Clear Upfront Pricing. No Hidden Fees.
Know the cost before you start. Every Open Water Rx plan is all-inclusive: licensed provider review, medication if prescribed, and discreet shipping in one flat monthly price.
Check EligibilityTakes 2–3 minutes · Provider review required
How to read these prices
The prices below are the published charges for each listed program. Your charge is set by the medication or formulation you select and the prepaid supply term you choose — not by an individualized price set after review. A clinician's review determines eligibility, your prescription, and your dose; it does not create a surprise per-patient price. The listed standard compounded semaglutide and tirzepatide injection programs have no dose-based price increase, while other formulations and programs (including low- and high-dose Sermorelin) carry their own listed prices. Treatment is not guaranteed and provider review is required for all programs.
Weight Loss
GLP-1 Weight Loss Pricing
Tirzepatide injections are $219 for 1 month, semaglutide injections are $169 for 1 month, and oral semaglutide is $259 for 1 month: with existing 3- and 6-month plans available and no separate membership fee. Provider review, medication if prescribed, and shipping if prescribed are included.
1 month
Start hereBilled monthly and renews until you cancel. The most popular starting point: the smallest commitment.
3 months
PrepaidCharged once in full upfront for a 3-month supply.
6 months
PrepaidCharged once in full upfront for a 6-month supply.
What's included
Online intake, licensed provider review, medication if prescribed, discreet shipping if prescribed, and ongoing provider support.
Billing & cancellation
Plans are billed monthly on a recurring basis until you cancel. Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged. You can cancel through your patient portal at any time. No advance notice is required.
If you're not prescribed
Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged.
Tirzepatide Injections
Injectable
Semaglutide Injections
Injectable
Semaglutide + Tirzepatide Combo Oral
Combination oral
Semaglutide Orals
Oral tablets
Tirzepatide Orals
Oral tablets
Want to know what GLP-1 programs typically charge month to month? See this GLP-1 program cost research.
Longevity
Longevity & Wellness Pricing
NAD+ nasal spray 900 mg: $112 for 1 month; oral sermorelin low dose: $149 for 1 month or $429 for 3 months; injectable sermorelin low dose: $169 for 1 month.
NAD+ Nasal Spray (900 mg)
Nasal spray · 900 mg
NAD+ Nasal Spray+ (1200 mg)
Nasal spray · 1200 mg
Sermorelin Injections High Dose
Injectable · High dose
Sermorelin Injections Low Dose
Injectable · Low dose
Sermorelin Orals High Dose
Oral · High dose
Sermorelin Orals Low Dose
Oral · Low dose
Men's Health
Men's Health Pricing
Sildenafil or tadalafil from $39 for a 1-month supply; Quattro Sublingual from $69 per 5-pack.
Quattro Sublingual
Sublingual — not an injection
Quattro Sublingual 5-Pack
Sublingual — not an injection
Quattro Sublingual 10-Pack
Sublingual — not an injection
Quattro Sublingual 15-Pack
Sublingual — not an injection
Quattro Sublingual 20-Pack
Sublingual — not an injection
Sildenafil
Oral tablets · 50 mg & 100 mg
Sildenafil 50 mg — 6 Tablets
Oral tablets · 50 mg · 6-count
Sildenafil 50 mg — 12 Tablets
Oral tablets · 50 mg · 12-count
Sildenafil 50 mg — 18 Tablets
Oral tablets · 50 mg · 18-count
Sildenafil 100 mg — 6 Tablets
Oral tablets · 100 mg · 6-count
Sildenafil 100 mg — 12 Tablets
Oral tablets · 100 mg · 12-count
Sildenafil 100 mg — 18 Tablets
Oral tablets · 100 mg · 18-count
Tadalafil
Oral tablets · 20 mg
Tadalafil 20 mg — 6 Tablets
Oral tablets · 20 mg · 6-count
Tadalafil 20 mg — 12 Tablets
Oral tablets · 20 mg · 12-count
Tadalafil 20 mg — 18 Tablets
Oral tablets · 20 mg · 18-count
What's Included
Every Program Includes
Licensed provider review
Every case is reviewed by an independent, licensed medical provider.
Complete online intake
Answer health questions online in 2–3 minutes. No clinic visit needed.
Ongoing support
Access to support team and provider follow-up during your program.
Discreet shipping if prescribed
Medication ships in plain packaging from a licensed pharmacy if prescribed.
Clear plan details before treatment
You see your full plan and cost before starting. No surprise charges.
How Pricing Works
Open Water Rx Pricing Methodology and Philosophy
Open Water Rx pricing is structured around a simple principle: patients should know exactly what they will pay before they commit, with no surprise charges, no insurance battles, and no hidden fees. Every program price you see on this page is all-inclusive, covering the complete care pathway from initial evaluation through ongoing follow-up. The $169 per month price for semaglutide, for example, includes the independent licensed clinician review, the compounded medication if prescribed, discreet shipping if prescribed, and ongoing async provider support for as long as you remain in the program.
Open Water Rx pricing covers the complete care pathway: independent licensed clinician review, compounded medication if prescribed through licensed pharmacy partners, shipping if prescribed, and ongoing async provider support. Individual results vary.
What Is Included in Every Monthly Plan
Independent licensed clinician review and health evaluation assessment
Personalized prescription issued only when clinically appropriate
Compounded medication prepared by licensed pharmacy if prescribed
Discreet shipping to your door included in plan price if prescribed
Ongoing async provider follow-up with secure messaging access
30-day initial review followed by monthly then quarterly check-ins
Know the full monthly cost before you start.
Every Open Water Rx plan is all-inclusive: one flat monthly price covers licensed provider review, your compounded medication if prescribed, and discreet shipping, with no separate membership fees and nothing to pay until a licensed provider approves your treatment.
Ready to begin? Start your intake to see your program price before you commit, or review the eligibility criteria first.
Check my eligibility and start my intakeSupport, Switching & Cancellation
Questions about your plan, a change of address, or switching programs? Email members@openwaterrx.com or reach us through the contact page.
Already taking a GLP-1? At the end of signup, include your current medication and dosage in the doctor notes, and say whether you want to keep your dose or discuss progressing. Your clinician reviews the request.
What does it cost to switch GLP-1 providers?
Switching to Open Water Rx means one all-inclusive monthly price with no separate membership fees. Compounded semaglutide injections are $169/month, tirzepatide injections are $219/month, and oral semaglutide is $259/month, shown in plain text before your intake begins. Provider review, your medication if prescribed, and shipping are all included, and nothing is charged unless a licensed provider approves your medication.
See why people switch to Open Water Rx and how it worksImportant: 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.
Payment Options
Insurance, HSA, and FSA Coverage for Telehealth Care
Open Water Rx operates on a self-pay model, meaning we do not bill insurance directly or accept insurance as a primary payment method. This decision was made intentionally to preserve the transparency and simplicity that defines our patient experience. By removing insurance from the equation, we eliminate prior authorization delays, coverage denials, in-network provider restrictions, and the surprise bills that frustrate millions of patients every year.
Whether HSA or FSA funds can be used depends on your specific plan and the service prescribed, and it is not guaranteed. Because our services involve licensed medical provider evaluation and prescribed treatment, some patients are able to use pre-tax HSA or FSA funds, but the eligibility rules are set by your plan, not by us. Ask your HSA/FSA administrator, and contact our support team if you have questions about a receipt for your visit.
HSA Eligible
Health Savings Account eligibility depends on your plan and the service prescribed. Ask your HSA administrator, and contact us if you need a receipt for your visit.
FSA Eligible
Flexible Spending Account eligibility depends on your plan and the service prescribed. Ask your FSA administrator, and contact us if you need a receipt for your visit.
No Insurance Required
No prior authorizations. No co-pays. No surprise bills. No in-network restrictions. Transparent pricing from day one, regardless of your insurance status.
How to Submit for HSA or FSA Reimbursement
Contact our support team at members@openwaterrx.com if you need a receipt for your visit
Submit the receipt through your HSA/FSA administrator's portal, app, or mail-in claim form as your plan requires
Reimbursement decisions and timelines are set by your plan administrator. Ask them directly
Pricing FAQ
Common Pricing Questions
Detailed answers to the most common questions about cost, insurance, and payment options.
Is pricing the same for everyone?
The published price for each program is the same for everyone who selects that program. Your charge is set by the medication or formulation you choose and the prepaid supply term. It is not an individualized price set after review. Your clinician determines eligibility, your prescription, and your dose, but does not create a surprise per-patient price. The listed standard compounded semaglutide and tirzepatide injection programs have no dose-based price increase, while other formulations and programs (including low- and high-dose Sermorelin) have their own listed prices.
Are there any hidden fees?
No. Open Water Rx offers transparent upfront pricing. The price you see is what you pay for the services included in your plan. There are no surprise charges, no insurance games, and no hidden administrative fees.
What if I am not prescribed medication?
Nothing is charged unless your medication is approved. If a licensed provider determines treatment is not appropriate, you are not charged.
Do you accept insurance?
No. Open Water Rx does not accept insurance. Our pricing is designed to be transparent and affordable without the complexity of insurance billing, co-pays, or prior authorizations.
Can I switch programs after starting?
In many cases, yes. Your provider can discuss switching to a different program or formulation if your needs change. Any plan change requires a provider review to ensure clinical appropriateness.
Does the monthly price include shipping?
Yes. Discreet shipping to your door is included in your plan price if medication is prescribed. Cold-chain packaging is used for refrigerated medications. Shipping timelines vary by program, pharmacy, and location.
Does pricing change by dose?
For the listed standard compounded semaglutide and tirzepatide injection programs, no — the monthly price stays the same across the titration schedule, from starting dose through maintenance, with no additional charge when your clinician adjusts your dose. That no-dose-increase pricing applies specifically to those listed standard injection programs. Other formulations and programs are priced separately, and low- and high-dose Sermorelin options have their own listed prices.
How does Open Water Rx pricing work?
Open Water Rx offers transparent, all-inclusive monthly plans. Each plan covers clinician review, compounded medication if prescribed through licensed pharmacy partners, shipping if prescribed, and ongoing support. They are prescribed only when an independent licensed provider determines there is a valid individual clinical reason, not simply as a lower-cost alternative.
Can I pay with HSA or FSA funds?
HSA/FSA eligibility depends on your specific plan and the service prescribed, and it is not guaranteed. Because our services involve prescribed treatment from a licensed medical provider, some patients are able to use these funds. Ask your HSA/FSA administrator, and contact members@openwaterrx.com if you have questions about a receipt for your visit.
Understanding the Value Behind the Price
Open Water Rx pricing is designed to be transparent and predictable. The semaglutide plan at $169 per month, for example, includes the independent licensed provider review, the compounded medication if prescribed through licensed pharmacy partners, discreet shipping if prescribed, and ongoing async provider follow-up. There are no per-visit charges, no separate pharmacy bills, and no surprise fees.
Open Water Rx consolidates all care costs into one transparent monthly price. There are no per-visit charges, no separate pharmacy bills, no co-pays, and no travel time. The pricing model was designed specifically to eliminate the financial uncertainty that prevents many patients from seeking care.
Because we do not accept insurance, we are not constrained by insurance formularies or prior authorization requirements. Your provider can recommend the medication they determine is clinically appropriate for you based on your individual health profile. The result is genuinely individualized care at a transparent price point.
Start Your Visit Today
Take 2–3 minutes to check your eligibility. Choose your program and review its published price before starting. A licensed provider reviews your health history and determines whether treatment is appropriate.
Check EligibilityImportant FDA Notice: Compounded medications are not FDA-approved finished drug products. All prescribing decisions are made by independent licensed medical providers. A valid patient-provider relationship (VPPPR) must be established before any prescription is issued. Open Water Rx does not manufacture, compound, or dispense medications. Read full consent →