Semaglutide and Tirzepatide in Michigan

No. Compounded medications are made by pharmacies and are not FDA-approved.

Yes. Open Water Rx provides telehealth GLP-1 weight loss services to eligible patients throughout Michigan. Complete your health evaluation online, a licensed medical provider reviews it, and your medication ships discreetly if prescribed. No clinic visit required in most cases.

Semaglutide plans are $169/mo and tirzepatide plans are $219/mo. Pricing includes provider review, prescription if approved, shipping included if prescribed, and ongoing support. Pricing and availability are subject to clinical appropriateness and regulatory change. No insurance required.

In most cases, no. Open Water Rx is a telehealth service. Your evaluation, provider review, prescription, and ongoing support all happen online. Some states require a synchronous initial visit. Available nationwide in all 50 states.

Provider review timelines vary. Once your provider completes review, your medication ships from a licensed pharmacy. Delivery timelines vary by pharmacy and location. Available nationwide in all 50 states.

Compounded semaglutide and compounded tirzepatide may be prepared by a licensed pharmacy pursuant to an individual prescription. Compounded medications are not generic versions of any brand-name medicine and are not represented as bioequivalent, clinically equivalent, or interchangeable. Open Water Rx is a telehealth platform; independent licensed providers make all clinical decisions and will recommend an option based on your health profile.

Compounded semaglutide and tirzepatide are prescribed when an independent, licensed medical provider determines it is clinically appropriate for the individual patient, for example, when a patient requires a specific dosage strength, formulation, or delivery method not available in the commercially manufactured product, or when the patient has a documented clinical need the branded product cannot meet. Compounding is not offered simply as a lower-cost alternative to brand-name GLP-1 products. Under FDA regulations, compounding is only legally permissible when there is a valid individual clinical reason. Your prescribing provider makes this determination independently, based solely on your health profile, not on cost or convenience. They are prepared by independent, licensed compounding pharmacies operating under Section 503A of the Federal Food, Drug, and Cosmetic Act. Open Water Rx does not manufacture, compound, or dispense medications.

Open Water Rx serves eligible patients across all of Michigan, including Metro Detroit, Grand Rapids, Ann Arbor, Lansing, Kalamazoo, Flint, Saginaw, Traverse City, and everywhere in between. As long as you have a valid Michigan address and meet clinical eligibility, you can access our telehealth services.

No insurance is required. Open Water Rx offers clear, upfront pricing. Semaglutide $169/mo and tirzepatide $219/mo. Each plan covers clinician review, medication if prescribed, shipping included if prescribed, and ongoing support.

Open Water Rx facilitates access to compounded semaglutide programs for eligible patients in Michigan. 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 Michigan. 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 brand-name GLP-1 medicines. Compounded versions are prepared by independent, licensed compounding pharmacies and are not equivalent to or interchangeable with brand-name 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 Michigan 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.

Yes. Clarkston residents use the same online intake as Michigan residents elsewhere. A Michigan-licensed provider reviews your case and decides whether a prescription is appropriate.

$219 a month on a one-month plan, with no membership fee. Provider review, medication if prescribed and shipping are included.

No. Both options are cash-pay.

No. Compounded medications are prepared by licensed compounding pharmacies. The FDA does not review them for safety, effectiveness or quality before they reach patients.

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 Michigan-licensed provider reviews your case and if treatment is clinically appropriate your compounded semaglutide or tirzepatide ships discreetly to your Michigan 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 Michigan, 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 Detroit, Grand Rapids and Ann Arbor and the rest of Michigan works the same way: eligible patients are served statewide where permitted by state law.