
GLP-1 Telehealth Guide for Nevada
An educational reference from Open Water Rx LLC on semaglutide and tirzepatide programs, eligibility, pricing, and local telehealth rules. No clinic visits. No insurance required. Provider review required.
Check Your EligibilityTakes 2–3 minutes. Provider review required.
Open Water Rx LLC operates Surfbound Health, the company's current consumer telehealth brand. This page is an educational resource from Open Water Rx LLC. Online intake, provider review, and treatment are handled through Surfbound Health, the company's primary enrollment destination.
Start with Surfbound HealthOpen Water Rx LLC operates Surfbound Health, the company's current consumer telehealth brand. This page is an educational resource from Open Water Rx LLC for eligible patients in Nevada, where permitted. Enrollment is handled through Surfbound Health, which connects you with independent licensed medical providers who evaluate your health profile and, if clinically appropriate, prescribe compounded semaglutide or tirzepatide. No clinic visits. No insurance required. Just a simple online process and discreet delivery if prescribed. Clinical review, prescribing decisions, and fulfillment are handled through licensed partners. Open Water Rx does not prescribe, dispense, compound, manufacture, or ship medications.
How It Works
Online GLP-1 Care in Nevada
Complete intake from anywhere in Nevada
Answer a few health questions online from your phone, tablet, or computer. Takes 2–3 minutes.
Licensed provider reviews your case
An independent, licensed medical provider evaluates your health profile and goals individually.
Medication prescribed if appropriate
If clinically appropriate, your provider issues a personalized prescription for compounded GLP-1 medication.
Discreet shipping to your Nevada address
Medication ships directly from a licensed pharmacy to your door. Plain packaging. No pharmacy pickup needed.
Treatment Options
Semaglutide and Tirzepatide Options
Two clinically studied GLP-1 pathways. Your provider determines which option, if any, is appropriate for your individual profile.
Semaglutide
GLP-1 receptor agonist
- Clinically studied for weight management
- Once-weekly subcutaneous injection
- Compounded formulation from licensed pharmacy
- Provider adjusts dosing based on response
$169/month
Tirzepatide
Dual GIP + GLP-1 agonist
- Dual hormone pathway targeting
- Once-weekly subcutaneous injection
- Compounded formulation from licensed pharmacy
- Provider adjusts dosing based on response
$219/month
Final treatment depends on provider review and clinical appropriateness.
Transparent Pricing
Clear Pricing
One monthly price. No insurance required. No hidden fees. No surprise charges.
Semaglutide Program
- Provider review included
- Prescription if appropriate
- Shipping included if prescribed
- Ongoing support
Tirzepatide Program
- Provider review included
- Prescription if appropriate
- Shipping included if prescribed
- Ongoing support
Your price is set by the program you select. The standard compounded semaglutide and tirzepatide injection programs have no dose-based price increase. Provider review required. Not all patients qualify.
Eligibility
Who Can Qualify
Not everyone qualifies. Provider review is required, and prescriptions are issued only when clinically appropriate.
Adults 18+
Must be 18 years or older with a valid U.S. address.
BMI considerations
Typically BMI 27+ with a weight-related condition, or BMI 30+. Provider determines individual eligibility.
Health history review
Share your medical history, current medications, and weight goals with your provider.
Provider determination
An independent licensed provider reviews your case and determines if GLP-1 treatment is appropriate.
Delivery
Discreet Shipping If Prescribed
If your provider determines that GLP-1 treatment is appropriate for you, your medication ships directly from a licensed compounding pharmacy to your door. Packaging is plain and unbranded. No pharmacy pickup. No waiting in lines. Delivery timelines vary by pharmacy and your location.
- Shipped from licensed pharmacy
- Plain, unbranded packaging
- Delivered to your address. No pickup needed.
- Cold-chain shipping where required
What to expect
Provider approves prescription
If clinically appropriate
Pharmacy prepares medication
Licensed compounding pharmacy
Ships to your address
Discreet, plain packaging
You receive and begin
Follow provider instructions
Nevada-Specific Telehealth Information
Telehealth services for Nevada patients are provided by independent, Nevada-licensed physicians in compliance with Nevada Revised Statutes Chapter 630 and Nevada State Board of Medical Examiners telehealth regulations. A valid patient-physician relationship is established through a clinical evaluation conducted via telehealth prior to any prescription.
Local Care
Serving Your Area
From the iconic Las Vegas Strip and world-class resorts of Paradise and Summerlin, to the booming master-planned communities of Henderson and North Las Vegas, to the historic charm of Boulder City along Lake Mead, to the Biggest Little City of Reno and the Truckee River, to the alpine beauty of Incline Village on Lake Tahoe, to the stately Capitol of Carson City, to the pastoral ranch communities of Minden and Gardnerville in the Carson Valley, to the rugged Ruby Mountains of Elko and the vast desert valley of Pahrump — Open Water Rx serves patients across the Silver State. Our fully online GLP-1 weight loss programs bring clinician-reviewed care to eligible Nevada residents — whether you are in the Las Vegas metro area, the Sierra Nevada and Lake Tahoe region, the Carson Valley, or the wide-open spaces of Eastern Nevada. No clinic visits. No insurance required. Just secure telehealth and discreet shipping if prescribed.
Is This For You?
Who This Is For
Adults struggling with weight loss
You've tried diets, exercise, and other approaches without lasting success.
People who prefer privacy and convenience
No clinic waiting rooms. No awkward conversations. Everything online.
Interested in semaglutide or tirzepatide
You want medically guided options with real clinical backing.
Busy professionals and parents
Complete your intake in minutes, on your schedule, from any device.
Our Difference
Why Open Water Rx
Transparent pricing
See your cost upfront. No surprises, no hidden fees, no insurance games.
Independent licensed providers
Every case is reviewed by a licensed medical provider.
Simple online process
Complete everything from your phone. Intake, review, prescription, and delivery.
Premium patient-first experience
Discreet packaging, responsive support, and a team that actually cares.
Important: All treatments require provider review and are prescribed only if clinically appropriate. Results are not guaranteed. Open Water Rx does not manufacture or dispense medications. Compounded medications are not FDA-approved finished drug products. Individual eligibility, treatment, and results vary.
FAQ
Common Questions
Yes. Open Water Rx provides fully licensed telehealth GLP-1 weight loss services to eligible patients throughout Nevada. 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. Oral semaglutide is $259/month. 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 platform. 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.
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. Open Water Rx is a telehealth platform; independent licensed providers make all clinical decisions and will recommend the best option for 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 Wegovy®, Ozempic®, Zepbound®, or Mounjaro®. 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 Nevada, including the Las Vegas metro area of Las Vegas, Henderson, Summerlin, North Las Vegas, Paradise, Spring Valley, and Enterprise, the Northern Nevada cities of Reno, Sparks, Carson City, Incline Village, Spanish Springs, Fernley, Dayton, Minden, and Gardnerville, the historic town of Boulder City and the resort community of Mesquite, and the Eastern Nevada communities of Elko and Pahrump. As long as you have a valid Nevada 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, tirzepatide $219/mo, and oral GLP-1 options $259/month. 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 Nevada. 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 Nevada. 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 Nevada 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 Nevada-licensed provider reviews your case and if treatment is clinically appropriate your compounded semaglutide or tirzepatide ships discreetly to your Nevada 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 Nevada, 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 Las Vegas, Henderson and Reno and the rest of Nevada works the same way: eligible patients are served statewide where permitted by state law.
Nevada City Directory
Find Your City in Nevada
Select your city for a dedicated page with local information, city-specific FAQs, and direct enrollment.
Start Your Online GLP-1 Program in Nevada Today
Compounded tirzepatide $219/mo. Provider review, medication, and shipping included if prescribed. No membership fees.
Check My Eligibility