Open Water Rx review
Both figures fell sharply, and one discount is described as locked in for life.
The verdict
Open Water Rx publishes $169 a month for compounded semaglutide and $219 for tirzepatide, re-read in September 2026, down from $249 and $339. A code on the tirzepatide line is described as locked in for life.
Disclosure: This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.
- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- From
- $169/mo
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
Open Water Rx sells both molecules by injection, with an all-inclusive framing covering provider review, medication if prescribed, and shipping.
Who writes the prescription, and what do they see?
Provider review is named as included, and the figure is conditional on medication being prescribed. Both are stated. The clinician is not otherwise described.
A discount described as locked in for life is a stronger commitment than a promo code usually carries. It is also a commitment a reader can only hold the seller to if they keep the record of it.
What happens when the dose goes up?
Nothing is published about dose on either main line. Two further programs exist — a lower-dose titration plan at $179 and an oral option at $279 — and neither names its molecule, so neither can be priced as a drug.
What the price includes
Six months at $169 is $1,014 and tirzepatide at $219 is $1,314. Both figures came down between readings, by $80 and $120. The regular rates behind them were $249 and $339, and the codes are what close the gap.
What it claims, and what it cites
Both main lines are compounded. A pharmacy prepares them. The FDA does not review them before dispensing. No pharmacy is named.
Where it holds up, and where it does not
- Strength: Both figures fell between readings
- Strength: Provider review and shipping included
- Strength: A discount stated as locked for life
- Limitation: The low figures depend on codes
- Limitation: Two further programs name no molecule
- Limitation: No dose behavior is published
- Limitation: No state coverage list is recorded
What the evidence says about this kind of treatment
The assessment above is about Open Water Rx. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A reader who will keep a record of the code and what was promised with it.
- Wrong for
- A reader who wants a rate that does not depend on a code.
How Open Water Rx compares
| Seller | Who it suits | Go |
|---|---|---|
| Oak | Readers who want a flat rate without a subscription and ignore the entry figure | See Oak → |
 Obu Health | Readers who value a site that agrees with itself | See Obu Health → |
 Onyx Weight Loss | Readers in a served state who check which drug a card actually names | See Onyx Weight Loss → |
More GLP-1 telehealth sellers reviews: Telos RxThe EditTMatesTrimi HealthVitalex HealthVitaStir
Sponsored alternative
Synergy Rx
A reader who wants the oral and injectable rates for both molecules stated up front rather than after an intake form.
Check Synergy Rx availability →Frequently asked
- What are the current figures?
- $169 a month for semaglutide and $219 for tirzepatide, re-read in September 2026.
- What does locked in for life mean?
- The site describes the tirzepatide code that way. Keep the record of it, because the regular rate behind it is $339.
- What are the other two programs?
- A lower-dose titration plan at $179 and an oral option at $279. Neither names its molecule.
- Is Open Water Rx expensive compared with other GLP-1 telehealth sellers?
- Open Water Rx publishes a starting figure of $169/mo. Across the 149 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $369 with a median of $179, which puts Open Water Rx below the median, toward the cheaper end. The other 11 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.