
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
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
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.
Cape Coral
Lee County
Fort Myers
Lee County
Naples
Collier County
Bonita Springs
Lee County
Sarasota
Sarasota County
Tampa
Hillsborough County
Orlando
Orange County
Miami
Miami-Dade County
Boca Raton
Palm Beach County
Jacksonville
Duval County
Clearwater
Pinellas County
Bradenton
Manatee County
Port Charlotte
Charlotte County
Estero
Lee County
Marco Island
Collier County
St. Petersburg
Pinellas County
Venice
Sarasota County
Punta Gorda
Charlotte County
Englewood
Sarasota County
Gainesville
Alachua County
Tallahassee
Leon County
West Palm Beach
Palm Beach County
Pembroke Pines
Broward County
Hialeah
Miami-Dade County
Pensacola
Escambia County
Lakeland
Polk County
Palm Bay
Brevard County
Pompano Beach
Broward County
Daytona Beach
Volusia County
Fort Lauderdale
Broward County
Houston
Harris County
Dallas
Dallas County
San Antonio
Bexar County
Austin
Travis County
Fort Worth
Tarrant County
Plano
Collin County
Frisco
Collin County
The Woodlands
Montgomery County
Sugar Land
Fort Bend County
Katy
Harris County
McKinney
Collin County
Irving
Dallas County
Arlington
Tarrant County
Round Rock
Williamson County
Denton
Denton County
New York
New York County
New York City
New York County
Manhattan
New York County
Brooklyn
Kings County
Queens
Queens County
Bronx
Bronx County
Staten Island
Richmond County
Long Island
Nassau County
Hempstead
Nassau County
Garden City
Nassau County
Great Neck
Nassau County
Roslyn
Nassau County
Huntington
Suffolk County
Syosset
Nassau County
Jericho
Nassau County
Oyster Bay
Nassau County
Melville
Suffolk County
Mineola
Nassau County
Westbury
Nassau County
White Plains
Westchester County
Yonkers
Westchester County
Scarsdale
Westchester County
Rye
Westchester County
New Rochelle
Westchester County
Mount Vernon
Westchester County
Albany
Albany County
Saratoga Springs
Saratoga County
Buffalo
Erie County
Rochester
Monroe County
Syracuse
Onondaga County
Ithaca
Tompkins County
Binghamton
Broome County
Poughkeepsie
Dutchess County
Kingston
Ulster County
Newburgh
Orange County
Chicago
Cook County
Naperville
DuPage & Will County
Aurora
Kane & DuPage County
Joliet
Will County
Schaumburg
Cook County
Evanston
Cook County
Oak Park
Cook County
Arlington Heights
Cook County
Orland Park
Cook County
Tinley Park
Cook County
Downers Grove
DuPage County
Hinsdale
DuPage County
Elmhurst
DuPage County
Glenview
Cook County
Northbrook
Cook County
Highland Park
Lake County
Lake Forest
Lake County
Winnetka
Cook County
Wilmette
Cook County
Skokie
Cook County
Des Plaines
Cook County
Park Ridge
Cook County
Palatine
Cook County
Barrington
Lake & Cook County
Wheaton
DuPage County
Glen Ellyn
DuPage County
Bolingbrook
Will County
Plainfield
Will County
Bloomington
McLean County
Normal
McLean County
Peoria
Peoria County
Springfield
Sangamon County
Champaign
Champaign County
Urbana
Champaign County
Rockford
Winnebago County
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.
Works Everywhere
Complete Evaluation
5-min online form, 24/7, any device, any state
Provider Reviews
Independent licensed provider in your state
Prescription Issued
Compounded semaglutide or tirzepatide
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
Semaglutide
GLP-1 receptor agonist
15–17% avg. weight loss · STEP 1 trial
Tirzepatide
Dual GIP + GLP-1 agonist
20–22.5% avg. weight loss · SURMOUNT-1 trial
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.
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.
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Semaglutide $249/mo · Tirzepatide $339/mo · No insurance required · Shipping included if prescribed
GLP-1 $249/mo · No insurance
Free to start · No hidden fees