Alternatives
Alternatives to Open Water Rx
Open Water Rx scores 78/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Open Water Rx at a glance
- Semaglutide
- $169/moAll doses, monthly compounded injection program
- Tirzepatide
- $219/moAll doses, monthly compounded injection program
- Coverage
- All 50 states
- Brand-name GLP-1s
- No, compounded only
- Oral option
- Yes
- Pricing verified
- October 2026
5 of the 8 programs below list semaglutide for less than Open Water Rx's $169 a month. 5 of the 8 list tirzepatide for less than its $219 a month.
Open Water Rx offers compounded injections at $169 monthly for semaglutide or $219 for tirzepatide, with clinical review, medication if prescribed, shipping and follow-up included. Enrollment uses its Surfbound Health brand.
Best for: Shoppers who want published monthly all-dose injection prices and separate oral options.
What Open Water Rx does well
- One-month injection plans have no dose-based price increase
- Clinical review, medication if prescribed, shipping and follow-up are included
- Oral semaglutide and tirzepatide have separate published prices
- States that care is available in all 50 states, subject to clinical review
Why readers look for an alternative
- Multi-month plans require prepayment; confirm the total before buying
- Cancel at least 72 hours before the next billing date
- The homepage says no charge before approval, while its cancellation policy describes payment at checkout and a refund if declined
- Ask which licensed pharmacy fills your prescription; no medical director is named
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $70/mo less for semaglutide · $70/mo less for tirzepatide · no oral option
- 02C79/ 100Index
LifeRx.md
LifeRx.md is a LegitScript-certified telehealth brand in all 50 states whose compounded GLP-1 program starts at $147 a month with no higher-dose upcharges and no membership fee, after a required video visit.
- Sema
- From $147/moSame price at every dose (one GLP-1 program price; the drug isn't named on the page)
- Tirz
- Not disclosed
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $22/mo less for semaglutide · no oral option
- 03C79/ 100Index
Zera Health
Zera Health is a cash-pay telehealth platform selling compounded semaglutide, tirzepatide, a lower-cost microdose tier, and an oral GLP-1 tablet option, dispensed through Strive Pharmacy (503A).
- Sema
- $179/moCompounded injection, monthly billing; $149 first month or on a prepaid quarterly plan
- Tirz
- $255/moCompounded injection, monthly billing; $199 first month, $215/mo on a prepaid quarterly plan
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $10/mo more for semaglutide · $36/mo more for tirzepatide
- 04C79/ 100Index
Somira Health
Somira Health offers compounded semaglutide at $139.99 a month and tirzepatide at $159.99 a month, or three-month subscriptions billed as $299.99 and $399.99.
- Sema
- $139.99/moMonth to month, all doses, compounded
- Tirz
- $159.99/moMonth to month, all doses, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Open Water Rx: $29.01/mo less for semaglutide · $59.01/mo less for tirzepatide · no oral option
- 05C79/ 100Index
Mondae
Mondae charges $87 for compounded semaglutide and $126 for tirzepatide every 28 days, with the medication, the supplies, unlimited clinician messaging and shipping inside the figure and no consultation or membership fee.
- Sema
- $87 every 28 daysMonth-to-month (13 charges a year; the advertised $75 is the three-month prepay)
- Tirz
- $126 every 28 daysMonth-to-month (the advertised $124 is the three-month prepay)
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $82/mo less for semaglutide · $93/mo less for tirzepatide · no oral option
- 06C78/ 100Index
Amble
Amble is a managed-services telehealth platform (by its own terms, not itself a medical facility or pharmacy) selling compounded semaglutide and tirzepatide at IDENTICAL prices on a commitment-length pricing table: $179/mo with no commitment.
- Sema
- $179/moAll doses, compounded
- Tirz
- $179/moAll doses, compounded
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $10/mo more for semaglutide · $40/mo less for tirzepatide · no oral option
- 07C78/ 100Index
Trillium Meds
Trillium Meds lets patients compare GLP-1 offers from named pharmacy partners before intake. One-month plans start at $159 for semaglutide and $199 for tirzepatide, with lower averages on prepaid supplies.
- Sema
- $159/moAll doses, compounded
- Tirz
- $199/moAny dose, compounded; pharmacy-specific plans
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Open Water Rx: $10/mo less for semaglutide · $20/mo less for tirzepatide · no oral option
- 08C78/ 100Index
Blue Haven RX
Blue Haven Rx connects patients with Wasef Health and Beluga Health clinicians. Its FAQ lists $179 semaglutide and $259 tirzepatide monthly, while lower homepage prices need plan and renewal confirmation.
- Sema
- $179/moFAQ standing rate, all doses, compounded; homepage $149 on 3-month start
- Tirz
- $259/moFAQ standing rate, all doses, compounded; homepage card $179
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Open Water Rx: $10/mo more for semaglutide · $40/mo more for tirzepatide · no oral option
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.