Open Water Rx review
Value Score64/100
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.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. CoreAge Rx is a featured partner, and providers we work with may appear first. It never changes the Value Score.
Advertised price
From $169/mo
$169/mo (compounded)
How much does Open Water Rx cost?
The price Open Water Rx publishes is $169/mo (compounded). Tirzepatide is listed at $219/mo (compounded). That rate holds after the first month — there is no step-up we can find. That works out about 52% under the $349/mo brand-name self-pay price for Wegovy.
- Semaglutide
- $169/mo (compounded)
- Tirzepatide
- $219/mo (compounded)
- Coverage
- All 50 states
- Brand-name
- Yes
The Value Score card
Open Water Rx scored on our six published factors. See the methodology.
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
Read 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
The bottom line
Best for: Someone who wants all three routes priced openly before handing over any details.
For comparison, see CoreAge Rx, a featured partner (Value Score 81/100).
Programs to compare
Compare with other deals
The programs scoring closest to Open Water Rx, out of 428 others we track.
Shopping Open Water Rx against a specific rival? We put it head to head with our featured partner on CoreAge Rx vs Open Water Rx, and every program that undercuts or outscores it — starting with Lean Rx, the closest match on score — is ranked on the Open Water Rx alternatives ranking.
- From $266/moLean Rx— Lean Rx is a Sacramento-based telehealth technology platform offering compounded semaglutide from $266 and tirzepatide from $399, in injectable, sublingual and tablet form.64/100
- From $247/moLevers Health— Levers Health sells compounded semaglutide from $247 and tirzepatide from $296 on dose-capped plans, plus a separate low-dose and microdose GLP-1 line aimed at longevity rather than weight loss.64/100
- From $228/moOnyx Weight Loss— 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.64/100
- From $179/moRoboclinic— Roboclinic is an AI-first telehealth platform, operated by BrickFi, Inc., that starts you with an AI health assistant and then routes you to a board-certified provider for GLP-1 weight-loss care.64/100
- From $179/moRxSaludable— RxSaludable is a Spanish-language GLP-1 weight-loss telehealth service (atencion en espanol) offering compounded semaglutide from $99 the first month ($179/mo after).64/100
- From $187/moWhoosh Wellness— Whoosh Wellness is a physician-guided GLP-1 and peptide telehealth service offering compounded semaglutide (from $187/mo) and tirzepatide (from $235/mo), with everything bundled into one price.64/100
More programs we track (24)
- Fitstry65
- Harmony Wellness Clinic65
- LunaRx65
- Metaboost Rx65
- OnlyRx65
- Society of You65
- Spry65
- Vita Bella65
- MEDGm64
- Cost Plus Drugs64
- Genesis Health64
- Heros Health64
- MyDrHank63
- Elara MD63
- Eve63
- Fierce Health63
- Freya Meds63
- Livea63
- Medivive63
- Noom Med63
- Novi63
- Nurx63
- PrideRx63
- Remi Meds63
395 more are reviewed too — see every GLP-1 program we track, ranked.
Pricing and coverage on this page come from Open Water Rx's own website; the Value Score is our editorial judgment per the methodology."% vs brand-name self-pay" compares a program's lowest disclosed monthly price against $349/mo, Wegovy's self-pay price at NovoCare Pharmacy, every standard dose after the two-month intro offer (checked October 2026). Prices change — confirm on Open Water Rx's site. Not medical advice; see our disclosure.