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MyDrHank vs Open Water Rx

Open Water Rx costs $2 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
MyDrHank logo

MyDrHank

6.9
★★★★☆3.5/5

Best for: an oral route if you will not self-inject

Visit MyDrHank →
VS
Open Water Rx logo

Open Water Rx

7.9
★★★★☆4/5

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 MyDrHank and Open Water Rx, the first difference is cost: Open Water Rx is $2 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 6.9.

MyDrHank vs Open Water Rx price

Open Water Rx is the cheaper way in: $169 a month against $171 a month at MyDrHank. That is $2 less each month (1% lower), or about $24 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Open Water Rx ($169 a month vs $171 a month); tirzepatide is cheaper at Open Water Rx ($219 a month vs $240 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers an oral option and compounded injections.

Where each one treats patients

MyDrHank does not publish where it ships, and Open Water Rx lists 28 states.

Pricing

MyDrHank

Generic Sildenafil — 1-Month planCompounded · oral
$35/mo
sildenafil

Plans: 6 months for $150 total ($25/mo), 3 months for $90 ($30/mo), 1 month for $35. The mg strength is not disclosed before purchase.

Generic Sildenafil — 6-Month plan ($150 total)Compounded · oral
$25/mo
sildenafil

Unchanged.

Generic Tadalafil — 1-Month planCompounded · oral
$45/mo
tadalafil

Unchanged. Tiers: 6-Month $180/$30; 3-Month $105/$35; 1-Month $45.

Generic Tadalafil — 6-Month plan ($180 total)Compounded · oral
$30/mo
tadalafil

Unchanged.

Daily Tadalafil — 1-Month planCompounded · oral
$49/mo
tadalafil (low-dose daily)

Unchanged. Tiers: 6-Month $210/$35; 3-Month $120/$40; 1-Month $49.

Daily Tadalafil — 6-Month plan ($210 total)Compounded · oral
$35/mo
tadalafil (low-dose daily)

Unchanged.

MDH Drive — 1-Month planCompounded
$59/mo
sildenafil + tadalafil

Unchanged. Tiers: 6-Month $270/$45; 3-Month $150/$50; 1-Month $59.

MDH Drive — 6-Month plan ($270 total)Compounded
$45/mo
sildenafil + tadalafil

Unchanged.

Oral Semaglutide — Monthly planCompounded · oral
$249/mo
semaglutide (oral)

NEW itemized tiers: Monthly $249; Quarterly $635/$212; 6-Month $1,143/$190; Yearly $2,057/$171. A 'Semaglutide Tablets' page variant lists Monthly total $399/perMonth $329 (site-side inconsistency), Yearly $3,297/$275.

Oral Semaglutide — Yearly plan ($2,057 total)Compounded · oral
$171/mo
semaglutide (oral)

Matches site-wide 'Plans start at $171/mo for compounded semaglutide' disclaimer.

Compounded Semaglutide — Monthly planCompounded
$259/mo
semaglutide

Tiers: Monthly $259; Quarterly $660/$220; 6-Month $1,189/$198; Yearly $2,140/$178. Above the $175 sema median unless a long commitment is taken.

Compounded Semaglutide — Yearly plan ($2,140 total)Compounded
$178/mo
semaglutide
Compounded Tirzepatide — Monthly planCompounded
$349/mo
tirzepatide

Tiers: Monthly $349; Quarterly $890/$297; 6-Month $1,602/$267; Yearly $2,883/$240. Above the $249 tirz median month-to-month; only the yearly commit dips below. Their own disclaimer claims 'start at $200/mo for compounded tirzepatide' — no $200 tier exists on any card (internal inconsistency).

Compounded Tirzepatide — Yearly plan ($2,883 total)Compounded
$240/mo
tirzepatide

Open Water Rx

flat price at every doseCompounded
$169/mo
semaglutide

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.

flat price at every doseCompounded
$219/mo
tirzepatide

One-month plan $219 total on /pricing (September 2026); $645 for 3 months, $1,260 for 6 months.

Daily tabletCompounded · oral
$199/mo
semaglutide

Oral semaglutide tablets, one-month plan $199 total; $570 for 3 months, $1,000 for 6 months.

Daily tabletCompounded · oral
$319/mo
tirzepatide

Oral tirzepatide tablets, one-month plan $319 total; $897 for 3 months, $1,650 for 6 months.

What each price covers

Open Water Rx's price also covers the clinician visit, the medication itself and shipping, which MyDrHank does not claim.

MyDrHank does not say what its price includes.

Open Water Rx is silent on lab work and coaching.

That matters most for the drug: unless MyDrHank confirms otherwise, budget for medication on top of its listed price.

MyDrHank

Inclusions not disclosed.

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 MyDrHank 6.9 out of 10.

Open Water Rx is stronger on value (6.0 vs 5.3), trust & safety (9.0 vs 5.5), accessibility (6.5 vs 5.0) and support (7.0 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

MyDrHank

6.9/10

Overall

Open Water Rx

7.9/10

Value25%

5.3A
vs
B
6.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

5.5A
vs
B
9.0

Accessibility10%

5.0A
vs
B
6.5

Support10%

5.0A
vs
B
7.0

FDA warning letters

Neither MyDrHank nor Open Water Rx has an FDA warning letter on record with us.

Features & Coverage

FeatureMyDrHankOpen Water Rx
Starting Price$171/mo✓$169/mo
Features4 features4 features
States AvailableNot disclosed28
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About MyDrHank

This entry covers the erectile-dysfunction side of MyDrHank, whose legal name is Dr. Hank, LLC. Four products sit on the list: sildenafil in generic form, tadalafil both generic and daily, and MDH Drive, which dissolves rapidly and pairs sildenafil with tadalafil. Every case gets reviewed online by providers holding U.S. licenses, and three partner pharmacies are named. Plans are itemized at one, three and six months, the cheapest being $25/mo for generic sildenafil, with free shipping and nothing to commit to.

Read our full MyDrHank 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

MyDrHank

What we like

  • Semaglutide costs $171 a month, 14% below the $199 median for oral semaglutide across the sellers we compare
  • Tirzepatide costs $240 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
  • We found no FDA warning letters issued to MyDrHank
  • 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

Winner: MyDrHank

MyDrHank is where we would start, above all for an oral route if you will not self-inject. Open Water Rx undercuts it by $2 a month, so if the monthly bill is what decides it, Open Water Rx is the pick. Open Water Rx fits better if a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose is your priority.

Choose MyDrHank if…

You want an oral route if you will not self-inject and an opening price near $171 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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7.3

RNK Health

An oral route if you will not self-inject

9.2

He & She MD

Starting below a standard dose, with microdose tiers

5.9

Wellorithm

Compounded semaglutide at $247/month

MyDrHank vs Open Water Rx: FAQ

Open Water Rx. It starts at $169 a month; MyDrHank starts at $171 a month, $2 more per month.
Yes, both sell semaglutide and tirzepatide.
MyDrHank does not publish where it ships; Open Water Rx lists 28 states. Confirm your state before paying.
Only Open Water Rx includes the clinician visit, the medication itself and shipping.
MyDrHank has none. Open Water Rx has none.
MyDrHank pays us a commission on sign-ups through our links; Open Water Rx does not. Scores are computed the same way for both.

Or see the full category ranking.