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Head-to-head · WeighScore

Open Water Rx vs Risen Labs

Open Water Rx
Graded #360

Higher grade

vs+1.5999999999999943
Risen Labs
Graded #403

Lower grade

The verdict

Open Water Rx takes it — 58.8/100 to 57.2/100, 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. Risen Labs 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 +3
48
45
Dose & formulationOpen Water Rx +48
88
40
Clinical oversightRisen Labs +25
54
79
Labs & monitoringRisen Labs +4
60
64
FulfillmentRisen Labs +26
42
68
Contract termsEven
55
55
Open Water Rx · left barRisen Labs · right bar

The numbers

MetricOpen Water RxRisen Labs
WeighScore58.8/10057.2/100
GradeCC
Scorecard rank#360#403
Semaglutide$249/mo (compounded)Not disclosed
Tirzepatide$339/mo (compounded)Not disclosed
CoverageCoverage not published2 states
Brand-name accessYesCompounded only
Oral / sublingualYesInjection only
Open Water Rx

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
Risen Labs

Graded #403 · C

Strengths

  • Names its compounding pharmacy (Olympia Pharmacy, a 503A compounding pharmacy) and legal entity (Risen Labs LLC)
  • Offers compounded semaglutide and tirzepatide as clinician-guided once-weekly injections
  • Focused clinical intake covering weight loss, men's health, and hormone protocols

Where it loses points

  • GLP-1 pricing is not published; it appears only after you complete the clinical intake
  • Available only to patients in New York and Colorado
  • Compounded semaglutide and tirzepatide are not FDA-approved finished products
  • No LegitScript certification is displayed on the site

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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