Compounded tirzepatide
Open Water Rx review
Open Water Rx lists compounded tirzepatide injections at $219 for a one-month plan, and its FAQ says that figure covers every dose from the first step to maintenance. Provider review and shipping are included. You pay at checkout, before the review, and get a full refund if the provider decides treatment isn't appropriate.
Who it suits
Good fit if
- You want one monthly figure that stays put as the provider raises your dose.
- You'd rather have your intake reviewed in writing than book a video call, which most states don't require here.
- You like scheduled check-ins, starting with a 30-day review after the first prescription.
Look elsewhere if
- You only want to pay once a prescription has been written.
- You live in Mississippi, where Open Water Rx says weight-loss options are more restricted.
What you get
The one-month tirzepatide plan is $219, billed on the same calendar date each month. Open Water Rx calls the price all-inclusive: licensed provider review, the medication if prescribed, shipping and ongoing support. Its FAQ says there are no separate consultation, dispensing or shipping fees. Base labs are included when the provider says they're clinically needed. Extra labs you ask for yourself may cost more.
Open Water Rx LLC is based in Tampa and also trades as Surfbound and Surfbound Health. It is a telehealth platform, not a pharmacy or a medical practice. Independent licensed providers make every prescribing decision. Its terms name four pharmacies in the Surfbound Health network, Emerald, Stryker, Foothills and EPIQ Scripts, and say the one used can vary by state and medication.
How it works
- Pick the tirzepatide injection plan and complete the online intake, which Open Water Rx says takes about five minutes.
- Pay at checkout. The charge is refunded in full if the provider finds treatment isn't clinically appropriate.
- An independent provider reviews your history, usually within 24 to 72 hours. A few states require a short video visit first, included at no extra cost.
- If you're prescribed, a licensed pharmacy ships the medication in cold-chain, unmarked packaging, typically 3 to 7 business days after the prescription.
- A 30-day review follows your first prescription. After that, written check-ins run monthly until your dose is steady, then quarterly.
Pros and cons
Pros
- Open Water Rx's FAQ says the $219 tirzepatide plan covers the full titration schedule at one monthly price.
- In most states the Open Water Rx review is written only, and a required video visit costs nothing extra.
- The Surfbound Health network pharmacies are named in Open Water Rx's own terms: Emerald, Stryker, Foothills and EPIQ Scripts.
Cons
- Open Water Rx takes payment at checkout, before an independent provider has looked at your intake.
- Once the pharmacy orders a month's medication, Open Water Rx's refund policy rules out a refund for that month.
- Missing the 72-hour cancellation window in Open Water Rx's policy means the next month is charged.
Check before you pay
- Cancel 72 hours ahead
- Send your cancellation by email, or call Patient Support, at least 72 hours before your billing date. Later requests take effect a cycle later.
- When a refund applies
- Refunds cover a provider decision that treatment isn't appropriate, or a later medical disqualification. The terms ask for refund requests within 7 days of the charge.
- Labs beyond the basics
- Clinically indicated base labs are in the plan price. Ask the provider about the cost of any additional lab work before it's ordered.
Price
Open Water Rx costs $219 a month for compounded tirzepatide.
How we got $219
The arithmeticOne month = 30.4375 days
Open Water Rx advertises
Read on Open Water Rx's own site
$219.00
The card is charged $219.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$219.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$86median $269$434+
92 cheaper · 25%267 dearer · 73%
The most expensive 10 sellers charge between $434 and $649 a month.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- Open Water Rx$219
Another 87 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.
- semaglutide — $169 a month
Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.
Open Water Rx questions
- Is Open Water Rx legit?
- Open Water Rx LLC is a Tampa, Florida telehealth company that also trades as Surfbound and Surfbound Health. Independent licensed providers make the prescribing decisions, and licensed pharmacies dispense. The tirzepatide is compounded, so it isn't Zepbound or Mounjaro, and Open Water Rx says so on its tirzepatide page.
- How much is Open Water Rx tirzepatide per month?
- $219 for the one-month injection plan, at any prescribed dose. Provider review, the medication and shipping are included, with no membership fee. Its compounded semaglutide injections are $169 a month.
- Does Open Water Rx take insurance?
- No. Open Water Rx is cash-pay and doesn't submit insurance claims.
- Can you cancel Open Water Rx?
- Yes, at any time, by email or by phone. Get the request in at least 72 hours before your billing date to stop the next charge. Service continues to the end of the month you've paid for.