Head-to-head · WeighScore
Ark Health vs Open Water Rx
The verdict
Open Water Rx takes it — 58.8/100 to 56.8/100, 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. Ark Health 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 | Ark Health | Open Water Rx |
|---|---|---|
| WeighScore | 56.8/100 | 58.8/100 |
| Grade | C | C |
| Scorecard rank | #406 | #360 |
| Semaglutide | $1,399/mo (brand Ozempic) | $249/mo (compounded) |
| Tirzepatide | $1,499/mo (brand Mounjaro) | $339/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Yes | Yes |
Graded #406 · C
Strengths
- Broadest menu in the directory — compounded sema/tirz injection, oral sema, brand Ozempic and Mounjaro, Sermorelin, MIC/B12
- Consistent pricing at all dosages — flat rate, no escalation as you titrate up
- Compounded oral semaglutide at $125/mo is competitive for a niche most providers don't offer
- Free expedited shipping included
- Phone support published (uncommon among DTC platforms)
Where it loses points
- States served not listed — can't confirm coverage in your state without contacting support
- LegitScript status not disclosed — no badge or verifiable ID
- FDA compounded-medication disclaimer not displayed
- Medical director / clinical lead not named — only generic 'certified healthcare providers'
- Pharmacy partner not named; 503A vs 503B unspecified
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.