Open Water Rx review
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.
Est. first month
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 87% under our ~$1,349/mo brand-name cash reference.
- 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. 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.
Ranked #333 of 427 programs we track — see our #1 deal, CoreAge Rx, for comparison.
Compare with other deals
The programs scoring closest to Open Water Rx, out of 426 others we track.
Shopping Open Water Rx against a specific rival? We put it head to head with our top-scoring pick on CoreAge Rx vs Open Water Rx, and every program that undercuts or outscores it — starting with Levers Health, the closest match on score — is ranked on the Open Water Rx alternatives ranking.
- From $247/mo (1.25 mg dose, compounded)Levers 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 $249/mo (compounded)Metaboost Rx— Metaboost Rx is an Oklahoma City-based telehealth practice offering physician-directed compounded GLP-1 programs.64/100
- From $228/mo (starting dose, compounded)Onyx 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/mo (12-month plan, compounded)Roboclinic— 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/mo (compounded)RxSaludable— 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 $325/mo (all doses, compounded)TeleHealth Weight Solutions— TeleHealth Weight Solutions (branded Medi Health Clinics) is a nurse-practitioner-managed telehealth program prescribing compounded semaglutide and tirzepatide for weight loss, shipped with supplies.64/100
More programs we track (24)
- #318 Fitstry65
- #319 Harmony Wellness Clinic65
- #320 LunaRx65
- #321 OnlyRx65
- #322 Society of You65
- #323 Spry65
- #324 Vita Bella65
- #299 MEDGm64
- #326 Cost Plus Drugs64
- #327 Genesis Health64
- #328 Heros Health64
- #329 Lean Rx64
- #337 Whoosh Wellness64
- #314 MyDrHank63
- #339 Elara MD63
- #340 Eve63
- #341 Fierce Health63
- #342 Freya Meds63
- #343 Livea63
- #344 Medivive63
- #345 Noom Med63
- #346 Novi63
- #347 Nurx63
- #348 PrideRx63
396 more are reviewed too — see every GLP-1 program we track, ranked.
Pricing and coverage on this page were read from Open Water Rx's own website on ; the Value Score is our editorial judgment per the methodology. “% vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on Open Water Rx's site. Not medical advice; see our disclosure.