Compounded semaglutide injections cost $169 for one month at Open Water Rx, no membership, and a price that holds from the first dose to the last. Tirzepatide injections are $219 and semaglutide tablets $199. Three- and six-month supplies cost a little less per month, but they're charged in full at checkout.
$169 buys one month of compounded semaglutide, no commitment
No membership fee on top
Clean FDA warning-letter record
Names 4 pharmacies, including Emerald Compounding Pharmacy (Tampa, FL) and Striker Pharmacy
What it is
Open Water Rx is a Tampa, Florida telehealth platform whose weight-loss shelf is all compounded GLP-1 medicine: semaglutide and tirzepatide injections, semaglutide and tirzepatide tablets, a lower-dose semaglutide protocol and a combined two-drug tablet. NAD+, sermorelin and erectile-dysfunction treatment sit alongside. The company, Open Water Rx LLC, also trades as Surfbound and Surfbound Health, and its weight-loss page says intake, provider review and treatment are handled through Surfbound Health, now its main consumer brand.
It's a platform, not a practice or a pharmacy. Independent providers, who need a license in whichever state you're in at the time of the consult, review a short online intake, usually within 24 to 72 hours and with no live call. Some states need a video visit before the first prescription (the site's list includes Alabama, Indiana, North Carolina, South Carolina and Wisconsin), and that visit carries no extra charge. Surfbound's pharmacy page names four partners: Emerald Compounding Pharmacy in Tampa, Striker Pharmacy in Katy, Texas, Foothills Professional Pharmacy in Tempe, Arizona, and EPIQ Scripts in Texas. Open Water Rx's own FAQ still says it doesn't disclose pharmacy partners publicly and that pharmacy details come with the shipment.
The footer's list of areas served names 28 states, among them California, Florida, New York, Texas and Washington, while the state-availability page speaks of “most U.S. states” and says which medications you can get depends on where you live. Insurance isn't accepted. HSA and FSA cards typically qualify, and itemized receipts are available on request.
A month of semaglutide injections is $169, tirzepatide injections $219 and semaglutide tablets $199. Those are totals. Provider review, the medication if prescribed, shipping, follow-up messaging and clinically indicated labs are all inside them, there's no membership, and a state-required video visit costs nothing extra.
Longer supplies are prepaid in full at checkout. Semaglutide is $495 for three months or $960 for six (about $165 and $160 a month), tirzepatide $645 or $1,260 ($215 and $210 a month), and the tablets $570 or $1,000. Six months up front saves $54 on either injection and $194 on the tablets, measured against six single months.
Your dose never moves the bill. The microdosing protocol is its own product and costs more than the standard injection: $180 for one month, $555 for three, $990 for six. Tirzepatide tablets run $319 a month and the combined semaglutide and tirzepatide tablet $365, even though the FAQ's quick answer puts oral options at $199.
Some older pages haven't caught up with the price list. The FAQ answers “Do prepaid plans save money?” with “No.” and describes month-to-month billing only, and the May 2026 terms say plans bill monthly and that only injections are offered. The pricing page, which sells tablets and three- and six-month totals, is where every product and term appears together.
Payment is taken at signup, before a provider looks at your intake, and comes back in full if nothing is prescribed. After the pharmacy receives an order, that month is nonrefundable. Open Water Rx's written policy sets a three-day cutoff (72 hours ahead of each charge, by email or phone). Surfbound's August 2026 policy drops the notice period: renewals stop from the patient portal, as long as the next order isn't already being prepared at the pharmacy.
Who it's wrong for
Want brand Wegovy or Zepbound? Every GLP-1 on Open Water Rx's price list is compounded, injections and tablets alike.
Skip it if you picked microdosing to save money. The lower-dose semaglutide protocol is $180 a month, $11 above the standard $169 injection.
Not for you if $960 or $1,260 up front for six months feels like a leap before you know how the drug agrees with you. Nothing is refunded once an order is in pharmacy processing.
Live in Alabama, North Carolina or Wisconsin? Your state is on the site's list where a video visit may come before the first prescription. It's free, though it adds a booking step that most states skip.
Choosing your own pharmacy isn't an option. Four partners are named, but which one fills an order is decided after the prescription and shown with the shipment.
The American checks
Prescriber licensed in your state
Stated
Pharmacy named
Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ) and EPIQ Scripts (Texas), named as partners on Surfbound Health's pharmacy page; the dispensing pharmacy for an order is set during fulfillment.
What you get
Compounded only: semaglutide and tirzepatide in injectable and tablet form, from licensed compounding pharmacies the site describes as operating “under Section 503A or 503B”. Brand-name pens and pills aren't offered.
Overseas fulfillment
None disclosed
Support hours
Patient Support at 855-597-1248, open weekdays from 9 AM to 5 PM Eastern; an office line at (941) 315-5217 and an email address on its contact page.
What each check means, and what “Not stated” covers, is on how we review.
Questions people ask about Open Water Rx
How much does Open Water Rx cost a month?Month to month, compounded semaglutide is $169 a month, oral semaglutide $199 and compounded tirzepatide $219.
Does Open Water Rx charge a membership fee?No. Open Water Rx bills compounded semaglutide at $169 a month with nothing added for a membership.
Does Open Water Rx sell compounded or brand-name GLP-1s?Compounded only: semaglutide and tirzepatide in injectable and tablet form, from licensed compounding pharmacies the site describes as operating “under Section 503A or 503B”. Brand-name pens and pills aren't offered.
Which pharmacy fills Open Water Rx prescriptions?Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ) and EPIQ Scripts (Texas), named as partners on Surfbound Health's pharmacy page; the dispensing pharmacy for an order is set during fulfillment.
Has Open Water Rx received an FDA warning letter?No. FDA's published warning-letter index holds no letter to Open Water Rx on a search of “Open Water Rx”, “openwaterrx”, “Open Water Rx LLC”, “OpenWaterRX”, “Surfbound”, “Surfbound Health”, “Emerald Compounding Pharmacy”, “Emerald Compounding Pharmacy LLC”, “Striker Pharmacy”, “Stryker”, “Foothills Professional Pharmacy”, “Foothills Professional Pharmacy, Ltd”, “EPIQ Scripts”, and the search is linked under Sources.
Does GLP America earn money from Open Water Rx?No. Open Water Rx pays us nothing, and its $169 month sits where that price puts it. The Collective card on this page comes from a partner, which pays us a commission, and it's labeled Partner.
On the record13 sourcing notes: every price with the page it came from, and what the company doesn't publish
Sources: Open Water Rx's public site: Open Water Rx's home page, Open Water Rx's pricing page, Open Water Rx's programs page, Open Water Rx's weight loss page, Open Water Rx's semaglutide vs tirzepatide page, Open Water Rx's personalized GLP-1 dosing page, Open Water Rx's FAQ page, Open Water Rx's about page, Open Water Rx's how it works page, Open Water Rx's contact page, Open Water Rx's terms of service page, Open Water Rx's terms and conditions page, Open Water Rx's cancellation policy page, Open Water Rx's state availability page, Open Water Rx's GLP-1 weight loss nationwide page, and the operator's Surfbound Health site: Surfbound's site, Surfbound's site, Surfbound's site, Surfbound's site. No separate shipping-policy page exists; shipping terms come from the FAQ and state-availability page. The intake at Surfbound's site was not opened, and no account, quiz or checkout was started.
The prices, from the plan cards on /pricing: “Semaglutide Injections Injectable 1 month $169 total 3 months $495 total 6 months $960 total”, “Tirzepatide Injections Injectable 1 month $219 total 3 months $645 total 6 months $1,260 total”, “Semaglutide Orals Oral tablets 1 month $199 total 3 months $570 total 6 months $1,000 total”, “Semaglutide Microdosing Microdosing protocol 1 month $180 total 3 months $555 total 6 months $990 total”, “Tirzepatide Orals Oral tablets 1 month $319 total 3 months $897 total 6 months $1,650 total” and “Semaglutide + Tirzepatide Combo Oral Combination oral 1 month $365 total 3 months $1,005 total 6 months $1,895 total”. The section lead: “Tirzepatide injections are $219 for 1 month, semaglutide injections are $169 for 1 month, and oral semaglutide is $199 for 1 month — with existing 3- and 6-month plans available and no separate membership fee. Provider review, medication if prescribed, and shipping if prescribed are included.” Home page tiles: “Semaglutide $169/mo” and “Tirzepatide $219/mo”. Surfbound's pricing page prints the same six rows ($169/$495/$960, $180/$555/$990, $219/$645/$1,260, $199/$570/$1,000, $319/$897/$1,650, $365/$1,005/$1,895). The per-month figures on the 3- and 6-month rungs ($165, $160, $215, $210, $190, $166.67) are our division of the seller's totals; the seller prints totals only.
How terms are billed, from Surfbound's pricing page: “Choose the one-month option to pay one month at a time. Optional three- and six-month supplies are prepaid in full; their total charge is different from paying monthly for the same period.” and “All plans are prepaid totals for the stated supply.” Pages that predate the term plans say otherwise: the Open Water Rx FAQ answers “Do prepaid plans save money?” with “No. Open Water Rx uses flat month-to-month pricing with no long-term prepayment required and no membership or separate provider fees.”, and the terms of service (“Last updated: May 14, 2026”) say “Subscription plans are billed on a recurring monthly basis.”
What the price includes, from /pricing: “The prices below are all-inclusive.” and, from the FAQ, “The all-inclusive price covers provider review, medication if prescribed, shipping if prescribed, and ongoing support at every dose level.” Labs: “Base labs when clinically indicated are included in your Open Water Rx plan.” Video visits: “If required, this is included in your program at no additional charge”. /weight-loss: “There are no separate consult fees or hidden charges.” No consultation or visit fee is disclosed anywhere.
Oral products: the FAQ says “Oral GLP-1 medications available through Open Water Rx are compounded formulations prepared by licensed compounding pharmacies” and “Oral GLP-1 options through Open Water Rx are $199/month.” The pricing page also lists tirzepatide tablets at $319 and a combination tablet at $365 for one month, which the FAQ's $199 answer does not mention. The terms of service still say “Open Water Rx facilitates only subcutaneous injection formulations; oral, sublingual, or other non-injectable compounded GLP-1 formulations are not offered through this platform.” Oral tirzepatide and the combination tablet have no drug category here and stay in notes and prose.
Microdosing: the pricing page sells “Semaglutide Microdosing” as its own product at $180, $555 and $990, while the FAQ's quick answer calls personalized dosing “Educational only — not a separate product.” It is kept off the semaglutide ladder because it is a different, dearer product than the standard $169 month, not a term of it.
Billing and refunds, from the Cancellation & Refund Policy (“Dated: May 2026”): “Cancellation requests must be received at least 72 hours before your billing date to avoid the next charge.” “Payment is collected at checkout before provider review. If your provider determines treatment is not clinically appropriate, you receive a full refund. Once medication for a billing cycle has been ordered by the pharmacy, refunds are not available.” “Damaged or incorrect medications are replaced, not refunded.” Medical disqualification brings “a full refund of any unused subscription charges.” The terms of service add “cancel at least 3 days before your renewal date” and “To request a refund, contact Open Water Rx's support email within 7 days of the charge.” Surfbound's Refund & Cancellation Policy (“Last updated: August 2026”): “You can cancel future monthly renewals at any time through your patient portal. There is no cancellation fee, no required notice period, and no long-term commitment.” and “Once an approved prescription or order enters pharmacy processing — including preparation, compounding, fulfillment, or shipment — that order is nonrefundable.”
Who does what, from the About page: “Open Water Rx is a telehealth platform, not a pharmacy or a medical practice. All medical services are provided by independent licensed medical providers, and medications are fulfilled by state-licensed compounding pharmacies.” State licensure, from /state-availability: “Providers must be licensed in the state where the patient is located at the time of the consultation.” Video visits, from /how-it-works: “States including but not limited to Alabama, Arkansas, Delaware, Idaho, Indiana, Iowa, Louisiana, Mississippi, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, West Virginia, and Wisconsin may require a synchronous video visit for the initial prescription.”
Pharmacies, from Surfbound's site: “Surfbound works with multiple independent licensed pharmacy partners, including Emerald Compounding Pharmacy (Tampa, FL), Striker Pharmacy (Katy, TX), Foothills Professional Pharmacy (Tempe, AZ), and EPIQ Scripts (Texas).” License lines on the same page: “Tampa, FL · Florida DOH #PH35337”, “Katy, TX · OK Non-Resident #99-10173”, “Tempe, AZ · FL Non-Resident #PH25881”, “Texas · TSBP Licensed”. The Open Water Rx footer lists “Emerald”, “Stryker”, “Foothills” and “EPIQ Scripts” under “Medications are dispensed through Surfbound Health's licensed pharmacy network, including:”. The Open Water Rx FAQ answers “What pharmacy does Open Water Rx use?” with “We do not publicly disclose specific pharmacy partners, as pharmacy relationships may change based on quality reviews, regulatory requirements, and supply considerations.” and “Pharmacy information will be included with your shipment documentation.”
Areas served: the footer heading “AREAS WE SERVE” lists 28 states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington and Wisconsin, then “View all states →”, which opens /state-availability: “Open Water Rx serves patients in most U.S. states through telehealth.” That page names no excluded state and adds “Some states, including Mississippi, impose additional restrictions on weight-loss treatment options.”
The operator: the terms of service name “Open Water Rx LLC ("Open Water Rx," "we," "us," or "our"), a Florida limited liability company”, and the contact page gives “Location: 5005 W Laurel Suite 100 PMB1026, Tampa, Florida 33607” and “Hours: Monday – Friday, 9 AM – 5 PM Eastern Time”. Every page carries “Open Water Rx LLC operates under the Surfbound and Surfbound Health trade names.” Surfbound's terms give “Mailing address: Open Water Rx LLC, 5005 W Laurel Street, Suite 100 PMB 1026, Tampa, FL 33607, USA.” The Open Water Rx terms choose Florida law and AAA consumer arbitration “in Lee County, Florida, or remotely”; Surfbound's terms choose JAMS arbitration with a 30-day written opt-out.
Shipping, from the FAQ: “Most patients receive their medication within 3 to 7 business days after their prescription is issued and processed by the pharmacy.” From /state-availability: “Shipping is included in your monthly plan price. There are no separate shipping fees or handling charges.” and “Cold-chain packaging is used for refrigerated medications.” Support, from the FAQ: “calling Patient Support at 855-597-1248 Monday through Friday 9 AM to 5 PM ET”; the cancellation policy prints “Mon–Fri, 9 AM – 5 PM ET”.
No FDA enforcement action on record: FDA's warning-letter search on “Open Water Rx”, “openwaterrx”, “Open Water Rx LLC”, “OpenWaterRX”, “Surfbound”, “Surfbound Health”, “Emerald Compounding Pharmacy”, “Emerald Compounding Pharmacy LLC”, “Striker Pharmacy”, “Stryker”, “Foothills Professional Pharmacy”, “Foothills Professional Pharmacy, Ltd”, “EPIQ Scripts”, returns no letter addressed to Open Water Rx, its operator, the named pharmacies or Open Water Rx. Search FDA's warning letters.
Sources
Open Water Rx's own pages
Open Water Rx's pricing pageCompounded semaglutide price
The companies whose month of compounded semaglutide is closest in price to Open Water Rx's, membership included. Picked by price alone; whether a company pays us plays no part.