Open Water Rx LLC operates compounded semaglutide through Surfbound, 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 Naples 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
Naples pairs Gulf Coast luxury with one of the most wellness-minded populations in Florida, so concierge-style telehealth fits the culture perfectly. Open Water Rx brings clinician-reviewed GLP-1 programs to Collier County online — a secure intake, licensed provider review, and discreet shipping if prescribed. Fifth Avenue discretion with flat pricing: semaglutide $169/mo, tirzepatide $219/mo.
$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.
Naples and the broader Collier County area have a high concentration of medical practices — but GLP-1 medication availability at local weight loss clinics has been inconsistent. Tirzepatide in particular, the newer dual GIP/GLP-1 receptor agonist, has at times been harder to source locally in Southwest Florida than through telehealth platforms. Open Water Rx ships compounded tirzepatide and semaglutide from licensed compounding pharmacies directly to Naples addresses — covering 34102, 34103, 34104, 34105, 34108, 34109, 34110, and surrounding ZIP codes.
Naples adults exploring tirzepatide should understand the key distinction: tirzepatide (the active ingredient in Zepbound and Mounjaro) is a dual GIP/GLP-1 agonist, meaning it activates two hormonal appetite-suppression pathways rather than one. In clinical trials with FDA-approved tirzepatide formulations, participants achieved significantly greater weight loss than with semaglutide. If you are already familiar with semaglutide or have been researching GLP-1 options online, your Open Water Rx provider can help you determine whether tirzepatide is a clinically appropriate option.
Semaglutide — $169/mo
Tirzepatide — $219/mo
Your licensed provider will recommend the appropriate option based on your health profile. Individual results vary and are not guaranteed. Full comparison →
If your independent licensed provider issues a prescription, your compounded semaglutide or tirzepatide ships from a licensed compounding pharmacy directly to your Naples address. Shipping is included in your monthly plan price — there is no separate delivery charge. Medications requiring refrigeration are shipped with appropriate cold-chain packaging. Naples is within normal shipping range for our pharmacy partners — delivery timelines vary by pharmacy and carrier. Packaging is plain and unbranded.
Naples 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 Naples 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 Naples patients
Licensed Medical Providers
A licensed medical provider reviews every intake before any prescription.
Shipping Included to Naples
If medication is prescribed, it ships from a licensed pharmacy to your Naples 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 Naples 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 Naples, FL 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 Naples, FL 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 Florida.
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 Naples 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 Florida 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 Naples 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 Naples. Complete your health evaluation online, a licensed medical provider reviews it, and your GLP-1 medication ships to your Naples address if prescribed. Shipping is included in your plan price. Telehealth services are provided in compliance with Florida Statutes Section 456.47 and applicable Florida Board of Medicine rules governing telehealth practice.
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 Naples 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 Naples 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 Naples residents. After you complete 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 Naples address. Shipping is included in your plan price.
Yes. Eligible Naples 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 — it activates two appetite-signaling pathways simultaneously, which clinical trial data with FDA-approved tirzepatide formulations suggests 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 Naples address if prescribed.
No. 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.
Naples 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 Naples address — shipping is 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 Naples patients. Semaglutide programs are $169/month. Each plan includes the licensed provider review, prescription if clinically approved, medication preparation, and discreet shipping to your Naples 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.
Yes. Open Water Rx is fully online, so Naples patients complete the secure intake at home, an independent licensed provider reviews the case, and if clinically appropriate the medication ships discreetly to your Collier County address.
Compounded injectable semaglutide is $169/month and compounded tirzepatide is $219/month — the same flat monthly price everywhere in Florida, with no membership fee and no separate provider fee. Provider review, the medication if prescribed, and shipping if prescribed are included.
No. The program is self-pay and does not require or accept insurance, which keeps pricing transparent with no prior-authorization delays. HSA and FSA funds may apply — confirm with your plan administrator.
Yes, in most cases. Tell your provider in the intake where you will physically be during the evaluation, since telehealth rules follow the patient's location at the time of care, and confirm you have a valid delivery address. The reviewing provider decides whether care is appropriate for where you are.
One flat monthly price, fully online care, and discreet delivery to Collier County if prescribed — no Naples med-spa appointment, no membership fee, and independent licensed providers making every clinical decision.
Yes. If you are already taking compounded semaglutide or tirzepatide from another provider, you can transfer your care to Open Water Rx. At the end of signup, list your current medication and dose in the doctor-notes field and note whether you want to keep that dose or discuss increasing it. We can match your existing dose when clinically appropriate. Your prescribing provider makes the final call. Switching is month-to-month with no membership fee and no separate provider fee, and your medication ships discreetly to your Naples, FL address if prescribed.
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 Naples. 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