Compounded semaglutide $249/mo · Tirzepatide $339/mo. Independent licensed clinicians review every case. Prescriptions issued only when clinically appropriate. No insurance required. Discreet. Delivered to your door.
No commitment required · Availability subject to clinician approval
Important Notice: Compounded semaglutide and tirzepatide are not FDA-approved drug products and have not been evaluated by the FDA for safety, efficacy, or quality. Prescribed only when a licensed medical provider determines there is a valid individual clinical reason. A valid patient-provider relationship (VPPPR) must be established before any prescription is issued. Open Water Rx does not manufacture, compound, or dispense medications. Individual results vary and are not guaranteed. Read full consent →
Direct Answer
GLP-1 weight loss therapy uses receptor agonist medications, semaglutide and tirzepatide, to reduce appetite, slow digestion, and produce significant, clinically-documented weight loss. Through Open Water Rx, eligible Florida patients complete a 5-minute online health evaluation, receive an independent licensed clinician review, and if approved, receive a prescription fulfilled by an FDA-registered compounding pharmacy shipped directly to their door. Semaglutide starts at $249/month and tirzepatide starts at $339/month. One monthly price covering clinician review, medication if prescribed, shipping if prescribed, and ongoing support. No insurance required. Discreet. Delivered to your door. No in-person visit in most cases. Now accepting patients statewide in Florida. Compounded medications are not FDA-approved.
15–22%
Average body weight lost in GLP-1 clinical trials
$249
Starting price for semaglutide, all-inclusive, no hidden fees
100%
Online, no in-person visit required in most cases
5 min
Health evaluation, available 24/7 from any device
*Clinical trial results represent averages. Individual results vary and are not guaranteed. Compounded medications are not FDA-approved products. Medical provider evaluation required.
The Science
GLP-1 (glucagon-like peptide-1) is a hormone naturally released after eating that signals fullness to your brain, slows gastric emptying, and regulates appetite at a neurological level. GLP-1 receptor agonist medications, semaglutide and tirzepatide, mimic this hormone pharmacologically, producing weight loss that no diet program or supplement has ever matched in clinical trials. For Florida residents, Open Water Rx makes clinician-guided GLP-1 therapy available entirely online, starting at $249/month for semaglutide and $339/month for tirzepatide, with prescriptions delivered to any Florida address if approved.
Neurological appetite suppression GLP-1 acts on hunger centers in the hypothalamus, reducing appetite at the source rather than through willpower.
Clinical-grade results 15–17% average weight loss with semaglutide (STEP 1, NEJM 2021) and up to 22.5% with tirzepatide (SURMOUNT-1, NEJM 2022).
Prescription-only Issued by an independent licensed medical provider only when clinically appropriate for the individual patient.
Compare Programs
Both are available statewide in Florida through Open Water Rx. Your licensed provider recommends the right option based on your health profile.
$249/month
$339/month
| Feature | Semaglutide | Tirzepatide |
|---|---|---|
| Active ingredient | Semaglutide | Tirzepatide |
| Mechanism | GLP-1 receptor agonist | Dual GIP + GLP-1 receptor agonist |
| Avg. weight loss (clinical trial) | 15–17% (STEP 1) | 20–22.5% (SURMOUNT-1) |
| Trial duration | 68 weeks | 72 weeks |
| Starting price | $249/mo | $339/mo |
| Provider supervised | Yes | Yes |
| Shipping included if prescribed | Yes | Yes |
| Insurance required | No | No |
| In-person visit required | No (most cases) | No (most cases) |
*Clinical trial results represent averages. Individual results vary and are not guaranteed. Compounded medications are not FDA-approved finished drug products. Medical provider evaluation required.
Simple Process
Entirely online. No waiting rooms. No insurance battles. Available to all Florida residents.
5-minute health questionnaire, available 24/7 from any Florida device or location. No appointment needed.
An independent licensed Florida medical provider reviews your evaluation. Prescriptions issued only when clinically appropriate.
Your provider issues a personalized prescription through a licensed, FDA-registered compounding pharmacy partner.
Medication ships directly to any Florida address if prescribed. Shipping included. Cold-chain packaging for refrigerated medications.
Florida Coverage
Open Water Rx serves all Florida cities and zip codes through telehealth. No in-person visit required in most cases.
+ all Florida cities, towns, and zip codes not listed above
Currently Serving: All of Florida
Fully operational across all Florida counties and zip codes. Begin intake online. Accepting new patients now.
100% Telehealth, No Clinic Visit
Complete your entire evaluation, get your provider review, and receive your prescription entirely online. Available on any device, 24/7.
Discreet Delivery to Any Florida Address
Medication ships directly to your home, office, or any Florida address if prescribed. Discreet packaging, no medical labels on the outside. Cold-chain packaging included for refrigerated medications.
Serving All 50 States
Open Water Rx accepts patients nationwide. Whether you're in Florida or any other state, we're ready to help.
Why Florida
Florida is the third most populous state in the United States, home to over 22 million residents spread across diverse regions from the Gulf Coast to the Atlantic seaboard. According to the Centers for Disease Control and Prevention, approximately 31.6 percent of Florida adults are classified as obese, placing the state among those with the highest obesity rates in the nation. The metabolic health challenges facing Floridians are compounded by lifestyle factors including sedentary work environments, abundant food culture, and for many regions, extreme heat and humidity that can make outdoor physical activity difficult for significant portions of the year.
In Southwest Florida, where Open Water Rx is headquartered in Cape Coral, the challenges are particularly acute. Lee County and Collier County have obesity rates that mirror or exceed state averages. The region's large retiree population faces age-related metabolic slowdown, while working-age residents often struggle with weight management amid busy schedules and limited access to specialized obesity medicine clinics. Traditional weight loss approaches — diet programs, gym memberships, and commercial weight loss services — often produce temporary results at best, with the vast majority of participants regaining lost weight within one to five years.
GLP-1 receptor agonist therapy represents a fundamentally different approach. Unlike behavioral interventions that rely on willpower to overcome biological hunger signals, GLP-1 medications work at the neurological level to reduce appetite, increase satiety, and slow gastric emptying — producing weight loss that is both more significant and more sustainable than what diet and exercise alone can achieve. Semaglutide produced 15 to 17 percent average body weight loss in the STEP 1 trial, and tirzepatide achieved up to 22.5 percent in SURMOUNT-1. These are not marginal improvements. They represent a transformation in what medical science can offer patients with obesity.
Open Water Rx makes this clinically-proven therapy accessible to all Florida residents through telehealth, eliminating the need to visit a weight loss clinic, find an in-person obesity medicine specialist, or navigate insurance prior authorizations. Whether you live in Cape Coral, Fort Myers, Naples, Tampa, Orlando, Jacksonville, Miami, or any other Florida community, you can complete your evaluation online, receive independent licensed provider review, and have prescribed medication delivered discreetly to your door. Semaglutide starts at $249 per month with no insurance required. Availability is subject to clinical approval and state-specific telehealth regulations.
Find Your Match
Answer 3 quick questions and we'll surface a personalised recommendation. Your licensed medical provider makes the final decision. This is just a starting point.
Both medications include provider review, prescription if approved, and shipping included if prescribed.
This quiz is for informational purposes only. Final medication selection is made by a licensed medical provider.
FAQ
GLP-1 (glucagon-like peptide-1) therapy uses receptor agonist medications that mimic a natural gut hormone, reducing appetite and slowing digestion to produce significant, clinically-documented weight loss. Open Water Rx offers GLP-1 telehealth programs statewide in Florida, from Cape Coral to Jacksonville to Miami, with no in-person visit required in most cases. Now accepting patients.
Semaglutide activates the GLP-1 receptor only, producing an average of 15–17% body weight loss in the STEP 1 clinical trial. It starts at $249/month. Tirzepatide activates both GIP and GLP-1 receptors. The dual mechanism produced an average of 22.5% body weight loss in the SURMOUNT-1 trial, the highest ever recorded in a pharmaceutical trial. It starts at $339/month. Your licensed medical provider will recommend the right option based on your health profile.
Through Open Water Rx: complete a 5-minute online health evaluation available 24/7, receive an independent licensed clinician review, and if a prescription is issued, your medication ships from an FDA-registered compounding pharmacy directly to your door. Shipping is included in the monthly price. Some states require a synchronous initial visit. Availability varies by state.
Yes. Open Water Rx is 100% self-pay. No insurance required. Semaglutide starts at $249/month and tirzepatide starts at $339/month. One monthly price covers clinician review, medication if prescribed, shipping if prescribed, and ongoing support. Retail pharmacy pricing for commercial GLP-1 products can exceed $1,000/month with insurance and $1,300+ without.
Compounded semaglutide and tirzepatide use the same active pharmaceutical ingredient (API) as FDA-approved products but are not FDA-approved as finished drug products and are not interchangeable with any FDA-approved product. They are prepared by licensed, FDA-registered compounding pharmacies for individual patients when a licensed medical provider determines there is a valid individual clinical reason, not simply as a lower-cost alternative. Open Water Rx does not manufacture, compound, or dispense medications.
Open Water Rx serves all Florida cities and zip codes through telehealth. This includes Cape Coral, Fort Myers, Naples, Bonita Springs, Sarasota, Tampa, St. Petersburg, Orlando, Jacksonville, Miami, Boca Raton, West Palm Beach, Gainesville, Tallahassee, and all surrounding areas. No in-person visit required in most cases.
Explore GLP-1 Programs
Semaglutide in Florida
The proven first-line GLP-1 with 15–17% average weight loss. Full page with science, FAQ, and dosing info.
Learn more →
Tirzepatide in Florida
Dual GIP/GLP-1 with up to 22.5% average weight loss. The highest efficacy GLP-1 option available.
Learn more →
Compare Both Options
Full side-by-side comparison: efficacy, cost, mechanism, side effects, and who each is best for.
Compare now →
Start Your Program
Begin enrollment today. 5-minute evaluation, licensed provider review, medication delivered if approved.
Start now →
Semaglutide $249/mo · Tirzepatide $339/mo. Begin intake online. No insurance. No clinic visit in most cases.
Start Your ProgramServing Cape Coral · Fort Myers · Tampa · Orlando · Jacksonville · Miami · All Florida
Your Privacy & Cookie Preferences
We use cookies and session recording to analyze site traffic and improve your experience. We never sell your data. Microsoft Clarity (heatmaps and session replay) is active to help us fix bugs and improve the site during our launch. You can opt out anytime by contacting us. Privacy Policy
Semaglutide $249/mo · Tirzepatide $339/mo · No insurance required · Shipping included if prescribed
GLP-1 $249/mo · No insurance
Free to start · No hidden fees