Takes 2–3 minutes · Provider review required
Know the cost before you start. Open Water Rx offers transparent pricing across weight loss, personalized dosing, longevity, and men's health programs. Compare all options on our program comparison page.
Find My ProgramTakes 2–3 minutes · Provider review required
Pricing depends on several factors
The prices below are starting prices. Your actual cost depends on the program selected, provider review outcome, specific formulation, plan length, and individual eligibility. Treatment is not guaranteed. Provider review is required for all programs.
Transparent Pricing
Open Water Rx is built around clear, upfront pricing. Review program costs before you begin, with no insurance required and no surprise charges hidden behind the intake.
Every program displays its starting cost before you begin the intake. Semaglutide programs start at $249 per month. Tirzepatide programs start at $339 per month. NAD+ and sexual health programs have their own transparent pricing. There are no hidden fees, no surprise charges after checkout, and no bait-and-switch pricing. What you see is what you pay.
We do not participate with any insurance plans, including Medicare and Medicaid. This is by design — it eliminates prior authorization delays, coverage disputes, formulary restrictions, and surprise out-of-network bills. You pay one clear price that covers the entire care cycle for that month. This cash-pay model means your provider's clinical judgment is never influenced by insurance company policies or reimbursement requirements.
The all-inclusive program price covers your licensed provider review, personalized prescription if clinically appropriate, medication preparation by a licensed compounding pharmacy, discreet shipping to your door, and ongoing follow-up care including async messaging and scheduled reviews. Optional services such as GLP-1 care coaching or additional lab panels are clearly priced and never required. You will never be charged for something you did not explicitly choose.
Weight Loss
Semaglutide
GLP-1 receptor agonist
Tirzepatide
Dual GIP + GLP-1 agonist
Oral GLP-1
Non-injection daily option
Personalized
Microdosing Program
Lower-dose GLP-1 for gradual support
12-Week Plan
Structured 12-week low-dose GLP-1 program
Longevity
NAD+ / Peptide Support
Peptide and metabolic support
NAD+ Longer Plan
Extended peptide program
B12 MIC
Metabolic injection support
B12 MIC Longer Plan
Extended metabolic support
Men's Health
Vial Options
10-pack vial program
Tablet / ODT
Dissolvable tablet packs
What's Included
Licensed provider review
Every case is reviewed by an independent, licensed medical provider.
Complete online intake
Answer health questions online in 2–3 minutes. No clinic visit needed.
Ongoing support
Access to support team and provider follow-up during your program.
Discreet shipping if prescribed
Medication ships in plain packaging from a licensed pharmacy if prescribed.
Clear plan details before treatment
You see your full plan and cost before starting. No surprise charges.
How Pricing Works
Open Water Rx pricing is structured around a simple principle: patients should know exactly what they will pay before they commit, with no surprise charges, no insurance battles, and no hidden fees. Every program price you see on this page is all-inclusive, covering the complete care pathway from initial evaluation through ongoing follow-up. The $249 per month starting price for semaglutide, for example, includes the independent licensed clinician review, the compounded medication if prescribed, discreet shipping if prescribed, and ongoing async provider support for as long as you remain in the program.
Open Water Rx pricing covers the complete care pathway: independent licensed clinician review, compounded medication if prescribed through licensed pharmacy partners, shipping if prescribed, and ongoing async provider support. Compounded semaglutide and tirzepatide are not FDA-approved finished drug products and are not interchangeable with any commercially approved product. Individual results vary.
Independent licensed clinician review and health evaluation assessment
Personalized prescription issued only when clinically appropriate
Compounded medication prepared by FDA-registered pharmacy if prescribed
Discreet shipping to your door at no additional charge if prescribed
Ongoing async provider follow-up with secure messaging access
30-day initial review followed by monthly then quarterly check-ins
Pricing FAQ
Is pricing the same for everyone?
No. Pricing depends on the program selected, provider review, formulation, plan length, and individual eligibility. The prices shown are starting prices. Your provider will confirm your actual plan and cost after reviewing your case.
Are there any hidden fees?
No. Open Water Rx offers transparent upfront pricing. The price you see is what you pay for the services included in your plan. There are no surprise charges, no insurance games, and no hidden administrative fees.
What if I am not prescribed medication?
If your provider determines that treatment is not clinically appropriate for you, no prescription is issued. You only pay for the plan you are enrolled in after provider approval if appropriate. We do not charge for medication that is not prescribed.
Do you accept insurance?
No. Open Water Rx does not accept insurance. Our pricing is designed to be transparent and affordable without the complexity of insurance billing, co-pays, or prior authorizations.
Can I switch programs after starting?
In many cases, yes. Your provider can discuss switching to a different program or formulation if your needs change. Any plan change requires a provider review to ensure clinical appropriateness.
Important: All treatments require provider review and are prescribed only if clinically appropriate. Results are not guaranteed. Open Water Rx does not manufacture or dispense medications. Compounded medications are not FDA-approved finished drug products. Individual eligibility, treatment, and results vary.
Payment Options
Open Water Rx operates on a self-pay model, meaning we do not bill insurance directly or accept insurance as a primary payment method. This decision was made intentionally to preserve the transparency and simplicity that defines our patient experience. By removing insurance from the equation, we eliminate prior authorization delays, coverage denials, in-network provider restrictions, and the surprise bills that frustrate millions of patients every year.
However, the majority of our patients are able to use pre-tax Health Savings Account (HSA) or Flexible Spending Account (FSA) funds to cover their Open Water Rx costs. Because our services involve licensed medical provider evaluation and prescribed treatment, they typically qualify as eligible medical expenses under IRS guidelines. We provide detailed itemized receipts and superbills that include all necessary provider credentials, service codes, and prescription information for reimbursement.
Health Savings Account funds can typically be used for Open Water Rx services and medications. We provide itemized receipts with provider credentials and service details for HSA reimbursement.
Flexible Spending Account funds are generally accepted for telehealth consultations and prescribed medications. Submit your itemized receipt to your FSA administrator for reimbursement.
No prior authorizations. No co-pays. No surprise bills. No in-network restrictions. Transparent pricing from day one, regardless of your insurance status.
Request an itemized receipt from your Open Water Rx patient portal after your provider approves your plan
Submit the receipt through your HSA/FSA administrator's online portal, mobile app, or mail-in claim form
Include your Explanation of Benefits if requested — we can provide a superbill with provider NPI and service codes
Most reimbursements process within 5 to 10 business days depending on your administrator's policies
Pricing FAQ
Detailed answers to the most common questions about cost, insurance, and payment options.
No. Pricing depends on the program selected, provider review, formulation, plan length, and individual eligibility. The prices shown are starting prices. Your provider will confirm your actual plan and cost after reviewing your case.
No. Open Water Rx offers transparent upfront pricing. The price you see is what you pay for the services included in your plan. There are no surprise charges, no insurance games, and no hidden administrative fees.
If your provider determines that treatment is not clinically appropriate for you, no prescription is issued. You only pay for the plan you are enrolled in after provider approval if appropriate. We do not charge for medication that is not prescribed.
No. Open Water Rx does not accept insurance. Our pricing is designed to be transparent and affordable without the complexity of insurance billing, co-pays, or prior authorizations.
In many cases, yes. Your provider can discuss switching to a different program or formulation if your needs change. Any plan change requires a provider review to ensure clinical appropriateness.
Yes. Discreet shipping to your door is included at no extra charge if medication is prescribed. Cold-chain packaging is used for refrigerated medications. Shipping timelines vary by program, pharmacy, and location.
Open Water Rx offers transparent, all-inclusive monthly plans. Each plan covers clinician review, compounded medication if prescribed through licensed pharmacy partners, shipping if prescribed, and ongoing support. Compounded medications are not FDA-approved finished drug products and are not interchangeable with brand-name products. They are prescribed only when an independent licensed provider determines there is a valid individual clinical reason, not simply as a lower-cost alternative.
Yes. Open Water Rx services and medications typically qualify for HSA or FSA reimbursement because they involve prescribed treatment from a licensed medical provider. We provide itemized receipts and superbills upon request.
Open Water Rx pricing is designed to be transparent and predictable. The semaglutide plan at $249 per month, for example, includes the independent licensed provider review, the compounded medication if prescribed through licensed pharmacy partners, discreet shipping if prescribed, and ongoing async provider follow-up. There are no per-visit charges, no separate pharmacy bills, and no surprise fees.
Open Water Rx consolidates all care costs into one transparent monthly price. There are no per-visit charges, no separate pharmacy bills, no co-pays, and no travel time. The pricing model was designed specifically to eliminate the financial uncertainty that prevents many patients from seeking care.
Because we do not accept insurance, we are not constrained by insurance formularies or prior authorization requirements. Your provider can recommend the medication they determine is clinically appropriate for you based on your individual health profile. The result is genuinely individualized care at a transparent price point.
Take 2–3 minutes to check your eligibility. Your provider will recommend the right program and confirm pricing based on your individual needs.
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