the criteria outlined in the “Register & Schedule Exams” section of your NBOME account.

Examination Fee

Student Purchase · $60
This fee is for one COMSAE form.
To purchase a COMSAE, login to your NBOME account by clicking the key icon in the top right corner of the NBOME website.

Examination Security

The NBOME is committed to the convenient and secure delivery of all its computer-based tests, including the COMSAE examinations. In addition to ensuring the confidentiality and integrity of the electronic examinations, we will not disclose personal data to any individual or entity without written, signed consent or a court order.

Purchasing Instructions
Access Instructions

Purchased COMSAE examinations are located in the ‘My Account’ section, on the lower right hand side of the page.

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