GLP-1 Telehealth Guide for California

No. Open Water Rx is a telehealth platform. Complete your health intake online, a licensed provider reviews your case, and if clinically appropriate, your prescription ships directly to your California address. Some cases may require a synchronous video visit as required by California law.

You complete a brief online health evaluation, an independent licensed medical provider reviews your information, and if clinically appropriate, issues a prescription for compounded semaglutide or tirzepatide. Your medication ships discreetly from a licensed pharmacy to any California address.

No. All treatments require a provider review and are prescribed only if clinically appropriate for your individual health profile. Not all patients qualify. Your provider makes this determination independently.

One monthly price covers the independent provider review, your prescription if clinically appropriate, shipping included if prescribed, and ongoing support. Semaglutide is $169/mo and tirzepatide is $219/mo. No insurance required. No hidden fees.

Yes. Open Water Rx accepts patients statewide in California. We have dedicated city pages for Los Angeles, San Diego, San Jose, San Francisco, Sacramento, Fresno, Long Beach, Oakland, Bakersfield, Anaheim, Irvine, Santa Ana, Riverside, San Bernardino, Pasadena, and dozens of other California communities. As long as you have a valid California address, we can serve you where permitted.

The online intake takes just 2–3 minutes. Provider review timelines vary. Once approved if clinically appropriate, your medication ships from a licensed pharmacy. Delivery timelines vary by pharmacy and location within California.

Open Water Rx facilitates access to compounded semaglutide programs for eligible patients in California. If your independent licensed provider determines semaglutide is clinically appropriate, a prescription may be issued for compounded semaglutide prepared by a licensed compounding pharmacy. Plans are $169/mo. Open Water Rx does not manufacture, compound, or dispense medications.

Open Water Rx facilitates access to compounded tirzepatide programs for eligible patients in California. Compounded tirzepatide is a dual GIP/GLP-1 receptor agonist. If clinically appropriate, your provider may prescribe compounded tirzepatide from a licensed compounding pharmacy. Plans are $219/mo. Open Water Rx does not manufacture, compound, or dispense medications.

Open Water Rx facilitates access to compounded semaglutide and compounded tirzepatide — not branded Wegovy®, Ozempic®, Mounjaro®, or Zepbound®. Compounded versions are prepared by independent, licensed compounding pharmacies and are not equivalent to or interchangeable with those branded drugs. All clinical decisions are made by independent licensed providers.

The process is fully online: (1) Complete a secure 5-minute health intake. (2) An independent licensed provider reviews your eligibility. (3) If semaglutide or tirzepatide is clinically appropriate, a prescription is issued. (4) Your compounded medication ships discreetly to your California address. (5) Ongoing follow-up support is included. Some states require a synchronous video visit. Provider review timelines are not guaranteed.

Compounded semaglutide programs are $169/mo. Compounded tirzepatide programs are $219/mo. Oral semaglutide is $259/month. All plans include provider review, prescription if appropriate, discreet shipping if prescribed, and ongoing support. No hidden fees. No insurance required.

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.

Complete the secure online intake, an independent California-licensed provider reviews your case and if treatment is clinically appropriate your compounded semaglutide or tirzepatide ships discreetly to your California address. No clinic visit is required in most cases, and some cases may require a synchronous video visit as determined by your provider. Already on medication? Note your current dose at signup so we can match it when clinically appropriate.

Compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month. The price is flat month to month wherever you live in California, with no membership fee and no separate provider fee — provider review, the medication if prescribed, and shipping if prescribed are all included.

No. Open Water Rx is self-pay and does not require or accept insurance, so there is no prior authorization standing between you and a provider review. HSA and FSA funds may apply — check with your plan administrator. Coverage across Los Angeles, San Diego and the Bay Area and the rest of California works the same way: eligible patients are served statewide where permitted by state law.