Injectable compounded semaglutide at $169/month and tirzepatide at $219/month, everywhere in Texas. Provider review, medication if prescribed, and shipping if prescribed are included. No membership fee, no separate provider fee, and no dose-based price increase.
Semaglutide
$169/mo
Tirzepatide
$219/mo
Provider review required · No insurance required · Serving Texas
The question this page answers
Through Open Water Rx, compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month anywhere in Texas, billed month to month with no membership fee and no separate provider fee. No insurance or prior authorization is required. We do not claim self-pay is cheaper for everyone — what matters is the all-in cost of the specific quote you hold, which the comparison tool on this page normalises to a true 30-day figure.
Pricing & Texas access
Open Water Rx pricing is flat and does not change by city within Texas. Injectable compounded semaglutide is $169/month and compounded tirzepatide is $219/month, billed month to month with no membership fee and no separate provider fee. Below are the state-specific access facts we have verified, each with its source.
Open Water Rx does not vary price by city or region within Texas. Compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month statewide, billed month to month, with no membership fee and no separate provider fee.
Source: Open Water Rx pricingTexas requires a valid patient–physician relationship established through a clinical evaluation before a prescription is issued. Telemedicine standards are set by the Texas Medical Board under the Texas Occupations Code. Some cases may require a synchronous visit, and current requirements are confirmed during intake.
Source: Texas Medical BoardPricing and availability are subject to clinical appropriateness and regulatory change. Compounded medications are not FDA-approved finished drug products and are not interchangeable with any commercially approved product. Individual results vary.
All-Inclusive Pricing
Provider review
A licensed medical provider reviews your case after you submit intake.
Prescription if approved
If clinically appropriate, a prescription is issued through a licensed compounding pharmacy.
Shipping if prescribed
Included in your plan price if medication is prescribed. Ships discreetly; timelines vary by program, pharmacy, and location.
Ongoing provider support
Secure messaging and scheduled follow-up throughout your program.
No membership fee
The monthly price is the whole price. No membership or platform fee on top.
No separate provider fee
Provider review is part of the plan price — there is no separate consultation charge.
Compare Like For Like
Advertised monthly prices hide what actually gets billed — membership fees, consultation charges, shipping, and compulsory add-ons. Enter a quote you already have and this tool shows its repeating cost per 30 days beside our confirmed flat $169/$219 monthly pricing. The numbers are yours, so there is nothing for us to estimate.
Any provider or clinic — add each required line item.
Charged again each period
What the quote charges for the medication for that supply period.
A program or platform fee that is charged again each period.
A clinician charge that repeats. Leave blank if it was a one-time signup fee.
Shipping that is billed every period, not a single setup charge.
Anything else billed again each period.
Charged once at signup
Charged once at signup and not billed again.
A single charge that does not repeat.
Use the number of days the quote's medication actually covers — for example 28, 30, or 90.
Your quote, normalised
Add at least one fee to see a true 30-day cost. Both figures update live as you type, so you can compare any quote on the same basis.
Open Water Rx · confirmed line items
Our plan is billed monthly. The number of days a fill covers is set by your prescriber and pharmacy, so the monthly price is not stated here as a fixed 30-day supply. Injectable semaglutide and tirzepatide require independent licensed-provider review and a prescription; availability is subject to clinical appropriateness and regulatory change.
Transparent Cost Breakdown
| Line item | Open Water Rx |
|---|---|
Medication (if prescribed) | Included in plan price |
Membership fee | None |
Separate provider / consultation fee | None |
Shipping (if prescribed) | Included |
Dose-based price increase | None |
Billing | Monthly option available; no multi-month prepayment required |
These are our own confirmed line items. To compare a specific clinic or platform quote, use the quote comparison tool on this page, which normalises the quote you hold into a true 30-day recurring cost.
FAQ
No. Pricing is identical statewide: compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month, billed month to month with no membership fee and no separate provider fee. There is no metro surcharge in Houston, Dallas, San Antonio, Austin, or Fort Worth.
Texas requires a valid patient–physician relationship established through an appropriate clinical evaluation before a prescription is issued, with telemedicine standards set by the Texas Medical Board under the Texas Occupations Code. Many cases can be handled asynchronously, and a synchronous visit may be required in some situations. Current requirements are confirmed during intake.
Yes. Open Water Rx is fully online, so distance from a clinic is not a barrier to intake or provider review. If medication is prescribed it ships discreetly and shipping is included in the plan price. Eligibility still depends on individual clinical review, and care is available nationwide in all 50 states.
Compounded injectable semaglutide is $169/month through Open Water Rx, anywhere in Texas. That flat price covers provider review, medication if prescribed, and shipping if prescribed. There is no membership fee and no separate provider fee.
Compounded injectable tirzepatide is $219/month through Open Water Rx, on the same all-inclusive basis: provider review, medication if prescribed, and shipping if prescribed. No membership fee, no separate provider fee.
Provider review by a licensed medical provider, compounded medication if prescribed, shipping if prescribed, and ongoing provider support. There is no membership fee and no separate consultation fee.
No. There is no dose-based price increase. The monthly price is flat across the doses the provider prescribes.
Open Water Rx is a self-pay platform — no insurance is required and there is no prior authorization. Whether your own plan covers a GLP-1 medication is between you and your insurer, and coverage varies by plan and by indication.
No. The monthly plan price is the full price. There is no membership or platform fee, and provider review is included rather than billed as a separate consultation.
No. Plans are billed monthly — monthly option available; no multi-month prepayment required. An optional prepaid plan, where offered, does not change the standard monthly option.
Add up every required line item — medication, membership, provider or consultation fees, shipping, and any lab or injection fees — and divide the total by the number of days of medication it covers. The comparison tool on this page normalises any quote to a true 30-day cost, so you compare like for like.
If medication is prescribed it ships discreetly and shipping is included in your plan price. After your provider review, the pharmacy dispenses and ships your medication, so timing depends on review and pharmacy processing rather than a fixed delivery date.
In Texas, compounded injectable semaglutide through Open Water Rx is $169/month and compounded tirzepatide is $219/month, with provider review, medication if prescribed, and shipping if prescribed included. The flat price is the same in Houston, Dallas, San Antonio, Austin, Fort Worth, and every other Texas community, billed month to month with no membership fee and no separate provider fee. Compounded medications are not FDA-approved finished drug products. Individual results vary.
Semaglutide $169/month, tirzepatide $219/month. Flat pricing, no membership fee. Provider review required.
Get StartedImportant: Pricing and availability are subject to clinical appropriateness and regulatory change. Prescriptions are issued only when an independent licensed medical provider determines individual clinical appropriateness. Read full consent →