Head-to-head · Value Score
CoreAge Rx vs Open Water Rx
Two GLP-1 deals, scored on the same six factors. CoreAge Rx lands a Value Score of 93, Open Water Rx a 64. Here's who gives you the honest lower price — and where each one bites back.
CoreAge Rx
#1 · Grade A+ · Best Value
Est. first month
$99/mo
Save ~89% vs brand-nameOpen Water Rx
#333 · Grade C · Watch List
Est. first month
$169/mo (compounded)
Save ~87% vs brand-nameThe verdict
CoreAge Rx takes it on Value Score, 93 to 64 — an est. $99/mo first month, with no teaser step-up baked in. Open Water Rx isn't out of it: Someone who wants all three routes priced openly before handing over any details.
CoreAge Rx is also our overall #1 pick across the whole deals ranking — a flat, all-in price on both molecules in all 50 states. That's why it wins here on the score, not just this matchup.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | CoreAge Rx | Open Water Rx |
|---|---|---|
| Value Score | 93 (A+) | 64 (C) |
| Est. first month | $99/mo | $169/mo (compounded) |
| Save vs brand-name | ~89% | ~87% |
| Semaglutide | $99/mo | $169/mo (compounded) |
| Tirzepatide | $149/mo | $219/mo (compounded) |
| Both molecules | Yes | Yes |
| Pricing | Flat — no step-up | Flat — no step-up |
| Coverage | All 50 states | All 50 states |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
CoreAge Rx
The honest lowest price: both molecules at one flat, all-in monthly rate that never steps up after month one.
Why it's a deal
- Flat, all-in monthly price with no intro-rate step-ups after month one
- Both compounded semaglutide and tirzepatide on one account
- Available in all 50 states
- Straightforward, low-friction cancellation — no lock-in
The fine print
- Not the rock-bottom sticker — a couple of teaser tiers advertise lower month-one rates
- No FDA-approved brand-name option (compounded only)
- Does not yet publicly name its 503A/B pharmacy partner
Open Water Rx
Open Water Rx is a clinician-guided telehealth service covering all 50 states, publishing compounded semaglutide at $169, tirzepatide at $219 and a daily oral semaglutide tablet at $199 a month.
Why it's a deal
- All three routes are priced on the homepage - $169 injectable semaglutide, $219 tirzepatide, $199 oral - rather than after an intake
- A daily oral tablet is offered as a first-class option, not an afterthought, for anyone avoiding needles
- Covers all 50 states with no insurance required
- Every program is stated to include the online intake, the licensed provider review, the medication and discreet shipping
The fine print
- Compounded only — no FDA-approved brand-name route
- The compounding pharmacy is not named, and no 503A or 503B designation is given
- No LegitScript or PCAB accreditation is displayed
- The oral tablet costs $30 a month more than the injection it replaces, which is the reverse of how most programs price it
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores CoreAge Rx is ranked on the CoreAge Rx alternatives ranking, and the same list for the other side is on alternatives to Open Water Rx.
More head-to-heads
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. “Save vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.