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Takes 2–3 minutes · Provider review required

Texas GLP-1 weight loss telehealth
Open Water Rx facilitates access to online GLP-1 weight loss telehealth through independent licensed medical providers. Clinical review, prescribing decisions, and fulfillment are handled through licensed partners.
Now Serving · Texas

Prescription Weight Loss in Texas

GLP-1 Telehealth Guide for Texas

Compounded semaglutide is $169 a month and compounded tirzepatide is $219 a month for Texas patients. A Texas-licensed provider reviews your intake online. If a prescription is issued, the medication ships to your Texas address, with shipping included in the price. In most cases there is no clinic visit. Compounded medications are not FDA-approved finished drug products.

Check Your Eligibility

Takes 2–3 minutes. Provider review required.

Transparent pricing
Licensed providers
Secure intake
No hidden fees

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 Health

Open Water Rx LLC operates Surfbound telehealth, the company's current consumer telehealth brand. This page is an educational resource from Open Water Rx LLC for eligible patients in Texas, 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 Texas

Complete intake from anywhere in Texas

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 Texas address

Medication ships directly from a licensed pharmacy to your door. Plain packaging. No pharmacy pickup needed.

Transparent Pricing

Clear Pricing

One monthly price. No insurance required. No hidden fees. No surprise charges.

Same price at every dose — your monthly cost does not increase as your provider adjusts your dose
Compounded semaglutide and compounded tirzepatide compared
Plan detailCompounded semaglutideCompounded tirzepatide
Price, one-month plan$169 a month$219 a month
Membership feeNoneNone
What's includedProvider review, medication if prescribed, shipping if prescribedThe same
FDA statusNot FDA-approved (compounded)Not FDA-approved (compounded)
Who decidesA licensed provider reviews your intake. Not all patients qualify.The same

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

1

Provider approves prescription

If clinically appropriate

2

Pharmacy prepares medication

Licensed compounding pharmacy

3

Ships to your address

Discreet, plain packaging

4

You receive and begin

Follow provider instructions

Texas-Specific Telehealth Information

Telehealth services for Texas patients are provided by independent, Texas-licensed providers in compliance with Texas Occupations Code Chapter 111 and Texas Medical Board rules (22 Tex. Admin. Code § 174). A valid patient-provider relationship is established through a clinical evaluation conducted via telehealth prior to any prescription. Informed consent for telehealth services is obtained and documented in accordance with Texas law. All prescribing providers hold active Texas medical licenses.

Local Care

Serving Your Area

Open Water Rx serves patients across all of Texas, from the Greater Houston metro communities of Houston, Dallas, San Antonio, Austin to the DFW Metroplex cities of Fort Worth, Plano, Frisco, The Woodlands, Sugar Land, the Central Texas corridor of Round Rock, Denton, Corpus Christi, El Paso, Lubbock, South Texas communities including San Antonio, Austin, West Texas hubs like El Paso, Lubbock, Waco, and the Hill Country communities of San Marcos, Kyle, Hutto, Mansfield. Wherever you live in the Lone Star State, our telehealth platform brings GLP-1 weight loss care directly to you. No clinic waiting rooms, no time off work, and no insurance required. Just a simple online intake, an independent licensed provider review, and medication shipped discreetly to your door if prescribed. We accept patients throughout all of Texas statewide. Care is available nationwide in all 50 states and is subject to clinical appropriateness.

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

Licensed Texas providers can review compounded semaglutide ($169 a month) and compounded tirzepatide ($219 a month). Both require a provider review, and not all patients qualify.

Usually not. Some states require a synchronous initial visit before the first prescription.

No. Compounded medications are prepared by licensed compounding pharmacies and are not FDA-approved.

Open Water Rx provides online care for eligible Texas residents. Complete the intake, a Texas-licensed provider reviews it, and if a prescription is issued, compounded semaglutide or compounded tirzepatide ships to your Texas address with shipping included in the price. No clinic visit in most cases. Provider review required, and not everyone qualifies.

No. Open Water Rx is a telehealth service. Complete your health intake online, a licensed Texas provider reviews your case, and if clinically appropriate, your prescription ships directly to your Texas address. A synchronous video visit may be required in certain clinical situations as determined by your provider.

You complete a brief online health evaluation, an independent licensed Texas 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 Texas address. No insurance required.

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. Compounded semaglutide is $169/mo and compounded tirzepatide is $219/mo. Oral semaglutide is $259/month. No insurance required. No hidden fees.

Yes. Open Water Rx accepts patients statewide throughout Texas. We have dedicated city pages for Houston, Dallas, Austin, San Antonio, Fort Worth, Plano, Frisco, and dozens of other Texas communities. As long as you have a valid Texas address, we can serve you where permitted by state law.

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 Texas.

Open Water Rx facilitates access to compounded semaglutide programs for eligible patients in Texas. If your independent licensed Texas provider determines semaglutide is clinically appropriate, a prescription may be issued for compounded semaglutide prepared by a licensed compounding pharmacy. Plans start at $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 Texas. Compounded tirzepatide is a dual GIP/GLP-1 receptor agonist. If clinically appropriate, your Texas-licensed provider may prescribe compounded tirzepatide from a licensed compounding pharmacy. Plans start at $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 Texas providers.

The process is fully online: (1) Complete a secure 5-minute health intake. (2) An independent Texas-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 Texas address. (5) Ongoing follow-up support is included. 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 Texas-licensed provider reviews your case and if treatment is clinically appropriate your compounded semaglutide or tirzepatide ships discreetly to your Texas 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 Texas, 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 Houston, Dallas, San Antonio, Austin and Fort Worth and the rest of Texas works the same way: eligible patients are served statewide where permitted by state law.

Texas Access & Process

What Texas Rules Apply to an Online GLP-1 Prescription?

This section covers statewide access and process for Texas patients. For total cost, see the Texas GLP-1 cost breakdown.

A Texas clinician establishes the relationship first

Before any prescription is issued, a valid patient–provider relationship must be established through a clinical evaluation. Telemedicine standards are set by the Texas Medical Board under 22 Tex. Admin. Code § 174, consistent with Texas Occupations Code Chapter 111.

Some Texas cases need a live visit

Many Texas cases can be completed asynchronously. A synchronous (live) visit may be required in certain clinical situations, as determined by the reviewing provider.

No clinic trip, anywhere in Texas

Care is fully online, so patients in Houston, Dallas, Austin, San Antonio, and rural Texas complete intake from home. Eligibility still depends on individual clinical review and Texas rules.

Texas-licensed prescribing providers

Prescribing providers hold active Texas medical licenses, and telehealth consent is obtained and documented in line with Texas law. Open Water Rx does not prescribe or dispense medications.

Source: Texas Medical Board, telemedicine rules under 22 Tex. Admin. Code § 174 · tmb.state.tx.us. Requirements can change, so current state rules are confirmed during intake.

Start Your Online GLP-1 Program in Texas Today

Compounded tirzepatide $219/mo. Provider review, medication, and shipping included if prescribed. No membership fees.

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