Online GLP-1 Treatment.
Clear Monthly Pricing.
Real Provider Review.
Compounded semaglutide and tirzepatide, reviewed by independent licensed providers and shipped discreetly if prescribed. Start online in minutes. No insurance required.
Semaglutide
$169 /month
Injectable · once-weekly
Tirzepatide
$219 /month
Injectable · once-weekly
No membership fee · Provider review included · Medication and shipping included if prescribed
Enrollment is completed securely through Surfbound Health, an Open Water Rx LLC brand.
All treatments are prescribed only when clinically appropriate by independent licensed providers. Availability and product options vary by state.
Read our complete guide to what compounded GLP-1 weight loss is, what it costs, and how to verify a provider.
Read the guideTwo GLP-1 Options
Compare the two options side by side.
Both are reviewed by an independent licensed provider who determines which option, if any, is clinically appropriate for you. Prescriptions are issued only when clinically appropriate.
Compounded Semaglutide
GLP-1 receptor agonist · once-weekly injection
Single-pathway GLP-1 therapy with the longest track record.
- Independent licensed provider review
- No membership fee
- Medication included if prescribed
- Shipping included if prescribed
Compounded Tirzepatide
Dual GIP/GLP-1 agonist · once-weekly injection
Dual-pathway therapy that activates two pathways at once.
- Independent licensed provider review
- No membership fee
- Medication included if prescribed
- Shipping included if prescribed
Plans are billed monthly on a recurring basis until you cancel. Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged. See full pricing and 1-, 3-, and 6-month terms →
Start your online visit
Begin a secure intake in a few minutes. A licensed provider reviews every case and prescribes only when clinically appropriate.
Care Programs
Choose your care program.
Each program is reviewed by an independent licensed provider. Prescriptions are issued only when clinically appropriate.
GLP-1 Weight Loss
Semaglutide and tirzepatide prescribed by licensed providers when clinically appropriate. Semaglutide $169/mo, tirzepatide $219/mo.
Energy, Recovery & Longevity
NAD+ peptide therapy and Sermorelin for eligible patients. Includes provider review and ongoing monitoring.
Men's Health
Online care for erectile dysfunction and performance concerns. Prescriptions shipped discreetly if clinically appropriate.
Women's Health
Velora compounded estradiol and progesterone cream for menopause care, plus Olympus sublingual tablets for sexual wellness. Licensed provider review, no membership fee.
All treatments are prescribed only when clinically appropriate by independent licensed providers. Availability and product options vary by state. Patients must be 21+ for men's health services.
How It Works
Simple Online Process, Real Clinical Care
Everything happens online, from your initial intake through ongoing follow-up. Licensed providers review every case, and treatment is only recommended when clinically appropriate. See the full process.
Pick your program
Select the care program that matches your goal. That can be weight loss, energy and longevity, men's health, or broader wellness. Licensed providers in each area review every case.
Fill out your online health history
Complete a secure health evaluation in about 5 minutes from your phone, tablet, or computer. It covers your history, goals, and current medications, the same details a provider would gather in person. Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged.
A licensed provider reviews your case
An independent physician or nurse practitioner credentialed in your state reviews your complete health profile against clinical guidelines to determine if treatment is appropriate.
Get your plan if clinically appropriate
If your provider determines treatment is appropriate, you receive a personalized plan. Your provider may also request additional information or lab work based on their clinical judgment.
Medication ships if prescribed
When a prescription is issued, it's sent to a licensed pharmacy partner. Your treatment ships directly to you in discreet, unmarked packaging. Shipping is included in your program price.
Ongoing provider follow-up and care
Care continues with scheduled follow-up reviews to assess progress and adjust treatment. Secure messaging lets you reach your provider with questions between scheduled reviews.
Transparent Pricing
See every cost before you commit. No surprises, ever.
Program pricing is shown clearly before checkout. Semaglutide $169/mo, tirzepatide $219/mo, oral semaglutide $259/mo — flat pricing with no membership or provider fees. Longevity and men's health programs have their own transparent pricing. No insurance required, no hidden fees.
Full cost disclosed before you begin
Every program displays its complete price upfront. Weight-loss programs: semaglutide $169/mo, tirzepatide $219/mo. No hidden fees, no surprise charges after checkout. What you see is what you pay.
No insurance required, and that's a feature
By not accepting insurance, we eliminate prior authorization delays, coverage disputes, and surprise out-of-network bills. One clear price covers your full care cycle. Because Open Water Rx does not bill insurance, your care is not submitted to an insurer by Open Water Rx.
All-inclusive, every month
Your program price covers provider review, prescription if clinically appropriate, pharmacy preparation, discreet shipping, and ongoing follow-up care. Optional add-on services are always clearly priced and never required.
Ready to get your price?
Start your intake to see your program price and begin provider review. No insurance required.
Weighing your options? Read our comparison of the best online GLP-1 providers before you enroll.
Available nationwide in all 50 states. Some states have specific telehealth regulations, prescribing rules, and program workflows. Open Water Rx automatically applies the correct workflow for your location.
What You Should Know
Compounded medications are not FDA-approved. Compounded semaglutide, tirzepatide, and other medications are prepared by licensed compounding pharmacies according to individual prescriptions when clinically appropriate.
Individual results vary. Treatment outcomes depend on adherence, lifestyle, baseline health, and individual physiology.
Open Water Rx is a technology and patient connection platform. We are not a pharmacy, medical practice, or insurance company. All clinical decisions are made independently by licensed providers.
Open Water Rx LLC operates Surfbound Health, the company's current consumer telehealth brand. Online intake, provider review, and treatment are completed through Surfbound Health. Both brands are operated by Open Water Rx LLC. Surfbound Health is our current brand for online enrollment; this site provides program, pricing and support information.
“I lost 30 lbs as well and feel like myself again. Within a couple hours of signing up, I got my telehealth doctor's phone call.”
Verified Google review
FAQ
Common Questions About Your Care
How provider review works, what to expect, and how the Open Water Rx platform works.
Open Water Rx is a telehealth platform. You choose your health goal, complete a brief online intake (about 5 minutes), and a licensed provider reviews your health profile. If treatment is clinically appropriate, the provider issues a prescription sent to a licensed pharmacy partner. Medication ships discreetly to your door, and ongoing provider support is included in your plan. The entire process is online. No waiting rooms, no pharmacy counter visits.
No. Open Water Rx is cash-pay only. Every program has clear, disclosed pricing before you begin. No prior authorizations, no claim denials, no surprise bills. Open Water Rx does not submit insurance claims. Your privacy and billing questions should be reviewed in the applicable privacy policy.
An independent licensed medical provider, a physician or nurse practitioner credentialed in your state, reviews your health history. Providers make all clinical decisions independently based on your individual health profile. Open Water Rx is a telehealth platform and does not direct or influence clinical decisions.
No. All treatment decisions are made independently by licensed providers after reviewing your full health history. A prescription is issued only when a licensed provider determines that treatment is clinically appropriate for you. If treatment is not appropriate, your provider will explain why and may suggest alternatives. Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged.
Every program displays its cost before you begin. Weight-loss programs: semaglutide $169/mo, tirzepatide $219/mo. Other wellness therapies at lower monthly pricing depending on treatment type. All pricing is all-inclusive: provider review, medication if prescribed, shipping if prescribed, and ongoing support. No membership fees, no separate provider fees, no hidden fees.
Yes. Available nationwide in all 50 states. Open Water Rx supports clinician-guided care across the United States. In most states, the clinician review is fully asynchronous. No webcam or live call required. A small number of states require a brief phone or video call. We will let you know if your state has additional requirements after your intake.
We work exclusively with licensed compounding pharmacies that operate under applicable federal and state pharmacy law and are subject to federal and state regulatory oversight. These pharmacies follow USP quality standards and source active ingredients from appropriately registered facilities. Every prescription is issued by an independent, licensed medical provider who reviews your full health profile before determining if treatment is clinically appropriate.
Still deciding? Start your intake and let a licensed provider review your case.
Get Started
Pick a program. Start your visit.
Choose a program, review pricing, and start your online intake. A licensed provider reviews every case and prescribes only when clinically appropriate.
Provider review required to explore · Available nationwide in all 50 states · All treatments clinically reviewed
Not sure yet? See why people switch to Open Water Rx
High Quality
Licensed pharmacy partners.
Zero Friction
Simple online intake. Provider reviewed.
Radical Transparency
Clear pricing before checkout.
Begin your intake now
Pick your program and complete a secure online intake. A licensed provider reviews every case before anything ships.