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Aerial view of diverse American landscapes — Open Water Rx telehealth care available in all 50 states
Accepting Patients · All 50 States

Online GLP-1 Weight Loss
in All 50 States

Open Water Rx accepts patients in all 50 states. Compounded semaglutide $249/mo · Tirzepatide $339/mo. 100% online. No insurance required. Delivered free to your door.

Free to join · No commitment required

50

States accepting patients

$249

Starting price, semaglutide

100%

Online, no clinic visit in most cases

15–22%

Avg. weight loss in clinical trials*

*Clinical trial averages. Individual results vary and are not guaranteed. Compounded medications are not approved finished drug products.

Direct Answer

Is GLP-1 Weight Loss Available in My State?

Yes. Open Water Rx is a 100% telehealth GLP-1 weight loss platform accepting patients in all 50 states. Complete a 5-minute health evaluation online. No clinic visit required in most cases. A licensed medical provider reviews your case and if approved, your compounded semaglutide or tirzepatide ships free to your door. Semaglutide starts at $249/month, tirzepatide starts at $339/month. No insurance required.

City Directory

GLP-1 Weight Loss by City

Select your city for a dedicated landing page with local SEO, city-specific FAQs, and direct enrollment. Don't see your city? We still serve your state. Start your program below.

Don't see your city or state listed above?

No problem. Open Water Rx accepts patients in all 50 states. City-specific pages are added regularly. In the meantime, start your enrollment and your licensed provider will take care of the rest.

Start Your Program

Works Everywhere

Same Simple Process, Any State

1

Complete Evaluation

5-min online form, 24/7, any device, any state

2

Provider Reviews

Independent licensed provider in your state

3

Prescription Issued

Compounded semaglutide or tirzepatide

4

Shipped to Your Door

Free delivery anywhere in the US

Some states may require a synchronous initial visit. Availability varies by state. Compounded medications are not approved finished drug products.

Transparent Pricing

Same Price. Every State.

Semaglutide

GLP-1 receptor agonist

$249/month

15–17% avg. weight loss · STEP 1 trial

  • Provider review included
  • Prescription if approved
  • Free shipping included
  • Ongoing support
Learn More →
Highest Efficacy

Tirzepatide

Dual GIP + GLP-1 agonist

$339/month

20–22.5% avg. weight loss · SURMOUNT-1 trial

  • Provider review included
  • Prescription if approved
  • Free shipping included
  • Ongoing support
Learn More →

All-inclusive pricing: provider review, prescription if approved, free shipping, ongoing support. No insurance required. Individual results vary. Compounded medications are not approved finished drug products.

Now Accepting Patients · All 50 States

Start Your GLP-1 Program Today

Wherever you are in the US, we're here. Semaglutide $249/mo · Tirzepatide $339/mo. Start online today. No insurance. No clinic visit in most cases.

Start Your Program
Licensed Medical Providers
Licensed Compounding Pharmacy
Privacy Protected
Shipping Included If Prescribed
Secure & Private
No Insurance Needed

GLP-1 $249/mo · No insurance

Free to start · No hidden fees

Start Your Program