How Much Does GLP-1
Weight Loss Cost in California?

Through Open Water Rx, compounded semaglutide starts at $249/month. This price covers clinician review, compounded semaglutide if prescribed, shipping if prescribed, and ongoing async support. No separate medication charge.

Through Open Water Rx, compounded tirzepatide starts at $339/month. This price covers clinician review, compounded tirzepatide if prescribed, shipping if prescribed, and ongoing async support. No separate medication charge.

Retail Wegovy® costs approximately $1,300/month and Ozempic® approximately $900/month without insurance. Compounded semaglutide is prepared by independent, licensed compounding pharmacies using the base active pharmaceutical ingredient (API), which is significantly less expensive than the branded finished drug product. The cost difference reflects the absence of brand-name markup, not a difference in the active ingredient itself. Compounded semaglutide is not an approved finished drug product and is not the same as or interchangeable with any commercially approved product.

Most insurance plans do not cover GLP-1 medications prescribed solely for weight loss. Coverage for type 2 diabetes indications varies by plan. Open Water Rx does not accept insurance. Pricing is clear from the start: semaglutide starting at $249/month, tirzepatide starting at $339/month. No prior authorizations, no insurance battles.

Both plans include: clinician review by a licensed medical provider, compounded medication if prescribed, shipping if prescribed, and ongoing async support including secure patient messaging. No separate medication charge. Pricing is clear from the start with no hidden fees.

Yes. Some longer-term prepaid plans may lower the effective monthly rate compared to month-to-month pricing. Details are provided during the enrollment process. There is no obligation to commit to a longer plan.

No. There is no separate consultation fee, setup fee, or enrollment fee. The monthly plan price covers clinician review, medication if prescribed, and shipping if prescribed. If a prescription is not issued following your evaluation, a refund may be considered on a case-by-case basis at our discretion.

Open Water Rx pricing is competitive with or lower than major national GLP-1 telehealth platforms, with the added benefit of licensed medical providers, shipping included in the plan price if prescribed, and direct provider access. National platforms may charge separately for consultations, shipping, or medication. Always compare total all-in monthly cost.