Open Water Rx LLC operates Surfbound Health, the company's current consumer telehealth brand. This page is an educational guide from Open Water Rx LLC to clinician-reviewed online GLP-1 weight loss care for Los Angeles residents. Compare compounded semaglutide and tirzepatide, review eligibility and transparent pricing, and see how local telehealth works. Enrollment is handled through Surfbound Health. No waiting rooms. No insurance battles. 100% online. Available nationwide in all 50 states. Start your GLP-1 weight loss online or see how online GLP-1 works. Not sure which medication fits you? Compare semaglutide vs tirzepatide or browse our FAQ.
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
Los Angeles County spans 88 incorporated cities, from Long Beach and Pasadena to Santa Monica and the San Fernando Valley, so a single clinic address rarely fits an ordinary week. Open Water Rx brings GLP-1 weight loss care to Los Angeles County entirely online — the secure intake, the provider review, and any prescription are all handled remotely. Start your online GLP-1 evaluation from Los Angeles. A licensed provider authorized to practice in California reviews your health information. If treatment is prescribed, medication ships discreetly to your address, with shipping included. Compounded semaglutide is $169/mo and compounded tirzepatide is $219/mo, billed flat monthly with no membership fees.
$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.
Los Angeles adults exploring GLP-1 weight loss options can access clinician-reviewed programs through Open Water Rx entirely online. After a short intake evaluation, an independent licensed medical provider reviews your case and may recommend a semaglutide or tirzepatide pathway when clinically appropriate. If a prescription is issued, medication is prepared by a licensed compounding pharmacy and delivered discreetly to your Los Angeles address. Shipping is included in your plan price. No insurance required, no waiting rooms, no in-person visit in most cases. Start your online provider review or compare semaglutide vs tirzepatide.
Los Angeles residents can get a compounded semaglutide or tirzepatide prescription online through Open Water Rx. Complete a 5-minute health evaluation, receive a licensed provider review, and have your medication shipped to your Los Angeles address, with shipping included in the price. No in-person visit required in most cases. Some states require a synchronous initial visit. No insurance needed. Injectable tirzepatide is $219/month. Semaglutide programs are $169/month. Pricing includes provider review, prescription if approved, shipping included if prescribed, and ongoing support. Available nationwide in all 50 states.
What's included for Los Angeles patients
Licensed Medical Providers
A licensed medical provider reviews every intake before any prescription.
Shipping Included to Los Angeles
If medication is prescribed, it ships from a licensed pharmacy to your Los Angeles address. Shipping is included in your plan price. Shipping timelines vary by program, pharmacy, and location.
Health information
Your health information is handled under HIPAA privacy rules. See the HIPAA Notice.
No Insurance Required
Insurance is not billed. Semaglutide is $169 a month and tirzepatide is $219 a month, with no membership fee.
Available Medications
Compounded Semaglutide
GLP-1 receptor agonist
Trial results come from FDA-approved products. Compounded versions are not FDA-approved.
Compounded Tirzepatide
Dual GIP/GLP-1 agonist
Trial results come from FDA-approved products. Compounded versions are not FDA-approved.
Not sure which is right for you?
Your licensed medical provider will recommend the best option based on your health profile.
Check My EligibilityResults from trials of FDA-approved products. Compounded medications were not studied in these trials. Individual results vary and are not guaranteed. Prepared by independent, licensed compounding pharmacies. See GLP-1 cost without insurance. Compare medications or learn about our mission.
Simple Process
Complete Evaluation
5 min online form, anytime
Provider Reviews
Licensed medical provider
Prescription Issued
Personalized to you
Delivered to Your Door
To your Los Angeles door if prescribed
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 Los Angeles, CA 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 Los Angeles, CA 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.
Before you start
Check four things before you start: the monthly cost, what it includes, how you start or switch, and whether you qualify in California.
Compounded semaglutide is $169/month, and compounded tirzepatide is $219/month. Pricing is flat and billed month to month with no separate membership fee and no separate provider fee. That is the full monthly price for eligible Los Angeles patients.
See the full cost breakdown →New patients complete the online intake; a licensed provider reviews the case before anything is prescribed. Already on semaglutide or tirzepatide elsewhere? At the end of signup, use the doctor-notes field to list your current medication and dose, and note whether you want to keep that dose or discuss increasing it. We can match your current dose when clinically appropriate. The prescribing clinician makes the final determination.
How switching providers works →GLP-1 therapy is generally considered for adults with a BMI of 30+, or 27+ with a weight-related condition. You need a valid California address for medication delivery, and the final decision always rests with the independent licensed provider who reviews your health history. Not all patients qualify.
Check your eligibility →Clinical Information
Clinician-reviewed information about GLP-1 therapy for Los Angeles residents. All treatment decisions are made by independent licensed providers. Compare semaglutide vs tirzepatide or learn about our platform.
GLP-1 therapy is generally considered for adults with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition such as type 2 diabetes, hypertension, or high cholesterol. Your prescribing provider will review your full health history to determine whether GLP-1 therapy is appropriate for you. Eligibility is not guaranteed and is determined solely by your provider.
Most patients notice the first effects of GLP-1 therapy within 1 to 2 weeks of starting treatment, typically as a reduction in appetite or earlier feelings of fullness at meals. Meaningful weight loss usually begins within 4 to 8 weeks. The full effect builds gradually as the dose is titrated upward over several months according to your provider's schedule. Individual response varies.
For most eligible patients, the clinical evidence strongly supports GLP-1 therapy as an effective, medically supervised weight loss option. GLP-1 receptor agonists have been studied in large-scale clinical trials involving tens of thousands of patients over multiple years. Like all prescription medications, GLP-1 therapy carries potential side effects, most commonly gastrointestinal symptoms such as nausea, mild stomach discomfort, and occasional constipation, particularly during dose escalation. These typically subside as your body adjusts.
Compounded semaglutide is a compounded medication prepared by a licensed compounding pharmacy for an individual patient when a licensed medical provider determines it is clinically appropriate. Compounded medications are not generic versions of brand-name medications. Open Water Rx works exclusively with pharmacies that use the base API, not salt derivatives.
Compounded tirzepatide is a compounded medication prepared by a licensed compounding pharmacy for an individual patient when a licensed medical provider determines it is clinically appropriate. Compounded medications are not generic versions of brand-name medications. Tirzepatide is a dual GIP/GLP-1 receptor agonist that activates two pathways simultaneously, producing greater appetite suppression than semaglutide alone. In clinical trials with FDA-approved tirzepatide formulations, patients achieved significant weight loss. Individual results vary.
In most cases, Open Water Rx services and medications qualify for Health Savings Account (HSA) or Flexible Spending Account (FSA) reimbursement because they involve prescribed treatment from a licensed medical provider. We can provide itemized receipts and superbills upon request. We recommend checking with your HSA/FSA administrator for specific coverage details.
The landmark STEP 1 trial, published in the New England Journal of Medicine in 2021, randomized 1,961 adults with overweight or obesity to receive either semaglutide 2.4 mg weekly or placebo. After 68 weeks, participants in the semaglutide group achieved significant body weight reduction. These data involved FDA-approved formulations studied in clinical trials, not compounded medications. Individual results vary.
Wilding JPH, et al. N Engl J Med. 2021;384:989-1002.
The SURMOUNT-1 trial, published in the New England Journal of Medicine in 2022, enrolled 2,539 adults without diabetes. After 72 weeks, the highest dose group (15 mg weekly) achieved significant body weight reduction. These data involved FDA-approved formulations studied in clinical trials, not compounded medications. Individual results vary.
Jastreboff AM, et al. N Engl J Med. 2022;387:205-216.
Important: These are clinical trial results for FDA-approved finished drug products. Individual results vary and are not guaranteed. All treatment decisions are made by independent licensed providers.
FAQ
Yes. Open Water Rx is a fully licensed telehealth service serving Los Angeles. Complete your health evaluation online, a licensed medical provider reviews it, and your GLP-1 medication ships to your Los Angeles address if prescribed. Shipping is included in your plan price. Telehealth services for California patients are provided by independent, California-licensed physicians in compliance with California Business and Professions Code Section 2290.5 and California Medical Board telehealth guidelines. A valid patient-physician relationship is established through a clinical evaluation conducted via telehealth prior to any prescription.
Start your online GLP-1 evaluation from Los Angeles. A licensed provider authorized to practice in California reviews your health information. If treatment is prescribed, medication ships discreetly from an independent licensed compounding pharmacy to your Los Angeles County address, with shipping included in the plan price. No in-person clinic visit is required in most cases, and any additional step such as a video visit is decided by the reviewing provider.
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.
Injectable tirzepatide is $219 per month. Pricing includes provider review, prescription if approved, shipping included if prescribed, and ongoing support. No membership fees. Pricing and availability are subject to clinical appropriateness and regulatory change. No insurance required.
In most cases, no. Open Water Rx is a telehealth service. Your evaluation, provider review, prescription, and ongoing support all happen online. Some states require a synchronous initial visit. Available nationwide in all 50 states.
Provider review timelines vary. Once approved, your medication ships from a licensed pharmacy. Delivery timelines vary by pharmacy and location. Available nationwide in all 50 states.
Through Open Water Rx, independent licensed medical providers may prescribe compounded semaglutide and compounded tirzepatide when clinically appropriate for eligible Los Angeles patients. Wegovy® and Ozempic® are FDA-approved brand-name medicines containing semaglutide; Zepbound® and Mounjaro® are FDA-approved brand-name medicines containing tirzepatide. 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.
They are prepared by independent, licensed compounding pharmacies operating under Section 503A of the Federal Food, Drug, and Cosmetic Act. Open Water Rx does not manufacture, compound, or dispense medications.
Both semaglutide and tirzepatide are GLP-1 receptor agonists available to eligible Los Angeles patients through Open Water Rx. Semaglutide activates a single GLP-1 receptor pathway. Tirzepatide is a dual GIP/GLP-1 receptor agonist that activates two pathways simultaneously, which may produce greater appetite suppression.
Your licensed medical provider will recommend the most appropriate option based on your individual health profile, goals, and clinical history. Individual results vary and are not guaranteed.
Semaglutide plans are $169/month. Injectable tirzepatide is $219/month for eligible patients. Provider review, medication if prescribed, and shipping if prescribed all included. 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.
Yes. Open Water Rx is a telehealth platform that facilitates access to clinician-reviewed GLP-1 weight loss programs for eligible Los Angeles residents. After a short online health evaluation, an independent licensed medical provider reviews your case. If compounded semaglutide is clinically appropriate, a prescription may be issued and medication shipped discreetly to your Los Angeles address. Shipping is included in your plan price.
Yes. Eligible Los Angeles residents can explore compounded tirzepatide as a GLP-1 weight loss option through Open Water Rx's telehealth platform. Tirzepatide is a dual GIP/GLP-1 receptor agonist that activates two appetite-signaling pathways simultaneously. Clinical trial data with FDA-approved tirzepatide formulations suggests this may produce greater weight reduction than semaglutide alone in some patients. If your licensed provider determines tirzepatide is appropriate, medication is shipped discreetly to your Los Angeles address if prescribed.
Open Water Rx does not dispense brand-name Wegovy®, Ozempic®, Zepbound®, or Mounjaro®. Open Water Rx is a telehealth platform that facilitates access to clinician-reviewed pathways that may include compounded semaglutide or compounded tirzepatide, prepared by independent, licensed compounding pharmacies, when those options are legally available and clinically appropriate for the individual patient.
Compounded medications are not FDA-approved finished drug products and are not generic versions of any brand-name drug. If a brand-name GLP-1 medication is more appropriate for your clinical needs, your provider will advise you accordingly.
Yes. Los Angeles patients access Open Water Rx entirely online: no clinic, no waiting room, no in-person visit required in most cases. The process: (1) Complete a 5-minute online health evaluation. (2) An independent licensed medical provider reviews your intake. (3) If a GLP-1 medication pathway is clinically appropriate, a prescription is issued. (4) Medication is prepared by a licensed compounding pharmacy and shipped discreetly to your Los Angeles address, with shipping included in your plan price. (5) Ongoing clinician support is included throughout your program. Available nationwide in all 50 states. Some states require a synchronous initial telehealth visit before prescribing.
Injectable tirzepatide is $219/month for eligible Los Angeles patients. Semaglutide programs are $169/month. Each plan includes the licensed provider review, prescription if clinically approved, medication preparation, and discreet shipping to your Los Angeles address if prescribed. No insurance is required or accepted. HSA/FSA funds may be applicable. Check with your plan administrator. Pricing is subject to change and clinical appropriateness.
Start your online GLP-1 evaluation from Los Angeles. A licensed provider authorized to practice in California reviews your health information. If treatment is prescribed, medication ships discreetly to your address, with shipping included in the flat monthly price. Nothing is decided by an algorithm — an independent California-licensed provider reviews your history and decides what is clinically appropriate.
No. Open Water Rx is self-pay and works without insurance, so nothing hinges on a prior authorization. HSA and FSA funds may apply — confirm with your plan administrator.
Yes. Note your current semaglutide or tirzepatide dose and whether you want to maintain or increase it in the doctor-notes field at signup. We can match your dose when clinically appropriate; the prescribing provider makes the final call.
One flat monthly price with no membership fee, care delivered entirely online across a county of 88 cities, and discreet delivery if prescribed, with independent California-licensed providers making every clinical decision.
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 Los Angeles. 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