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Head-to-head · WeighScore

HealthOn vs Open Water Rx

HealthOn
Graded #349

Higher grade

vs+0.30000000000000426
Open Water Rx
Graded #359

Lower grade

The verdict

HealthOn takes it — 59.1/100 to 58.8/100, but only just.

HealthOn grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. HealthOn offers compounded semaglutide and tirzepatide starting at $155/month. Open Water Rx is close behind and may still be the better fit — see the factor split below.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueOpen Water Rx +2
46
48
Dose & formulationOpen Water Rx +24
64
88
Clinical oversightHealthOn +25
79
54
Labs & monitoringOpen Water Rx +8
52
60
FulfillmentHealthOn +20
62
42
Contract termsOpen Water Rx +8
47
55
HealthOn · left barOpen Water Rx · right bar

The numbers

MetricHealthOnOpen Water Rx
WeighScore59.1/10058.8/100
GradeCC
Scorecard rank#349#359
Semaglutide$189/mo (starting dose, 12-month plan, compounded)$249/mo (compounded)
Tirzepatide$290/mo (starting dose, 12-month plan, compounded)$339/mo (compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyYes
HealthOn

Graded #349 · C

Strengths

  • Both compounded semaglutide and tirzepatide available
  • Weight-loss pricing starts at $189/mo for compounded semaglutide

Where it loses points

  • No visible LegitScript certification or PCAB accreditation
  • State availability not publicly disclosed
  • Lowest advertised prices require a 12-month plan commitment
Open Water Rx

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.

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