Compounded semaglutide $169/mo · Tirzepatide $219/mo. Independent licensed clinicians review every case. Prescriptions issued only when clinically appropriate. No insurance required. Discreet. Delivered to your door.
Provider review required · Availability subject to clinician approval
Clinician-guided
GLP-1 weight loss therapy through licensed providers
$169
Flat monthly price
100%
Online, no in-person visit required in most cases
5 min
Health evaluation, available 24/7 from any device
*Clinical trial results represent averages. Individual results vary and are not guaranteed. Medical provider evaluation required.
The Science
GLP-1 (glucagon-like peptide-1) is a hormone naturally released after eating that signals fullness to your brain, slows gastric emptying, and regulates appetite at a neurological level. GLP-1 medicines act on appetite pathways: semaglutide targets GLP-1, while tirzepatide targets both GIP and GLP-1 receptors. Clinical trials of FDA-approved injectable formulations have demonstrated significant weight loss alongside lifestyle changes; these studies do not establish results for compounded formulations. For Florida residents, Open Water Rx makes clinician-guided GLP-1 therapy available entirely online, $169/month for semaglutide and $219/month for tirzepatide, with prescriptions delivered to any Florida address if approved.
Neurological appetite suppression GLP-1 acts on hunger centers in the hypothalamus, reducing appetite at the source rather than through willpower.
Clinical-grade results Clinical trials with FDA-approved semaglutide formulations demonstrated significant weight loss (NEJM 2021) and clinical trials with FDA-approved tirzepatide formulations demonstrated significant weight loss (NEJM 2022).
Prescription-only Issued by an independent licensed medical provider only when clinically appropriate for the individual patient.
Compare Programs
Both are available statewide in Florida through Open Water Rx. Your licensed provider recommends the right option based on your health profile.
$169/mo
$219/mo
| Feature | Semaglutide | Tirzepatide |
|---|---|---|
| Active ingredient | Semaglutide | Tirzepatide |
| Mechanism | GLP-1 receptor agonist | Dual GIP + GLP-1 receptor agonist |
| Avg. weight loss (clinical trial) | Clinical trials (FDA-approved) | Clinical trials (FDA-approved) |
| Trial duration | 68 weeks | 72 weeks |
| Price | $169/mo* | $219/mo* |
| Provider supervised | Yes | Yes |
| Shipping included if prescribed | Yes | Yes |
| Insurance required | No | No |
| In-person visit required | No (most cases) | No (most cases) |
*Clinical trial results represent averages. Individual results vary and are not guaranteed. Medical provider evaluation required.
Simple Process
Entirely online. No waiting rooms. No insurance battles. Available to all Florida residents.
5-minute health questionnaire, available 24/7 from any Florida device or location. No appointment needed.
An independent licensed Florida medical provider reviews your evaluation. Prescriptions issued only when clinically appropriate.
Your provider issues a personalized prescription through a licensed compounding pharmacy partner.
Medication ships directly to any Florida address if prescribed. Shipping included. Cold-chain packaging for refrigerated medications.
Florida Coverage
Open Water Rx serves all Florida cities and zip codes through telehealth. No in-person visit required in most cases.
+ all Florida cities, towns, and zip codes not listed above
Currently Serving: All of Florida
Fully operational across all Florida counties and zip codes. Begin intake online. Accepting new patients now.
Telehealth, No Clinic Visit
Complete your entire evaluation, get your provider review, and receive your prescription entirely online. Available on any device, 24/7.
Discreet Delivery to Any Florida Address
Medication ships directly to your home, office, or any Florida address if prescribed. Discreet packaging, no medical labels on the outside. Cold-chain packaging included for refrigerated medications.
National Telehealth Coverage
Open Water Rx serves patients across the United States. Available nationwide in all 50 states.
Why Florida
Florida is the third most populous state in the United States, home to over 22 million residents spread across diverse regions from the Gulf Coast to the Atlantic seaboard. According to the Centers for Disease Control and Prevention, approximately 31.6 percent of Florida adults are classified as obese, placing the state among those with the highest obesity rates in the nation. The metabolic health challenges facing Floridians are compounded by lifestyle factors including sedentary work environments, abundant food culture, and for many regions, extreme heat and humidity that can make outdoor physical activity difficult for significant portions of the year.
In Florida, where Open Water Rx is headquartered in Tampa, the challenges are particularly acute. Lee County and Collier County have obesity rates that mirror or exceed state averages. The region's large retiree population faces age-related metabolic slowdown, while working-age residents often struggle with weight management amid busy schedules and limited access to specialized obesity medicine clinics. Traditional weight loss approaches — diet programs, gym memberships, and commercial weight loss services — often produce temporary results at best, with the vast majority of participants regaining lost weight within one to five years.
GLP-1 receptor agonist therapy represents a fundamentally different approach. Unlike behavioral interventions that rely on willpower to overcome biological hunger signals, GLP-1 medications work at the neurological level to reduce appetite, increase satiety, and slow gastric emptying — producing weight loss that is both more significant and more sustainable than what diet and exercise alone can achieve. Clinical trials with FDA-approved semaglutide and tirzepatide formulations demonstrated significant weight loss results. These are not marginal improvements. They represent a transformation in what medical science can offer patients with obesity.
Open Water Rx makes this accessible to all Florida residents through telehealth, eliminating the need to visit a weight loss clinic, find an in-person obesity medicine specialist, or navigate insurance prior authorizations. Whether you live in Fort Myers, Naples, Tampa, Orlando, Jacksonville, Miami, or any other Florida community, you can complete your evaluation online, receive independent licensed provider review, and have prescribed medication delivered discreetly to your door. Semaglutide is $169 per month with no insurance required. Availability is subject to clinical approval and state-specific telehealth regulations.
FAQ
GLP-1 (glucagon-like peptide-1) therapy uses receptor agonist medications that mimic a natural gut hormone, reducing appetite and slowing digestion to produce significant, clinically-documented weight loss. Open Water Rx offers GLP-1 telehealth programs statewide in Florida, from Fort Myers to Jacksonville to Miami, with no in-person visit required in most cases. Availability subject to clinical review and state requirements.
Semaglutide activates the GLP-1 receptor only, producing significant weight loss demonstrated in clinical trials with FDA-approved formulations. It is $169/month. Tirzepatide activates both GIP and GLP-1 receptors. The dual mechanism may produce greater weight loss for some patients. Clinical trials with FDA-approved tirzepatide formulations demonstrated significant weight loss. It is $219/month. Your licensed medical provider will recommend the right option based on your health profile.
Through Open Water Rx: complete a 5-minute online health evaluation available 24/7, receive an independent licensed clinician review, and if a prescription is issued, your medication ships from a licensed compounding pharmacy directly to your door. Shipping is included in the monthly price. Some states require a synchronous initial visit. Available nationwide in all 50 states.
Yes. Open Water Rx is 100% self-pay. No insurance required. Semaglutide is $169/month and tirzepatide is $219/month. One monthly price covers clinician review, medication if prescribed, shipping if prescribed, and ongoing support.
Wegovy® and Ozempic® are FDA-approved brand-name medicines containing semaglutide. Zepbound® and Mounjaro® are FDA-approved brand-name medicines containing tirzepatide. Compounded semaglutide and compounded tirzepatide may be prepared by a licensed pharmacy pursuant to an individual prescription; they are not generic versions of those brand medicines and are not represented as bioequivalent, clinically equivalent, or interchangeable. They are prepared only when a licensed medical provider determines there is a valid individual clinical reason, not simply as a lower-cost alternative. Open Water Rx does not manufacture, compound, or dispense medications.
Open Water Rx serves all Florida cities and zip codes through telehealth. This includes Fort Myers, Naples, Bonita Springs, Sarasota, Tampa, St. Petersburg, Orlando, Jacksonville, Miami, Boca Raton, West Palm Beach, Gainesville, Tallahassee, and all surrounding areas. No in-person visit required in most cases.
Explore GLP-1 Programs
Semaglutide in Florida
A first-line GLP-1 receptor agonist available through clinician-guided programs. Full page with science, FAQ, and dosing info.
Learn more →
Tirzepatide in Florida
Dual GIP/GLP-1 receptor agonist available through clinician-guided programs. Individual results vary and are not guaranteed.
Learn more →
Compare Both Options
Full side-by-side comparison: efficacy, cost, mechanism, side effects, and who each is best for.
Compare now →
Start Your Program
Begin enrollment today. 5-minute evaluation, licensed provider review, medication delivered if approved.
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Compounded semaglutide $169/mo · Tirzepatide $219/mo. Begin intake online. No insurance. No clinic visit in most cases.
Start Your ProgramServing Fort Myers · Tampa · Orlando · Jacksonville · Miami · All Florida
Important FDA Notice: Compounded semaglutide and tirzepatide are not FDA-approved drug products. All prescribing decisions are made by independent licensed medical providers. A valid patient-provider relationship (VPPPR) must be established before any prescription is issued. Open Water Rx does not manufacture, compound, or dispense medications. Individual results vary and are not guaranteed. Read full consent →
Semaglutide $169/mo · Tirzepatide $219/mo · No insurance required · Shipping included if prescribed
GLP-1 $169/mo · No insurance
Free to start · No hidden fees