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Rank #16 for first-timers · Grade C

Open Water Rx review

$169/$219 injections and oral options, with base labs included and a prepaid-plan question to resolve.

$169/mo
Flat price · any dose
Consult Medication Shipping Labs
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Written by Camila Rael, editora mom, not a clinician treating youReviewed

Our medical guides link to published research and official medication information. Provider reviews compare published costs and terms. These source checks do not replace clinical review or advice from your healthcare professional.

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Open Water Rx at a glance

Semaglutide
$169/mo
Tirzepatide
$219/mo
Coverage
All 50 states, subject to clinical review and state requirements
Brand-name
Compounded only

How we scored Open Water Rx

The Mama-Match Score of 79/100 for Open Water Rx combines six editorial assessments using the same weighted six-factor framework we apply to every provider. It is not a clinical quality rating. A recent source check does not mean every factor was rescored; read the published terms and the methodology alongside the number. Referral payments do not change the score.

Getting started78/100 · Fair

Considers the intake steps, payment timing and information available before enrollment.

Price transparency90/100 · Excellent

Considers the full treatment cost, introductory offers and billing commitments.

See the price-clarity assessment · 90/100

Current compounded injection, oral and oral-combination GLP-1 plans, including longer supply terms.

Assessed

  • Product or service charge20/20

    Current tables identify charges for each injection and oral program.

  • First and continuing payments20/20

    Flat ongoing monthly charges are published without an introductory-only rate.

  • Billing unit, supply and dose20/20

    The table gives supply terms, totals and fixed dose prices for standard injections.

  • Required care and extra fees20/20

    Care, prescribed medication, shipping and indicated base labs are included; optional extra labs are excluded.

  • Payment schedule and commitment10/20

    Prepaid terms are priced, but the FAQ says prepaid plans do not save money and describes month-to-month payment.

Clinical support80/100 · Solid

Considers the described clinical team, appointment access and ways to contact a prescriber.

State availability85/100 · Very good

Considers published state coverage and treatment-specific eligibility limits.

Ongoing support78/100 · Fair

Considers follow-up appointments, refill reviews and access to ongoing clinical support.

Cancellation terms55/100 · Weak

Considers cancellation deadlines, refund limits and prepaid commitments.

How we verified this review

Last reviewed
October 2026
Confidence
High
Primary sources

Company website

One-month injections are $169 for semaglutide and $219 for tirzepatide; oral semaglutide is $259. Oral tirzepatide and a combination are also listed. The FAQ and table disagree on prepaid plans. Current terms allow portal cancellation without advance notice.

Another option to compare

Visit Enhance MD

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Pricing

Prices re-verified

  • Compounded semaglutide

    $169

    Plan

    Injection, 1 month

    $169 for one month; includes care, medication if prescribed, shipping and clinically indicated base labs.

  • Compounded semaglutide

    $165

    Plan

    Injection, 3 months

    $495 total for 3 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Compounded semaglutide

    $160

    Plan

    Injection, 6 months

    $960 total for 6 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Compounded tirzepatide

    $219

    Plan

    Injection, 1 month

    $219 for one month; includes care, medication if prescribed, shipping and clinically indicated base labs.

  • Compounded tirzepatide

    $215

    Plan

    Injection, 3 months

    $645 total for 3 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Compounded tirzepatide

    $210

    Plan

    Injection, 6 months

    $1,260 total for 6 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Oral semaglutide

    $259

    Plan

    Compounded oral tablet, 1 month

    $259 for one month; includes care, medication if prescribed, shipping and clinically indicated base labs.

  • Oral semaglutide

    $255

    Plan

    Compounded oral tablet, 3 months

    $765 total for 3 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Oral semaglutide

    $250

    Plan

    Compounded oral tablet, 6 months

    $1,500 total for 6 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Oral tirzepatide

    $319

    Plan

    Compounded oral tablet, 1 month

    $319 for one month; includes care, medication if prescribed, shipping and clinically indicated base labs.

  • Oral tirzepatide

    $299

    Plan

    Compounded oral tablet, 3 months

    $897 total for 3 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

  • Oral tirzepatide

    $275

    Plan

    Compounded oral tablet, 6 months

    $1,650 total for 6 months. The table lists a prepaid term; the FAQ denies prepaid savings. Confirm payment and renewal.

Ask your account administrator whether the exact charges qualify for HSA/FSA reimbursement and what itemized receipts you need. Prices reflect what Open Water Rx disclosed publicly at our last review and change often; confirm the current number on Open Water Rx's site.

What we like

  • Drug and plan-length prices appear before the assessment
  • Clinically indicated base labs included according to the FAQ
  • Current terms allow portal cancellation without advance notice
  • Explains its Surfbound brand relationship and pharmacy network

The caveats

  • The FAQ denies prepaid savings while longer-plan tables show discounts
  • Pharmacy and formulation depend on review and location
  • Pharmacy-processed orders are nonrefundable
  • Optional additional testing may cost extra

Lower injection prices, with conditions still to resolve

Open Water Rx now publishes one-month injection prices of $169 for semaglutide and $219 for tirzepatide. These replace the older $249 and $339 figures in our previous listing. Its pricing table also lists three-month totals of $495 and $645, and six-month totals of $960 and $1,260. Those are longer purchases, not single monthly charges. However, the FAQ says prepaid plans do not save money and describes month-to-month pricing. Ask which plan and payment schedule actually apply before selecting a longer supply; the public pages have not fully reconciled those terms. Our MEDGm review adds another package-and-renewal comparison; weigh the total purchase and exit rules together. Read Idgie Health alongside those choices to compare a one-month purchase with the full upfront charge behind a longer-plan equivalent.

A larger oral menu, with distinct formulations

The pricing page lists oral semaglutide at $259 for one month, oral tirzepatide at $319, and a combined oral product at $365, each with longer plans. The current terms of service now acknowledge the injection and oral programs on that pricing page. These are compounded formulations, not approved branded tablets or automatically interchangeable alternatives to injections. Ask which exact formulation the clinician is considering, which pharmacy prepares it and how you would take it. Choosing a tablet for convenience should still involve a discussion of the available evidence and whether that particular prescription fits your medical needs.

Cancellation stops future charges, not a processed order

The current cancellation policy says medication must be approved before a charge and allows cancellation through the patient portal without advance notice. It also describes recurring monthly billing. Orders become nonrefundable once the pharmacy has processed them, so cancellation cannot be treated as a way to undo an already prepared prescription. The policy describes refunds for unused subscription charges after documented medical disqualification, with limitations. Before paying for three or six months, ask how that policy applies to the specific prepaid supply and how its renewal works. Keep written confirmation rather than assuming a longer package behaves exactly like a monthly subscription.

Surfbound is part of the public brand information

The site links to a Surfbound patient portal and says Open Water Rx LLC also operates under Surfbound trade names. Seeing a different name therefore has a published explanation. It does not establish what every enrollment screen or consent form will say. The public pharmacy network includes Emerald, Striker, Foothills and EPIQ Scripts, with selection depending on medicine and location. Confirm the legal name and contact information of the pharmacy filling your prescription. We attribute these names to the provider and did not independently verify their operations.

Our view before choosing a plan

Open Water describes care in all 50 states, subject to clinical review and state requirements. Confirm your formulation and any video-visit requirement at your address. Published inclusions cover clinician review, medication when prescribed, shipping and ongoing messaging. The FAQ says clinically indicated base labs are included; optional additional testing may cost extra. Its broader menu and lower injection prices help comparison, although the prepaid FAQ still needs clarification against the longer-plan table. For mothers considering treatment, discuss pregnancy plans, breastfeeding and contraception with the clinician; our breastfeeding guide provides questions to bring. Compare other provider reviews if you prefer a shorter commitment. We reviewed current public pages and did not enroll, test support or receive medication.

The bottom line

Best for: Someone seeking one month of included care who wants to compare injections and oral formulations.

Keep comparing Open Water Rx

Open Water Rx, answered

What does one month cost?
Semaglutide injection $169, tirzepatide injection $219, oral semaglutide $259 and oral tirzepatide $319. The $365 oral combination is a separate product.
How do I cancel?
Current terms allow portal cancellation with no advance notice. Pharmacy-processed orders are nonrefundable; confirm unused balance and renewal rules if prepaying.
Are labs included?
The FAQ includes clinically indicated base labs. Optional additional testing may cost extra; confirm what your own care requires.

Prices, states and verification reflect what Open Water Rx disclosed publicly at our last review; the Mama-Match Score is our editorial judgment under the published methodology. This is background information, not medical advice. Pregnancy and breastfeeding guidance depends on the drug and formulation. Read the current Wegovy label and Zepbound label. See our medical disclaimer and how we're funded.

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