Open Water Rx review
Flat rate, one term
Semaglutide is $169 a month, tirzepatide $219 and an oral semaglutide tablet $199, each a single month-to-month rate.
Our verdict
Open Water Rx prices three products at a flat monthly rate and charges nothing outside it: no membership fee, no separate provider fee, no prepayment. The coupon codes that once cut these figures are gone, and the discount block behind every product is switched off, so the advertised number is the number charged. The weakness is range rather than honesty. Both injection pages invite a buyer to compare 3- and 6-month plans, and no such plan exists on either one. No milligram dose is published either, which leaves $169 hard to set against a seller that states one.
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At a glance
- Category
- GLP-1 pricing
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- From
- $169/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
- Updated
- September 2026
What it is
A Tampa, Florida telehealth seller of compounded semaglutide and tirzepatide, operating under the Surfbound and Surfbound Health trade names. Intake, checkout and the patient login all sit on a separate Surfbound domain.
How it works
A private online intake is reviewed by a licensed clinician, who decides whether treatment is appropriate before anything is dispensed. Medication then ships to the home, with shipping and ongoing provider support folded into the monthly price. Availability is stated to vary by state, program, clinician and pharmacy, and no state list is published anywhere.
Pricing transparency
Compounded semaglutide injection $169 a month, compounded tirzepatide injection $219, oral semaglutide $199. Each rate covers clinician review, the medication if prescribed, shipping and ongoing support. The site says directly that there is no membership fee, no separate provider fee and no long-term prepayment, and nothing on the pages contradicts that. What is missing is a longer rung. Both injection pages describe 3- and 6-month plans as available to compare, while carrying only a month-to-month rate for each product. Milligram doses are absent throughout.
Branded vs compounded
Compounded semaglutide and compounded tirzepatide by weekly injection, plus a daily oral semaglutide tablet. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. The compounding pharmacy is not named anywhere on the site. A patient testimonial is the only place a 503A pharmacy is mentioned at all, and it names no company.
Pros and watch-outs
What we like
- Three products priced, including an oral tablet
- No membership fee and no separate provider fee
- Shipping and ongoing support inside the monthly price
- Flat rate reached without any prepayment
Watch-outs
- No 3- or 6-month rung despite the invitation
- No milligram dose published for either injection
- The compounding pharmacy is never named
- No state list; coverage is settled during intake
Best for
Buyers who want one flat monthly rate.
Who should look elsewhere
Anyone comparing cost per milligram across sellers.
How Open Water Rx compares
A few alternatives worth a look, depending on what you’re optimizing for.
- SkinnyRx
A tirzepatide price you can check
See SkinnyRx → - Shed
Compounded pricing without a membership
See Shed → - RxSpan MD
Comparing plan terms upfront
See RxSpan MD →
More GLP-1 sellers by price reviews: LifeRx.mdLifespanningRxLillyDirect FoundayoLiv BodyLIV by WellNowLivea
Evidence & trials · Last updated September 2026
How we assessed this. This review reflects GLP Loss’s own read of Open Water Rx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much is Open Water Rx a month?
- Compounded semaglutide is $169 a month and compounded tirzepatide is $219. An oral semaglutide tablet is $199. Each is a month-to-month rate covering clinician review, the medication if prescribed, shipping and ongoing support.
- Are there fees on top of the advertised price?
- The site states there is no membership fee, no separate provider fee and no long-term prepayment. Shipping is included whenever medication is prescribed. The monthly figure is presented as the whole cost of the program rather than a medication line with extras behind it.
- Does a longer commitment lower the price?
- Not on the pages as they stand. Both injection pages describe 3- and 6-month plans as something to compare, yet each product carries a single month-to-month rate and no longer term appears. A buyer hoping for a prepay discount will not find one.
- What dose does $169 buy?
- The site does not say. No milligram figure appears on the semaglutide or tirzepatide pages, so the rate cannot be turned into a cost per milligram. Treatment is described as determined by a licensed clinician, with no dose attached to the price.
- Is Open Water Rx expensive compared with other GLP-1 providers?
- Open Water Rx is listed from $169/mo in this comparison. The 387 reviewed GLP-1 providers with a listed monthly starting amount range from $76 to $1299, with a median of $179. That puts Open Water Rx below the median. The comparison excludes 192 other reviewed GLP-1 providers. Medicines, doses and payment commitments differ. Confirm the medication, renewal charge and included visits, supplies and delivery before deciding.