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Head-to-head · Cost-Efficiency Index

Mevo Health vs Open Water Rx

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #376

Mevo Health

Cost-first shoppers who want a named physician-led provider network, if the quarterly/six-month prepay needed to hit the advertised floor price works for you.

Visit Mevo Health
VS
Grade C · #379

Open Water Rx

Cost-first shoppers who want all-inclusive compounded GLP-1 pricing from four named 503A pharmacies, if you qualify for the promo codes.

Visit Open Water Rx

The verdict

Too close to callGrade C vs C

Mevo Health and Open Water Rx tie on the Cost-Efficiency Index at 53/100, so neither wins outright on the numbers. For most shoppers we'd start with Mevo Health (ranked #376, a hair above #379) — Cost-first shoppers who want a named physician-led provider network, if the quarterly/six-month prepay needed to hit the advertised floor price works for you. But Open Water Rx is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Mevo Health.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

47
39

Price Transparency

78
78

Nationwide Access

24
24

Formulation Options

77
77

Clinical Oversight

68
54

Contract Flexibility

20
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecMevo HealthOpen Water Rx
Cost-Efficiency Index53/10053/100
Semaglutide / mo$199/mo (starting dose, compounded)$199/mo (promotional rate, plus a separate fee, compounded)
Tirzepatide / mo$259/mo (starting dose, quarterly plan, compounded)$339/mo (compounded)
Semaglutide / yr (modeled)$2,388$2,388
Tirzepatide / yr (modeled)$3,108$4,068
CoverageCoverage not publishedCoverage not published
Oral / sublingualYesYes
Brand-name accessCompounded onlyCompounded only
Rank here#376#379

Mevo Health

53/100

Where the value is

  • Named, board-certified Medical Director (Dr. David Wasef) heading a stated provider network
  • LegitScript verification badge displayed
  • Publishes the FDA compounded-medication disclaimer verbatim

The tradeoffs

  • The advertised 'as low as $199' / 'as low as $259' floors sit next to monthly/quarterly/six-month plan options with no page clarifying which term unlocks the low price
  • No pharmacy partner named — only unlabeled '503A U.S. compounding pharmacy' logos, not independently re-confirmed here
Visit Mevo Health

Full Mevo Health review →

Open Water Rx

53/100

Where the value is

  • Names four specific 503A compounding pharmacies (RedRock, HealthWarehouse, Precision Compounding, Triad Rx) — most competitors disclose zero
  • Pricing is genuinely all-inclusive — clinician review, medication, and shipping bundled with no separate visit fee
  • LegitScript certification seals displayed

The tradeoffs

  • The lower, more prominent $159/$219 figures depend on promo codes (SEMASUMMER, FOUNDER) stacked on top of stated $199/$339 standing prices — unclear whether these codes are permanent
  • A '12-Week Plan' at $169/month strongly implies a multi-month prepay requirement, but the page never states the actual upfront total
Visit Open Water Rx

Full Open Water Rx review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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