Epiq Scripts
“Surfbound works with multiple independent licensed pharmacy partners, including Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ), and EPIQ Scripts (Texas).”
Open Water Rx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.9/10
Best for: a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the dose
7.9
★★★★☆4/5
Open Water Rx's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
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$169/mo
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
See plans →See plans at Open Water Rx →
Compare top-rated alternatives ↓Prices checked September 2026
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.
By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
GLP-1 from $169/moPrice shown up frontFlat across dosesIncludes medication + consult28 statesPharmacy namedNo FDA warning letters foundOral + injectable
Is Open Water Rx legit?
Yes. Open Water Rx is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.9/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there an Open Water Rx promo or coupon code?
We know of no promo or coupon code for Open Water Rx. Its listed price is $169 a month. Coupon sites advertising "Open Water Rx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Open Water Rx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
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Get StartedRead full bmiMD review →Open Water Rx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $169/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Medication · Consult · Shipping
- Availability
- 28 states
- FDA status
- No FDA warning letters found
How Open Water Rx scores
Six columns, each one computed from something Open Water Rx has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
6.0/10$219/month is 12% below the $250 median for compounded tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
9.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
6.5/10Serves 28 of 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
6weighted dimensions
588sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Open Water Rx
Last checked September 2026- Checked the listed price across 4 dose or plan tiers
- Checked state coverage: 28 states
- Checked what the monthly price covers, and what it leaves out
- Confirmed which compounding pharmacy fills the order, and its accreditation
- Checked FDA warning letters for Open Water Rx
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Open Water Rx involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Open Water Rx shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Epiq Scripts fills the prescriptions, and Open Water Rx names it publicly, which most sellers do not.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $169, tirzepatide $219. That leaves out membership fees, first-month rates and insurance copays.
- Open Water Rx serves 28 of 50 states, so check that yours is one of them.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Cancelling Open Water Rx
Taken from the terms Open Water Rx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None on the one-month plan
- Refund policy
- Full refund if the provider declines to prescribe; dispensed medication cannot be returned
- Early-termination fee
- None
GLP-1 medications Open Water Rx offers
Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.
Pricing
Prices re-verified
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.
Check the price yourself before you pay
Every figure here was read off Open Water Rx's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
Open Water Rx compounding-pharmacy partners
Each partner below is a 503A or 503B pharmacy that Open Water Rx routes prescriptions through. Each entry is anchored to a verbatim primary-source quote from the provider’s or pharmacy’s own site.
Striker Pharmacy
“Surfbound works with multiple independent licensed pharmacy partners, including Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ), and EPIQ Scripts (Texas).”
Foothills Professional Pharmacy
“Surfbound works with multiple independent licensed pharmacy partners, including Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ), and EPIQ Scripts (Texas).”
In its favor
- Semaglutide costs $169 a month, close to the $185 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
Against it
- 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
What Open Water Rx charges
Open Water Rx lists $169/month, flat regardless of dose. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.
- Compounded semaglutide: $169/month
- Compounded tirzepatide: $219/month
- Oral semaglutide: $199/month
- Oral tirzepatide: $319/month
For compounded tirzepatide, the median across the sellers we compare is $250/month, so Open Water Rx's $219 is genuinely below the middle, not just advertised that way.
Enhance MD, at about $169/month, is the closest like-for-like alternative we review.
What Open Water Rx dispenses
Open Water Rx prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. These are compounded preparations from a licensed pharmacy rather than approved pens, which is where the lower price comes from. A compounded drug is not FDA-approved as a finished product: the specific preparation has not been reviewed for safety, efficacy or manufacturing quality.
A needle-free oral option is genuinely uncommon and is the reason some readers will look at Open Water Rx at all. Set expectations on the evidence, though: the published weight-loss trials for these molecules used injections. Oral and sublingual delivery of peptides is far less studied, so treat it as a route that solves the needle problem rather than as a proven equal to the shot.
Safety and disclosure
Open Water Rx tells you its price before you start the medical questionnaire, the 28 states it serves, and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Open Water Rx. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Open Water Rx bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you want the price to stop moving as your dose climbs
- injections are the thing keeping you from starting
Our read
Open Water Rx competes on price without an obvious sacrifice elsewhere: $219/month for compounded tirzepatide, no FDA warning letters.
The Bottom Line
Open Water Rx's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.
Score: 7.9/10Best for: a flat, all-inclusive semaglutide or tirzepatide price that does not rise with the doseFrom: $169/mo
Before you pay Open Water Rx
Starting at $169 a month. Check today's price, then start the intake.
Where Open Water Rx is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider Sesame Care.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo).
- If you want a human checking in, not just a prescription, consider ShedRx.
Compare Open Water Rx head to head
The sellers closest to Open Water Rx on medication and price.
Frequently Asked Questions
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. We rate it 7.9/10 overall.
Open Water Rx starts at $169 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
Open Water Rx names 28 states. Check that yours is on the list before you go any further.
Open Water Rx sells semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro). Every dose it lists is compounded. A needle-free oral form is listed as well.
Open Water Rx lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether Open Water Rx bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Open Water Rx says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. Open Water Rx runs that whole sequence on its own site.
We found no FDA warning letters issued to Open Water Rx. Before you buy, weigh these: 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. None of them rules Open Water Rx out, but each is worth settling before you pay.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Open Water Rx review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of September 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See Open Water Rx's current pricing
Plans start at $169 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on Open Water Rx?
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