Open Water Rx review
Open Water Rx is a telehealth platform positioned around GLP-1 weight loss and longevity, per its own site.
- Scores never bought
- 537 providers tracked
- Every factor auditable
- Updated August 2026
Semaglutide here is $253/mo — $54 above our category median of $199.
- Semaglutide
- $253/mo
- Tirzepatide
- $344/mo
- Coverage
- Coverage not published
- Brand-name
- Yes
- Oral option
- Yes
- Verification
- Not independently listed
Best for: Nobody shopping on specifics — it publishes no price, no states served and no pharmacy partner.
MatchScript's take: Our #370 pick of 537 — one of the few with a non-injection route.
The factor breakdown
Open Water Rx on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $253/mo puts Budget Fit at a below-par 43 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 40 on Speed to Start.
Open Water Rx adds an oral/sublingual route and brand-name access on top of injectables, for a strong 90 on Formulary Match.
Support lands at a below-par 48 — lighter, meds-first support.
Flexibility scores a below-par 55 — fewer levers to flex your plan.
Thinner public disclosure than the top of the ranking keeps Transparency at a below-par 72.
Pricing in context
How Open Water Rx's monthly price sits against the category median and the cheapest provider we track.
What we like
- Combines weight-loss and longevity verticals in one brand
- Established brand domain
The caveats
- Limited public data — most details are gated behind signup or rendered only in JavaScript
- Pricing not disclosed
- GLP-1 options (semaglutide vs. tirzepatide, compounded vs. brand, injection vs. oral) not stated
- States-served list not disclosed
- Pharmacy partner not named
Who it's for — and who should skip it
Open Water Rx is for nobody shopping on specifics — it publishes no price, no states served and no pharmacy partner.
Skip it if that doesn't sound like you. A closer fit may be Lttl (Match Score 58) — or take the quiz to see where Open Water Rx lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Open Water Rx against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Open Water Rxthis provider | CoreAge Rxour #1 | Lttlclosest scorer |
|---|---|---|---|
| Sema price | $253/mo | $99/mo at every dose | $216/mo |
| Coverage | Coverage not published | All 50 states | Coverage not published |
| Formulary | Injectable + oral + brand | Injectable | Injectable + oral |
| Match Score | 58 · C | 91 · A− | 58 · C |
Open Water Rx, answered
Is Open Water Rx legit?
Open Water Rx is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.
How much does Open Water Rx cost?
Open Water Rx lists compounded semaglutide from $253/mo and tirzepatide from $344/mo — above our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.
Does Open Water Rx ship to my state?
Open Water Rx doesn't publish a full state list, so confirm your state is covered during intake before you pay.
Open Water Rx vs Lttl — which should I pick?
They score within a few points of each other: Open Water Rx at 58/100 and Lttl at 58/100, so neither wins on the headline number. Open Water Rx is the better fit for nobody shopping on specifics — it publishes no price, no states served and no pharmacy partner. Lttl suits shoppers who want every commitment tier priced openly, plus a low-dose microdose option. Run the quiz and the weighting shifts to whichever of those matters more to you.
Pricing & state data last verified August 2026 from Open Water Rx's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Open Water Rx's site. Not medical advice; see our disclosure.
Semaglutide here is $253/mo — $54 above our category median of $199. Tirzepatide is $344/mo. Its strongest suit is the range of medication it offers. Best suited to nobody shopping on specifics — it publishes no price, no states served and no pharmacy partner. If that is not you, Lttl is the closest thing to it here.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Open Water Rx here.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match84/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.84/100
- #3Match83/ 100EdenA polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.83/100
- #4Match85/ 100RoA heavyweight telehealth brand with brand-name access and a polished experience — but opaque compounded pricing.85/100
- #5Match85/ 100No BS RXThe highest Transparency score here, and it is not close: twenty-four prices on one public page and four dispensing pharmacies named with street addresses.85/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| DreamHug Medical#371 | 58 | $188/mo (starting dose, compounded) | $238/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Evernow#372 | 58 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Florida Weight Loss MD#373 | 58 | Not disclosed | Not disclosed | 1 state | Alternatives | Visit |
| LifeMD#374 | 58 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Mojoon#375 | 58 | $450/mo (starting dose, compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| NowPatient#376 | 58 | $1,349/mo (brand Wegovy) | $1,069/mo (brand Mounjaro, promotional rate) | Coverage not published | Alternatives | Visit |
| Somira Health#377 | 58 | $190/mo (compounded) | $240/mo | Coverage not published | Alternatives | Visit |
| TD Tele-Doc Weight Loss#378 | 58 | Not disclosed | Not disclosed | 2 states | Alternatives | Visit |
| Unique Physique#379 | 58 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Bioverse#380 FDA issued Bioverse, Inc. dba Bioverse a warning letter in September 2025. See FDA's warning-letter database. | 58 | $131/mo | $232/mo | Coverage not published | Alternatives | Visit |
| Elevated Health#381 FDA issued Elevate Your Wellness LLC, dba Elevated a warning letter in September 2025. See FDA's warning-letter database. | 58 | $300/mo | $364/mo | Coverage not published | Alternatives | Visit |
| Roboclinic#382 | 58 | $179/mo (12-month plan, compounded) | $399/mo | Coverage not published | Alternatives | Visit |
| Voxy#383 | 58 | $179/mo (compounded) | $299/mo (compounded) | Coverage not published | Alternatives | Visit |
| Reset Solutions#384 | 58 | $169/mo | Not disclosed | 1 state | Alternatives | Visit |
| Stealth Health#385 | 58 | $100/mo | $140/mo | Coverage not published | Alternatives | Visit |
| FormBlends#386 | 57 | $179/mo | $233/mo | Coverage not published | Alternatives | Visit |
| CaliberRx#387 | 57 | $232/mo | $232/mo | Coverage not published | Alternatives | Visit |
| BodyLogicMD#388 | 57 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Call-On-Doc#389 | 57 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Empower Pharmacy#390 FDA issued Empower Clinic Services, LLC dba Empower Pharmacy a warning letter in April 2025. See FDA's warning-letter database. | 57 | Not disclosed | Not disclosed | All 50 states | Alternatives | Visit |
| Hello Alpha#391 | 57 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
| Heros Health#392 | 57 | $178/mo | $279/mo | Coverage not published | Alternatives | Visit |
| Joi + Blokes#393 FDA issued Joi and Blokes dba Joi + Blokes a warning letter in June 2026. See FDA's warning-letter database. | 57 | $202/mo | $303/mo | Coverage not published | Alternatives | Visit |
| Peptivo#394 | 57 | Not disclosed | Not disclosed | Coverage not published | Alternatives | Visit |
Open Water Rx is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs, best brand-name GLP-1 providers and best oral GLP-1 providers boards, scored on the same six factors as every other provider there.