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No. 245 here · Grade C

Open Water Rx review

Open Water Rx is a telehealth platform for GLP-1 weight loss and longevity care, with compounded semaglutide and tirzepatide at one all-inclusive price per plan length.

Visit Open Water Rx Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the score.
Semaglutide
$169/mo (all doses, compounded)
Tirzepatide
$219/mo (all doses, compounded)
Coverage
Most U.S. states (the site's own wording; no full list published)
Brand-name
Compounded only

Prices read from Open Water Rx's own site on . Providers change pricing without notice — check the current figure before you buy.

On the trackerFallingprice falling— Re-read on the provider's own pricing page on 24 September 2026: compounded semaglutide is $169 and tirzepatide $219 for one month, the same at every dose, with shipping and the clinician review included. That is lower than the figures we first carried, so the direction is down. Three- and six-month plans lower the monthly cost further.

The scorecard

Open Water Rx scored on our six Brief Score factors. See the methodology.

Price Stability78/100
Supply Reliability54/100
Transparency94/100
Access Breadth62/100
Clinical Oversight54/100
Track Record40/100

What we like

  • One flat price at every dose, covering the clinician review, medication and shipping
  • Every plan's one-, three- and six-month totals are published before any intake
  • Oral semaglutide and oral tirzepatide tablets are offered alongside the injections
  • Names its pharmacy network: Emerald, Stryker, Foothills and EPIQ Scripts

The caveats

  • Payment is collected at signup, before the provider review (refunded in full if you are not prescribed)
  • Serves most U.S. states rather than all of them, and publishes no full list
  • Some states require a video visit before a prescription
  • No brand-name (Wegovy or Zepbound) option
  • Compounded semaglutide and tirzepatide are not FDA-approved finished products

The brief

Best for: Readers who want one flat, all-inclusive monthly price that does not rise with the dose. Open Water Rx is a telehealth platform for GLP-1 weight loss and longevity care, with compounded semaglutide and tirzepatide at one all-inclusive price per plan length.

Ranked #245 of 546 providers we reviewed — see our #1 pick, CoreAge Rx, for comparison.

Before you decide

The questions readers ask next after reading about Open Water Rx.

Closest here

The providers scoring nearest Open Water Rx — the realistic shortlist if you're weighing it.

Weighing Open Water Rx against one provider in particular? There is a full head-to-head with our top-ranked pick in CoreAge Rx vs Open Water Rx, and every provider that outranks it is listed on the Open Water Rx alternatives ranking.

More providers we track (24)

515 more are filed too — see every provider we track, ranked.

Pricing, states and verification reflect Open Water Rx's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on Open Water Rx's site. Not medical advice; see our disclosure.

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