
Clinician-reviewed options including low-dose GLP-1 protocols, NAD+, peptides, and metabolic support — designed around your goals, health history, and provider guidance.
No insurance required · Provider review · Discreet delivery if prescribed
Programs
$179/month
GLP-1 Microdosing
Lower-dose GLP-1 options that may be considered based on goals, tolerability, BMI, and provider review.
or $169/month with 12-week plan
Check Eligibility$229/month
NAD+ Therapy
Injection, nasal, or oral options that may support cellular energy and recovery when clinically appropriate.
Longer plans from $149/month
Check Eligibility$229/month
Sermorelin / Peptide Programs
Clinician-reviewed peptide options for strength, energy, recovery, and healthy aging goals.
Longer plans from $149/month
Check Eligibility$145/month
B12 MIC / Metabolic Support
Metabolic support options that may support energy and wellness goals.
Longer plans from $109/month
Check EligibilityPersonalized Care
There is no one-size-fits-all in wellness. Personalized dosing programs let a licensed provider review your health history, medications, goals, and risk factors to identify which options may be appropriate for you — if any. Explore all clinician-guided programs with transparent pricing.
Provider review required
Options vary by health history
Labs may be recommended
Treatment only if clinically appropriate
Ongoing support available

Who This Is For
Energy + Focus
For people who want clearer, steadier daily energy without the crash of short-term solutions.
Metabolism + Maintenance
For people focused on weight maintenance, metabolic balance, or a gradual, sustainable approach.
Recovery + Performance
For people seeking strength, recovery, and resilience support through clinician-guided options.
Healthy Aging
For people investing in long-term wellness, vitality, and aging with strength and confidence.
Why Telehealth
A side-by-side look at what to expect from a traditional clinic visit versus a private, online evaluation.
Feature
Open Water Rx
Clinic Visit
Provider review required
Clear upfront pricing
Insurance not required
No waiting rooms
Discreet packaging if prescribed
Available evenings & weekends
Started from home in 5 minutes
No insurance required · No commitment to check · Provider review required

Wellness is not a single treatment — it is a personalized approach guided by your health history, your goals, and your provider.
How It Works
Complete your secure intake
Answer questions about your health history, current medications, and wellness goals. Takes about 5-7 minutes. All information is encrypted and secure.
Provider reviews your health history
An independent licensed clinician carefully evaluates your case. They review your medications, risk factors, and overall health before making any recommendation.
If appropriate, your plan is prescribed
If the clinician determines a wellness program is right for you, a prescription is issued. If not, you'll receive a clear explanation.
Treatment ships discreetly if prescribed
Your treatment ships in plain, unmarked packaging directly to your door. No pharmacy lines, no waiting, no one needs to know.
Safety First
These programs are not appropriate for everyone. An independent licensed provider reviews your health history, medications, goals, and risk factors before prescribing. This review is not a formality — it is the core of safe, responsible care.
Adults only
Microdosing generally requires BMI >20
Labs may be recommended
Prescription not guaranteed
Availability varies by state

Common Questions
Everything most patients want to know before starting their wellness evaluation.
Low-dose GLP-1 protocols refer to lower-dose GLP-1 medication options that may be considered when standard dosing is not appropriate or well-tolerated. A licensed provider reviews your health history, BMI, and goals to determine whether low-dose protocols may be a suitable option for you. It is not appropriate for all patients.
Microdosing may be appropriate for adults who have goals related to weight maintenance or gradual progress, but it is not appropriate for everyone. Generally, a BMI above 20 is considered, though individual eligibility is determined by the licensed provider reviewing your case.
NAD+ (nicotinamide adenine dinucleotide) therapy involves options delivered via injection, nasal spray, or oral form. These may support cellular energy, recovery, and overall wellness when clinically appropriate. All NAD+ programs require provider review before prescribing.
Peptide programs, including Sermorelin and other options, may support goals related to strength, energy, recovery, and healthy aging. A licensed provider evaluates whether these are appropriate for your individual health profile before any prescription is issued.
In some cases, labs may be recommended by the reviewing provider to ensure clinical appropriateness and safety. If labs are needed, you will receive clear instructions. Not all patients require labs.
No. Treatment is prescribed only when a licensed clinician determines it is clinically appropriate for you based on your individual health profile, current medications, and risk factors. We do not prescribe to everyone, and that standard is what makes the care meaningful.
No. Compounded medications are not FDA-approved finished drug products. They are prepared by licensed compounding pharmacies based on a provider's prescription. Open Water Rx does not manufacture, compound, or dispense medications. All prescribing decisions are made by independent licensed providers.
Programs range from $109 to $229 per month depending on the program, formulation, and plan length. B12 MIC starts at $145/month ($109 with longer plans). Low-dose GLP-1 protocols start at $179/month ($169 with 12-week plan). NAD+ and peptide programs start at $229/month ($149 with longer plans). Final pricing depends on formulation, quantity, and provider recommendation.
Transparent Pricing
Open Water Rx is built around clear, upfront pricing. Review program costs before you begin, with no insurance required and no surprise charges hidden behind the intake.
See starting costs before you commit.
Cash-pay programs with transparent pricing.
Provider review, support, and shipping details are clearly explained.
Personalized Wellness · Clinician-Reviewed
Complete your intake and see which wellness program may be appropriate for you. No waiting rooms. No insurance required.
No insurance required · Provider review · Discreet delivery if prescribed
No insurance required · Provider review · Discreet shipping if prescribed
Wellness Programs
Find your personalized plan