Takes 2–3 minutes · Provider review required

Semaglutide and tirzepatide programs with licensed providers. No clinic visits. No insurance required. Provider review required.
Check Your EligibilityTakes 2–3 minutes. Provider review required.
Open Water Rx provides clinician-reviewed online GLP-1 care to eligible patients in Washington, where permitted. Our platform 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.
How It Works
Complete intake from anywhere in Washington
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 Washington address
Medication ships directly from a licensed pharmacy to your door. Plain packaging. No pharmacy pickup needed.
Treatment 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
From $249/month
Tirzepatide
Dual GIP + GLP-1 agonist
From $339/month
Final treatment depends on provider review and clinical appropriateness. Compounded medications are not FDA-approved finished drug products.
Transparent Pricing
One monthly price. No insurance required. No hidden fees. No surprise charges.
Semaglutide Program
Tirzepatide Program
Final pricing may vary based on individual treatment plan, dosage, and clinical needs. Provider review required. Not all patients qualify.
Eligibility
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
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.
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
Washington-Specific Telehealth Information
Telehealth services for Washington patients are provided by independent, Washington-licensed physicians in compliance with Washington Revised Code Chapter 18.130 and Washington State Department of Health telehealth regulations. A valid patient-physician relationship is established through a clinical evaluation conducted via telehealth prior to any prescription.
Local Care
From the iconic Space Needle and bustling tech corridors of Seattle, to the glass towers of Bellevue and Redmond, to the historic port of Tacoma and charming Gig Harbor, to the thundering Spokane Falls of the Inland Northwest, to the green copper dome of Olympia and the South Sound suburbs, to the dramatic Columbia River Gorge views of Vancouver and the Tri-Cities, to the San Juan Islands vistas of Bellingham and the wine country of Walla Walla and Yakima — Open Water Rx serves patients across the Evergreen State. Our fully online GLP-1 weight loss programs bring clinician-reviewed care to eligible Washington residents — whether you are in the Puget Sound metro area, the capital region, the Spokane Inland Empire, Southwest Washington across from Portland, or the agricultural valleys and wine country of Eastern Washington. No clinic visits. No insurance required. Just secure telehealth and discreet shipping if prescribed.
Is This For You?
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
Transparent pricing
See your cost upfront. No surprises, no hidden fees, no insurance games.
Independent licensed providers
Every case is reviewed by a real, licensed medical provider — not an algorithm.
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
Yes. Open Water Rx provides fully licensed telehealth GLP-1 weight loss services to eligible patients throughout Washington. 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 start at $249/month and tirzepatide plans start at $339/month. Oral GLP-1 options are available from $279/month. Pricing includes provider review, prescription if approved, shipping included if prescribed, and ongoing support. Some longer-term prepaid plans may lower the effective monthly rate. Pricing and availability are subject to clinical appropriateness and regulatory change. No insurance required.
In most cases, no. Open Water Rx is 100% telehealth. Your evaluation, provider review, prescription, and ongoing support all happen online. Some states require a synchronous initial visit. Availability varies by state.
Provider review timelines vary. Once approved, your medication ships from a licensed pharmacy. Delivery timelines vary by pharmacy and location. Availability varies by state.
Open Water Rx prescribes compounded semaglutide (the active ingredient in Wegovy®/Ozempic®) and compounded tirzepatide (the active ingredient in Zepbound®/Mounjaro®) to eligible Washington patients through licensed, FDA-registered compounding pharmacies. Compounded medications are not FDA-approved finished drug products. Your provider will recommend the best 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 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. Compounded medications are not FDA-approved finished drug products. They are prepared by independent, FDA-registered compounding pharmacies operating under Section 503A or 503B 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 Washington, including the Puget Sound metro area of Seattle, Bellevue, Tacoma, and Everett, the capital region of Olympia and Lacey, the Inland Empire of Spokane and Spokane Valley, Southwest Washington communities of Vancouver, Camas, and Washougal, the coastal university town of Bellingham, the agricultural valleys of Yakima and the Tri-Cities, and the wine country of Walla Walla. As long as you have a valid Washington address and meet clinical eligibility, you can access our telehealth services.
No insurance is required. Open Water Rx offers clear, upfront pricing. Semaglutide from $249/month, tirzepatide from $339/month, and oral GLP-1 options from $279/month. Each plan covers clinician review, medication if prescribed, shipping included if prescribed, and ongoing support.
Semaglutide from $249/mo · Tirzepatide from $339/mo. Check your eligibility in minutes.
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