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WeighLab

Open Water Rx vs Coivas

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Open Water Rx

Provider comparison

Shoppers who want published monthly all-dose injection prices and separate oral options.

Semaglutide / month
$169/moAll doses, monthly compounded injection program
Tirzepatide / month
$219/moAll doses, monthly compounded injection program
Index 78/100 · Grade CChecked October 2026

Coivas

Provider comparison

Shoppers who want low published compounded prices with no membership fee and a cancel-any-time subscription.

Semaglutide / month
$119/moStarting price during a fall sale, compounded
Tirzepatide / month
$199/moStarting price, compounded
Index 77/100 · Grade CChecked October 2026

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The comparison in brief

Open Water Rx has the higher Cost-Efficiency Index: 78/100 versus 77/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Open Water Rx

Coivas

Semaglutide / month
Open Water Rx: $169/moAll doses, monthly compounded injection program
Coivas: $119/moStarting price during a fall sale, compounded
Tirzepatide / month
Open Water Rx: $219/moAll doses, monthly compounded injection program
Coivas: $199/moStarting price, compounded
Semaglutide / year (modeled)
Open Water Rx: $2,028
Coivas: $1,428
Tirzepatide / year (modeled)
Open Water Rx: $2,628
Coivas: $2,388
State availability
Open Water Rx: All 50 states
Coivas: All 50 states
Oral / sublingual option listed
Open Water Rx: Yes
Coivas: Not listed
Brand-name access listed
Open Water Rx: Not confirmed
Coivas: Not confirmed
Provider facts checked
Open Water Rx: October 2026
Coivas: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Open Water Rx

Shoppers who want published monthly all-dose injection prices and separate oral options.

Reasons to consider it

  • 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

What to weigh up

  • 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

Coivas

Shoppers who want low published compounded prices with no membership fee and a cancel-any-time subscription.

Reasons to consider it

  • Publishes its prices: semaglutide from $119 and tirzepatide from $199 a month, with no membership fee
  • Names its clinical provider group, Beluga Health
  • Says it serves all 50 states, and shows a LegitScript seal

What to weigh up

  • The semaglutide price is a "from" figure shown under a fall-sale banner, so confirm what month two costs at your dose before paying
  • No single named compounding pharmacy; it varies by location and medication
  • The money-back guarantee needs six straight months of paid enrollment and no weight loss at all

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Open Water RxCoivas
Normalized Cost/Month
Open Water Rx:
81/100
Coivas:
76/100
Price Transparency
Open Water Rx:
94/100
Coivas:
78/100
Nationwide Access
Open Water Rx:
86/100
Coivas:
86/100
Formulation Options
Open Water Rx:
77/100
Coivas:
66/100
Clinical Oversight
Open Water Rx:
59/100
Coivas:
85/100
Contract Flexibility
Open Water Rx:
55/100
Coivas:
71/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.