Compounded semaglutide
Open Water Rx review
A month of compounded semaglutide injections from Open Water Rx costs $169. That's the whole bill on its pricing page, and the price holds as your dose goes up. Your card is charged when you sign up, and the money comes back in full if the provider doesn't prescribe.
Is it right for you?
Worth a look if
- You're new to GLP-1 treatment and want the starting and maintenance doses to cost the same $169.
- You'd like provider check-ins built into the plan rather than booked separately.
- You prefer unmarked packaging, since Open Water Rx ships in plain boxes with nothing identifying the contents.
Skip it if
- You want the option to cancel close to the renewal date. Open Water Rx asks for 72 hours' notice.
- You need insurance to pay for part of it.
What's included
The pricing page lists semaglutide injections at $169 for one month, with longer 3- and 6-month plans beside it. Open Water Rx says the monthly rate covers the provider review, the compounded medication if prescribed, shipping and support. Its FAQ adds that nothing extra is charged when the provider increases your dose.
Behind the site is Open Water Rx LLC of Tampa, which also uses the Surfbound Health name. Independent licensed providers decide who gets a prescription. Licensed compounding pharmacies dispense it, and Open Water Rx says they use base semaglutide, not salt forms. Refrigerated orders travel in cold-chain packaging to any valid U.S. address.
From sign-up to refills
- Start the semaglutide intake. It asks about your health history, current medications, weight history and goals.
- Pay at signup. If the provider declines to prescribe, Open Water Rx refunds the payment in full.
- In most states the review is written only. Some states add a short live video visit, which costs nothing extra.
- Once prescribed, your semaglutide ships from the pharmacy with tracking. The whole process usually takes 5 to 10 days.
- Your provider checks in monthly by message until your dose settles, then every three months. Request refills 7 to 10 days before you run out.
What's good, what isn't
What's good
- Open Water Rx charges $169 a month for semaglutide injections at every dose, starter through maintenance.
- A 30-day provider review after your first prescription is part of the Open Water Rx plan, not an added visit.
- Open Water Rx says its pharmacies compound with base semaglutide rather than salt forms.
What isn't
- Payment is collected at Open Water Rx's checkout, ahead of the provider's decision.
- Under Open Water Rx's refund policy, a month's charge is final once the pharmacy has ordered that month's semaglutide.
- Open Water Rx lists Mississippi among states with extra limits on weight-loss treatment.
Read these terms first
- Your billing date
- Charges repeat on the calendar date you enrolled. Cancel at least 72 hours before it by email or phone, or the next month is billed.
- Refund timing
- Open Water Rx's terms ask you to request a refund within 7 days of a charge. Apart from a provider finding you medically unsuitable, the policy gives no refund when you cancel.
- State rules
- California and Massachusetts need extra provider disclosures first. Your state's requirements are confirmed during the intake.
Price
Open Water Rx costs $169 a month for compounded semaglutide.
How we got $169
The arithmeticOne month = 30.4375 days
Open Water Rx advertises
Read on Open Water Rx's own site
$169.00
The card is charged $169.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$169.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$54median $199$325+
104 cheaper · 27%263 dearer · 69%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Open Water Rx$169
Another 99 sellers are cheaper than Open Water Rx. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $219 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
Common questions about Open Water Rx
- Is Open Water Rx legit for semaglutide?
- Open Water Rx is a Tampa telehealth platform run by Open Water Rx LLC, which also trades as Surfbound. It connects you with independent licensed providers and doesn't dispense medication itself. Its compounded semaglutide isn't Wegovy or Ozempic and isn't FDA-approved, which its semaglutide page states.
- How much does Open Water Rx semaglutide cost per month?
- $169 a month for injections on the one-month plan. The provider review, the medication and shipping are part of that figure, and it doesn't change with your dose.
- Does Open Water Rx accept insurance?
- It doesn't. Open Water Rx is self-pay and won't file claims with an insurer.
- How do I cancel Open Water Rx?
- Email Open Water Rx or call Patient Support during weekday business hours. Do it 72 hours or more before your billing date. You keep access through the month already paid for.