Head-to-head · WeighScore
Always Wellness and Recovery vs Open Water Rx
The verdict
Open Water Rx takes it — 58.8/100 to 57.5/100, but only just.
Open Water Rx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Open Water Rx is a telehealth platform positioned around GLP-1 weight loss and longevity, per its own site. Always Wellness and Recovery 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 | Always Wellness and Recovery | Open Water Rx |
|---|---|---|
| WeighScore | 57.5/100 | 58.8/100 |
| Grade | C | C |
| Scorecard rank | #396 | #359 |
| Semaglutide | Not disclosed | $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 #396 · C
Strengths
- Compounded semaglutide and tirzepatide with personalized dosing, not one-size-fits-all
- No mandatory subscription — cancel anytime
- Every case reviewed by a board-certified US physician (medical director Dr. M. Reyes, MD)
- Unlimited HIPAA-secure messaging with the care team
- Lab work included where clinically indicated; free discreet shipping in 3-5 days
Where it loses points
- Pricing is not shown until you complete an application
- Compounded GLP-1s are not FDA-approved finished products
- No LegitScript certification visible and the compounding pharmacy is not named
- Cash-pay only — no insurance billing
Graded #359 · 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.