Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our tirzepatide provider ranking, above Open Water Rx at #96.
Read the Care Bare Rx review →OW
Provider review
Open Water Rx cost: $339/mo tirzepatide
Its "Best value" 12-month lock-in costs exactly what month-to-month costs.
Open Water names four dispensing pharmacies and gets every savings figure on its site arithmetically right. But its founder code prices tirzepatide at $219 a month with no commitment and "for life" — the identical rate as the twelve-month contract it badges "Best value", and less than the three- and six-month plans in between.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What Open Water Rx discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
What it actually costs
- Tirzepatide$339/mo
- Semaglutide$249/mo
What this price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not disclosed
The catch — The founder code is the trap, and it works against the plans rather than the reader. FOUNDER prices tirzepatide at $219 a month, described in Open Water's own catalog as "Founder pricing — $219/mo for life. Limited to first 50 approved patients." That is the same rate as the twelve-month plan badged "Best value", and cheaper than the three-month ($269) and six-month ($249) plans. Anyone who takes a multi-month contract while the code is live pays more per month than someone who takes no contract at all — up to $50 a month more on the three-month tier.
See plans at Open Water RxPrices read from Open Water Rx's own site · August 2026
What they advertise
Compounded semaglutide $249/month, compounded tirzepatide $339/month and oral semaglutide $279/month. Semaglutide falls to $229, $209 and $189 on three-, six- and twelve-month plans; tirzepatide to $269, $249 and $219. A FOUNDER code prices tirzepatide at $219 with no commitment, limited to the first 50 approved patients.
What you actually pay
$249, $339 and $279 are the standing month-to-month rates, read from Open Water's own product listings rather than its marketing copy — so the catalog is the layer that settles it.
The bottom line
Open Water Rx sells compounded semaglutide at $249 a month, tirzepatide at $339 and oral semaglutide at $279, and it names four dispensing pharmacies outright — RedRock, HealthWarehouse, Precision Compounding and Triad Rx — which is better disclosure than most companies here manage. Its savings claims all check out against its own base prices. The problem is what the founder code does to the ladder: FOUNDER prices tirzepatide at $219 a month with no commitment and no end date, which is the same figure as the twelve-month plan marked "Best value" and $50 and $30 a month cheaper than the three- and six-month plans. A reader working down the tiers pays more for committing.
Open Water Rx appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want the pharmacies named before you order — four are, with their states.
- You are buying semaglutide and plan to commit: $249 monthly drops to $229, $209 and $189, and every savings figure on the page is correct.
- You want an operator that states its 503A framing and its compounded-is-not-FDA-approved position plainly.
Look elsewhere if
- You are about to take the twelve-month tirzepatide plan for the discount. The founder code gets you the same $219 with no commitment.
- You want a named clinician — no physician, medical director, NPI or license number is published.
- You want sermorelin or NAD+ from it. Both are marketed; neither is priced or purchasable.
What Open Water Rx offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
Open Water Rx does not name the pharmacy that fills your prescription.
What its own site says
Four pharmacies are named in the site footer under "Pharmacy & clinical network", each with its state: RedRock Pharmacy (Utah), HealthWarehouse (Kentucky), Precision Compounding Pharmacy (New York) and Triad Rx (Texas), with the caveat that partners may vary by medication and patient location. ⚠ They are not all compounders — HealthWarehouse is a retail mail-order pharmacy, so its presence most likely covers non-compounded fulfillment. Separately, the Terms state that medications are filled by "independent, state-licensed compounding pharmacies operating under Section 503A", but no individual pharmacy is tied to that category.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
All 50 states
All 50 states, stated on its own homepage, with the qualification that availability varies by state, treatment pathway and provider.
The honest cons
The part they would rather you skipped
Open Water gets its arithmetic right and its ladder wrong. Every savings badge on the site is correct against the base price — $210 over three months, $540 over six, $1,440 over twelve, all exactly 3, 6 and 12 times the per-month difference from $339. But a FOUNDER code sits alongside them offering tirzepatide at $219 a month with no commitment, and its own catalog describes that as "$219/mo for life". That is the same price as the twelve-month contract it badges "Best value", and $50 and $30 a month less than the three- and six-month plans. The tiers are honestly labeled and still lead a reader to pay more for locking in. Separately, its NAD+ and sermorelin therapy are marketed on the site and in its own meta description, but neither appears as a priced or purchasable product anywhere in its catalog.
- The "Best value" 12-month tirzepatide plan costs the same as the no-commitment founder rate.
- The three- and six-month tirzepatide plans cost more per month than paying month to month with the founder code.
- NAD+ and sermorelin are marketed but neither is priced or purchasable.
- No named clinician, medical director or license number anywhere.
None of this is unique to Open Water Rx — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board Open Water Rx sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- TrimiNames its two pharmacies outright — then headlines a price that needs a year upfront.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
128 more providers rank on our tirzepatide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Open Water Rx's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect Open Water Rx's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Open Water Rx's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Open Water Rx
2 compounds from $249/mo