Head-to-head · WeighScore
Alegro Health vs Open Water Rx
The verdict
Alegro Health takes it — 58.9/100 to 58.8/100, but only just.
Alegro Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Alegro Health is a HIPAA telehealth practice based in McKinney, Texas that offers a low-cost compounded semaglutide weight-loss starter. Open Water Rx is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Alegro Health | Open Water Rx |
|---|---|---|
| WeighScore | 58.9/100 | 58.8/100 |
| Grade | C | C |
| Scorecard rank | #352 | #360 |
| Semaglutide | $199/mo (starting dose, compounded) | $249/mo (compounded) |
| Tirzepatide | Not disclosed | $339/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #352 · C
Strengths
- Low-cost entry point: 199 dollars for a full 8-week semaglutide starter with B12
- Direct shipping with no recurring monthly fees
- Operates from a physical Texas medical practice with a published phone number
Where it loses points
- Semaglutide only; no tirzepatide offered
- Available in select states only, which are not enumerated
- Thin public information and compounding pharmacy not named on the site
Graded #360 · C
Strengths
- Combines weight-loss and longevity verticals in one brand
- Established brand domain
Where it loses points
- Limited public data — most details are gated behind signup or rendered only in JavaScript
- Pricing not disclosed
- GLP-1 options (semaglutide vs. tirzepatide, compounded vs. brand, injection vs. oral) not stated
- States-served list not disclosed
- Pharmacy partner not named
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.