Provider review required · Not all patients qualify
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 HealthLocal Guide
Between the L, the lakefront, and a relentless work calendar, Chicagoans don't have time for suburban clinic runs. Open Water Rx brings GLP-1 weight loss care to Cook County online — a secure intake from anywhere, independent licensed provider review, and discreet shipping if prescribed. Winter-proof and traffic-proof, with flat pricing at $169/mo for semaglutide and $219/mo for tirzepatide.
$169/mo
Compounded semaglutide. Provider review and shipping included if prescribed.
Online
Intake, provider review, and ordering are done online.
Licensed review
A licensed provider reviews each intake.
Discreet shipping
Shipped to your address if a prescription is written.
*GLP-1 medications have shown substantial weight loss in clinical studies of certain FDA-approved products. Individual eligibility, treatment, and results vary.
Many Chicago patients are weighing two very different routes to the same goal: staying on an insurance-based branded GLP-1, or moving to a flat, self-pay compounded program. Neither is automatically better — it depends on what you value. Here is how to frame the choice.
Staying on the insurance route
Moving to a flat self-pay program
If you decide to switch, tell the intake exactly where you are now. At the end of signup, use the doctor-notes field to list your current medication and dose and to note whether you want to hold that dose or discuss adjusting it. We can match your current dose when it is clinically appropriate — the prescribing clinician makes the final call, and matching is not guaranteed.
You can confirm an Illinois prescriber’s license and a pharmacy’s registration yourself in the Illinois Department of Financial and Professional Regulation’s public license lookup (online-dfpr.micropact.com), or follow the step-by-step instructions on our Illinois page. Open Water Rx does not practice medicine and does not manufacture, compound, or dispense medications — those are handled by independent, licensed providers and pharmacies.
New to GLP-1 care? See how online treatment works, check your eligibility, review the full pricing breakdown, and read the most common questions — or explore the Illinois GLP-1 hub. Compounded semaglutide and tirzepatide are prescribed only when an independent licensed provider decides they are clinically appropriate; they are not FDA-approved finished drug products and are not interchangeable with any brand-name medicine. Not all patients qualify.
Your Cost
Two flat monthly prices, billed month to month, with no membership fee and no separate provider fee. Compare our monthly prices with the complete quote from your current provider.
Compounded Semaglutide
GLP-1 receptor agonist
$169/month
Includes independent provider review, prescription if clinically appropriate, discreet shipping to your Chicago, IL address if prescribed, and ongoing support.
Compounded Tirzepatide
Dual GIP/GLP-1 agonist
$219/month
Includes independent provider review, prescription if clinically appropriate, discreet shipping to your Chicago, IL address if prescribed, and ongoing support.
Enter your quote to compare recurring costs and upfront fees.
Any provider or clinic — add each required line item.
Charged again each period
What the quote charges for the medication for that supply period.
A program or platform fee that is charged again each period.
A clinician charge that repeats. Leave blank if it was a one-time signup fee.
Shipping that is billed every period, not a single setup charge.
Anything else billed again each period.
Charged once at signup
Charged once at signup and not billed again.
A single charge that does not repeat.
Use the number of days the quote's medication actually covers — for example 28, 30, or 90.
Your quote, normalised
Add at least one fee to see a true 30-day cost. Both figures update live as you type, so you can compare any quote on the same basis.
Open Water Rx · confirmed line items
Our plan is billed monthly. The number of days a fill covers is set by your prescriber and pharmacy, so the monthly price is not stated here as a fixed 30-day supply. Injectable semaglutide and tirzepatide require independent licensed-provider review and a prescription; availability is subject to clinical appropriateness and regulatory change.
Compounded semaglutide and tirzepatide are not FDA-approved finished drug products and are prepared by independent, licensed compounding pharmacies. Provider review required; not all patients qualify. Pricing is subject to clinical appropriateness and regulatory change. See full pricing details.
FAQ
That depends on what you value most. If your branded GLP-1 is reliably covered at a copay you are comfortable with, staying can make sense. If coverage is inconsistent, prior authorizations keep interrupting refills, or you want one predictable monthly number, a flat self-pay compounded program may fit better. The switching guide walks through both routes side by side before you decide.
Yes. Open Water Rx serves eligible Cook County patients fully online. Complete a secure intake from anywhere in the city and an independent licensed provider reviews your case.
Pricing is flat and does not change by city: compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month, billed month to month with no membership fee and no separate provider fee. Provider review, medication if prescribed, and shipping if prescribed are included. Eligibility depends on individual clinical review and applicable state requirements.
Often, when it is clinically appropriate — but it is never automatic. At the end of signup, use the doctor-notes field to list your current medication and dose and whether you want to keep that dose or discuss adjusting it. The prescribing clinician makes the final determination based on your health history.
No. Pricing is flat and month-to-month: compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month, with no membership fee and no separate provider fee. Provider review, the prescription if clinically appropriate, and shipping if prescribed are included. The pricing page shows the full line-by-line breakdown.
You can look up an Illinois provider's license and a pharmacy's registration directly through the Illinois Department of Financial and Professional Regulation's public license lookup. Our Illinois page lists the exact steps and links the official portal so you can confirm credentials before you enroll.
That works too. New patients complete the same secure online intake and an independent licensed provider reviews their health history before deciding whether treatment is appropriate. Start with the how-it-works page, then compare compounded semaglutide and tirzepatide if you are weighing which pathway you would rather discuss with the provider.
Yes. Open Water Rx serves eligible Cook County patients fully online. Complete the secure intake from anywhere in the city, an independent Illinois-licensed provider reviews your case, and if clinically appropriate the medication ships discreetly to your Chicago address.
No insurance is required. The program is self-pay, so there is no prior authorization to clear before a provider review. HSA and FSA funds may be usable.
Yes. List your current semaglutide or tirzepatide dose and whether you want to keep or increase it in the doctor-notes field at signup. We can match your dose when clinically appropriate; your provider decides.
Flat transparent pricing with no membership fee, fully online care that avoids a Chicago winter clinic trip, and discreet delivery if prescribed — with independent Illinois-licensed providers deciding every clinical step.
Complete your intake and a licensed clinician will review your case. Prescriptions issued only when clinically appropriate. Shipping included in plan price if prescribed to Chicago. Still exploring? Read our FAQ or learn about us.
Provider review required. Not all patients qualify.
Get StartedQuestions? members@openwaterrx.com
Semaglutide $169/mo · Tirzepatide $219/mo · No insurance required · Shipping included if prescribed
GLP-1 $169/mo · No insurance
Free to start · No hidden fees