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Open Water Rx review
Graded on whether a price is published, checkable, and still true at month two — how we grade · how we verify prices
Open Water Rx has an actual pricing page: semaglutide $169 a month, tirzepatide $219, oral GLP-1 $199, plus five more line items with a figure on each.
- Month-to-month price published
- States not published
- Prices read September 2026
Read first-hand, not from a feed.
Distinct plans priced.
This link pays us nothing. It's here because the price is checkable.
The verdict
Nine prices in one place, and the homepage agrees with them. Two rows say "longer plan" without saying how long.
This link pays us nothing. It's here because the price is checkable.
Quick facts
Key facts
- Compounded semaglutide
- $169 a month
- Compounded tirzepatide
- $219 a month
- Oral GLP-1
- $199 a month
- Microdosing program
- $179 a month
- NAD+ and peptide support
- $229 a month, or $149 on an unspecified longer plan
- B12 MIC injection
- $145 a month, or $109 on an unspecified longer plan
- States served
- Not published. The footer says availability varies
Pros and cons
What we like
- A dedicated pricing page with nine line items, each carrying a figure and a one-line statement of what is included.
- The homepage and the pricing page agree on both GLP-1 figures.
- Microdosing is priced as its own product rather than being hidden inside the standard program's range.
- The privacy policy discloses that the company also operates under two other trade names, which is the kind of thing usually left unsaid.
What could be better
- Two rows price a "longer plan" without stating how long it runs or what it is billed as.
- No street address anywhere, so the FDA warning-letter screen could not be run and no absence is claimed.
- No state list, despite the footer explicitly noting that availability varies by state.
- The weight-loss detail page routes to an intake on a different brand's domain, which is disclosed only by the link itself.
What it is
A prescription telehealth service covering weight loss, personalized dosing and a longevity shelf, trading under two other names as well as its own. Everything is cash-pay, with provider review stated as included in each line.
The microdosing lane gets its own pricing rows rather than being folded into the standard one, which matters because a low starting dose is a ramp rather than a destination.
Every price we found
| Plan | Advertised | What you actually pay | The gap | Read on |
|---|---|---|---|---|
| Compounded semaglutideA month. Provider review included, prescription if appropriate. | not published | $169 | not comparable | September 2026 |
| Compounded tirzepatideA month. Dual GIP and GLP-1 agonist, provider review included. | not published | $219 | not comparable | September 2026 |
| Oral GLP-1A month. A non-injection daily option. | not published | $199 | not comparable | September 2026 |
| Microdosing programA month. Lower starting dose with provider-guided titration. | not published | $179 | not comparable | September 2026 |
| NAD+ and peptide supportA month. The "longer plan" row is $149 and does not state its length. | not published | $229 | not comparable | September 2026 |
| B12 MIC injectionA month. The "longer plan" row is $109 and does not state its length. | not published | $145 | not comparable | September 2026 |
This link pays us nothing. It's here because the price is checkable.
What it actually costs
The weight-loss group is semaglutide $169, tirzepatide $219 and an oral GLP-1 at $199. Personalized dosing is $179 for the microdosing program and $169 for a structured twelve-week plan. Longevity runs NAD+ and peptide support at $229, and a B12 MIC injection at $145.
The homepage carries the same two GLP-1 figures as the pricing page — $169 and $219 — with no contradiction between them. Several sellers in this batch cannot say that about their own pages.
Two rows undercut it. "NAD+ Longer Plan" at $149 and "B12 MIC Longer Plan" at $109 both say "Extended protocol savings" and never say how long the extension runs, so two of the nine numbers have no term attached.
Who it's wrong for
- Skip it if the longevity plans are what you want. The two cheapest longevity rows are the ones with no term on them.
- Skip it if you want to know who the company is. The privacy policy names a limited liability company, a city and two trade names, and no street address.
- Skip it if your state matters. The footer says availability varies by state and names none, which is the pattern across almost everyone we grade.
Medications available
- Compounded semaglutideCompounded$169 a month
- Compounded tirzepatideCompounded$219 a month
- Oral GLP-1Compounded$199 a month
A daily non-injection option.
- NAD+ and peptide supportCompounded$229 a month
An extended version is priced at $149 without a stated length.
- B12 MIC injectionCompounded$145 a month
An extended version is priced at $109 without a stated length.
Is Open Water Rx legit?
Open Water Rx is operated by Open Water Rx LLC, also trading as Surfbound and Surfbound Health, Tampa, FL 33607 — no street address published. We read that off the company’s own privacy policy on September 2026.
Pharmacy, prescribers and safety checks
- Who prescribesLicensed providers. Provider review is stated as included on every priced row
- Pharmacy namedNot disclosed
- Trade namesDisclosed. The company also operates as Surfbound and Surfbound Health
- Compounded disclosurePresent: not approved finished drug products, not reviewed by FDA the same way
- FDA warning-letter screenNot run. A city but no street address is published
Common questions
How much is Open Water Rx semaglutide?
$169 a month, with provider review included and a prescription if a clinician finds it appropriate. Tirzepatide is $219 and an oral GLP-1 option is $199 on the same page.
What is the microdosing program?
A lower starting dose with provider-guided titration, priced at $179 a month. A structured twelve-week low-dose plan sits beside it at $169 a month on the same pricing page.
How long is the "longer plan" on the longevity rows?
The page does not say. Both extended rows — NAD+ at $149 and B12 MIC at $109 — say only "Extended protocol savings" with no length and no billing cadence attached.
Why we gave Open Water Rx a B
Read the full grading rationale
A real pricing page, which sounds like a low bar and is not: nine line items grouped into weight loss, personalized dosing and longevity, each with a monthly figure and a one-line statement of what is included. Semaglutide $169, tirzepatide $219, oral GLP-1 $199, microdosing $179, NAD+ and peptide support $229, B12 MIC $145. The homepage carries the same two GLP-1 figures without contradiction. Two things hold it at a B. The 'Longer Plan' rows — NAD+ at $149 and B12 MIC at $109 — say 'Extended protocol savings' and never say how long the extension runs or what it is billed as, so two of the nine numbers have no term attached. And the privacy policy names Open Water Rx LLC and Tampa, Florida with no street address, along with two trade names, so the FDA warning-letter screen was NOT RUN and no absence is claimed. The footer says availability varies by state and names no states.
How we reviewed Open Water Rx
- We read the pricing page, the weight-loss page, the homepage and the privacy policy first-hand at desktop width.
- We checked the two GLP-1 figures on the pricing page against the same two on the homepage, and recorded that they agree.
- No FDA warning-letter screen was run: the privacy policy publishes a city but no street address, and this screen matches on domain and address together.
The page we read — all on
- Pricing page
GLP-1 Weight Loss Pricing Semaglutide GLP-1 receptor agonist $169 /month Provider review included Prescription if appropriate
This link pays us nothing. It's here because the price is checkable.
Alternatives to Open Water Rx
| Provider | Grade | Cheapest price |
|---|---|---|
| Rylo Health | BMinor gap | $100/mo |
| Obu Health | BMinor gap | $149/mo |
| Blis MD | CCaveat | $109/mo |
| Kongo | CCaveat | $109/mo |
| Pepti | BMinor gap | $109/mo |