Healthicare vs Open Water Rx
Open Water Rx costs $5 less a month, and both sell semaglutide and tirzepatide.
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Healthicare
Best for: moving between compounded and brand without changing seller
Visit Healthicare →
Open Water Rx
Best for: a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose
Visit Open Water Rx →If you are choosing between Healthicare and Open Water Rx, the first difference is cost: Open Water Rx is $5 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Open Water Rx leads our six-part score, 7.9 to 7.4.
Healthicare vs Open Water Rx price
Open Water Rx is the cheaper way in: $169 a month against $174 a month at Healthicare. That is $5 less each month (3% lower), or about $60 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Open Water Rx ($169 a month vs $174 a month); tirzepatide is cheaper at Open Water Rx ($219 a month vs $264 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Healthicare prices compounded injections, an oral option and brand-name pens, while Open Water Rx prices compounded injections and an oral option.
If you want the FDA-approved brand rather than a compounded version, Healthicare is the only one of the two with a brand-name price.
Where each one treats patients
Healthicare does not publish where it ships, and Open Water Rx lists 28 states.
Pricing
Healthicare
$174/mo billed monthly; $147.90/mo on the 3-month plan ($443.70 billed every 3 months)
$264/mo billed monthly; $224.40/mo on the 3-month plan ($673.20 billed every 3 months)
$149.99 first month ($100 off), $249.99/mo after
From $1,299.99/mo; first month From $1,199.99 ($100 off)
Open Water Rx
One-month plan $169 total on /pricing (September 2026); $495 for 3 months, $960 for 6 months. All-inclusive of clinician review, medication if prescribed and shipping; the site states the price does not change with dose.
One-month plan $219 total on /pricing (September 2026); $645 for 3 months, $1,260 for 6 months.
Oral semaglutide tablets, one-month plan $199 total; $570 for 3 months, $1,000 for 6 months.
Oral tirzepatide tablets, one-month plan $319 total; $897 for 3 months, $1,650 for 6 months.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Healthicare's price also covers coaching, which Open Water Rx does not claim.
Healthicare is silent on lab work.
Open Water Rx is silent on lab work and coaching.
Healthicare
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Open Water Rx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Open Water Rx scores 7.9 and Healthicare 7.4 out of 10.
Healthicare is stronger on support (8.5 vs 7.0).
Open Water Rx is stronger on value (6.0 vs 5.4), trust & safety (9.0 vs 6.5) and accessibility (6.5 vs 5.0).
Effectiveness and user experience are within half a point.
Healthicare
7.4/10
Open Water Rx
7.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Healthicare nor Open Water Rx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Healthicare | Open Water Rx |
|---|---|---|
| Starting Price | $174/mo | ✓$169/mo |
| Features | ✓8 features | 4 features |
| States Available | Not disclosed | 28 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Healthicare
Two names Healthicare puts in public that most of this segment keeps quiet: Beluga Health, its clinical partner, and Jungle Jim's Pharmacy of Fairfield, OH, which dispenses. Coverage on this GLP-1 telehealth platform reaches 44 states. Compounded semaglutide opens at $147.90/mo, compounded tirzepatide at $224.40/mo. One account also reaches the full brand menu, Zepbound, Mounjaro, Wegovy, and Ozempic.
Read our full Healthicare review →About Open Water Rx
Open Water Rx is a Tampa, Florida telehealth platform (Open Water Rx LLC, which also trades as Surfbound and Surfbound Health) for GLP-1 weight loss, longevity and men's health. Compounded semaglutide is $169 and tirzepatide $219 for a one-month plan, all-inclusive and the same at every dose, with three- and six-month plans and oral tablets also priced on its own site. Its pharmacy partners are Emerald (Tampa, FL), Striker (Katy, TX), Foothills (Tempe, AZ) and EPIQ Scripts (Texas), each listed with a state license.
Read our full Open Water Rx review →Pros & Cons
Healthicare
What we like
- Semaglutide costs $174 a month, close to the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $264 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits, shipping and coaching
- We found no FDA warning letters issued to Healthicare
- Offers both oral and injectable options, so the format is your choice
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Open Water Rx
What we like
- Semaglutide costs $169 a month, close to the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $219 a month, 12% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Names 3 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Open Water Rx
- Offers both oral and injectable options, so the format is your choice
Watch-outs
- Serves only 28 states, so check that yours is one of them
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Open Water Rx wins this one, 7.9 to 7.4, above all for a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose. It also costs $5 less each month than Healthicare. Healthicare fits better if moving between compounded and brand without changing seller is your priority.
Choose Healthicare if…
You want moving between compounded and brand without changing seller and an opening price near $174 a month.
Choose Open Water Rx if…
You want a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose and an opening price near $169 a month.
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Willow
Seeing what it charges before you answer any medical questions
From $299/mo
Get started →Sesame Care
Oral orforglipron alongside the injectables
From $59/mo
Get started →Collective
Flat any-dose pricing, if you can absorb a $199 annual membership on top
From $59/mo
Get started →Healthicare vs Open Water Rx: FAQ
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Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.