Provider review
Open Water Rx review
By Derek Olsson ·
One all-in price at every dose, and a named pharmacy network, but no named physician
Semaglutide is $169 and tirzepatide $219 for a one-month plan, all-inclusive and the same at every dose, with three- and six-month totals published beside them. The footer names its pharmacy network; no physician or medical director is named anywhere.
Straight talk: how we earn — some, not all, of these are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
The verdict
Open Water Rx publishes more than most compounded-GLP-1 storefronts: a one-, three- and six-month total for every program, a price that does not change as the dose rises, and the pharmacy network that fills its prescriptions — Emerald, Stryker, Foothills and EPIQ Scripts, under Surfbound Health, a trade name of the same company, Open Water Rx LLC of Tampa, Florida. What it still leaves out is the prescriber: no physician, medical director or license number appears anywhere, and payment is collected at checkout, before a provider has reviewed your case, with a full refund if you are not prescribed.
Open Water Rx isn't on any of our comparisons yet. The providers we compare in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see how semaglutide works for what the treatment does and does not do.
Alternatives to Open Water Rx
Other providers we work with. Compare prices before you sign up anywhere.
CollectivePartner
$59/mo + $199/yr
CoreAge RxPartner
From $79/mo; selected price dose-flat
RxSpan MDPartner
$249/mo flat
Who it is for, and who it is not
A good fit if
- You want semaglutide or tirzepatide at one all-in price that does not climb with the dose
- You want every plan length totaled before you sign up
- You want GLP-1 weight loss alongside NAD+ and sermorelin under one account, all priced on one page
Look elsewhere if
- You want a named physician or medical director — none is disclosed anywhere on the site
- You would rather not pay until a provider has approved you — payment is taken at checkout and refunded if you are not prescribed
- You need a published state list — the site says it serves most U.S. states and checks yours at intake
What it actually costs
What they advertise
Compounded semaglutide $169 for a one-month plan ($495 for three months, $960 for six), on its own pricing page.
What you actually pay, month to month
$169 is what one month of semaglutide costs on the one-month plan, the same at every dose and covering the clinician review, medication and shipping. Tirzepatide is $219 for one month ($645 for three, $1,260 for six); oral semaglutide from $199 and oral tirzepatide from $319.
Prices come from Open Water Rx's own website and can change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
Compare the total cost, including fees and any minimum commitment. Here is what Open Water Rx bundles in, and what it does not.
Clinician consult
Included — independent licensed clinician review is part of every plan
Bloodwork / labs
Not published
Follow-ups and dose changes
Ongoing async provider follow-up with secure messaging is listed as included
Human support
Support team by email and phone
no dietitian, nurse or coaching program is named.
Injection supplies
Not published
Shipping
Included in the plan price if prescribed, typically 3–7 business days
Pharmacy, labs and oversight
The pharmacy
The footer names Surfbound Health's licensed pharmacy network: Emerald, Stryker, Foothills and EPIQ Scripts, with partners varying by medication and location. No 503A or 503B category is stated for any of them.
Oversight
Ongoing async provider follow-up with secure messaging is listed as included.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
"Most U.S. states," per its own state-availability page; no full list is published, and some states require a video visit.
The honest cons
The part they would rather you skipped
The prescriber is the missing name. Open Water Rx names its company, its pharmacy network and every price, but no physician, medical director or license number appears anywhere on the site, so the first time you learn who prescribes is after you have paid at checkout.
- No physician or medical director named anywhere on the site
- Payment is collected at checkout, before the provider review (refunded in full if you are not prescribed)
- Cancellation needs an email or phone call at least 72 hours before the billing date
- Built on a no-code AI website generator rather than custom infrastructure
Weigh these trade-offs against the costs, care and terms above. For questions to ask before enrolling, see our vendor red-flags guide.
Similar providers
- Optimized HealthCompounded prices rise by prescribed dose tierRead review →
- Onyx Weight LossPrice not publishedRead review →
- Options Medical Weight LossAdvertised starts: $199 GLP-1Read review →
- OnlyRxOngoing monthly cost is unconfirmedRead review →
- OrderlyMedsAdvertised: $149/mo semaglutideRead review →
- Ondra Health$149 is monthly semaglutide billingRead review →
Side by side: our semaglutide provider ranking · Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Provider offers and terms are based on Open Water Rx's public information. Other sources, where used, are identified in this review. Prices and terms change without notice — confirm on Open Water Rx's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.