Head-to-head · WeighScore
Elevate Health vs Open Water Rx
The verdict
Open Water Rx takes it — 58.8/100 to 58.5/100, 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. Elevate 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 | Elevate Health | Open Water Rx |
|---|---|---|
| WeighScore | 58.5/100 | 58.8/100 |
| Grade | C | C |
| Scorecard rank | #371 | #360 |
| Semaglutide | $299/mo (compounded) | $249/mo (compounded) |
| Tirzepatide | $399/mo (compounded) | $339/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #371 · C
Strengths
- Compounded semaglutide ($299/mo, from $158/mo on 12-month) and tirzepatide ($399/mo, from $248/mo)
- Also offers brand-name Zepbound (tirzepatide) plus NAD+, B12, and glutathione add-ons
- All supplies included; Affirm/Klarna payment plans available
- Full refund if you are not approved
- 35,000+ patients served
Where it loses points
- Month-to-month pricing is high ($299 sema / $399 tirz); the low rates require a 12-month commitment
- Pharmacy partner and prescribing medical group not named
- States of operation not published
- Not LegitScript-certified (no certification displayed)
- No standalone Terms of Service page (only Privacy, HIPAA, and a safety-information page)
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.