Head-to-head · WeighScore
Open Water Rx vs TeleZen MD
The verdict
TeleZen MD takes it — 60.2/100 to 58.8/100, but only just.
TeleZen MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. TeleZen MD (telezenmd.com) is a 100% online U.S. 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.
The numbers
| Metric | Open Water Rx | TeleZen MD |
|---|---|---|
| WeighScore | 58.8/100 | 60.2/100 |
| Grade | C | C |
| Scorecard rank | #359 | #328 |
| Semaglutide | $249/mo (compounded) | $198/mo (compounded) |
| Tirzepatide | $339/mo (compounded) | $298/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #328 · C
Strengths
- Says it serves all 50 states — among the broadest claimed reach in the compounded segment
- Markets U.S.-based, FDA-registered pharmacies
- $100 off your first order with code WELCOME100
- Fully online U.S. telehealth model with physician evaluation
- Education-forward, physician-led positioning
Where it loses points
- Partner pharmacy not named
- Legal entity name and state of incorporation not disclosed
- Brand-name medications not addressed on the homepage
- LegitScript certification not confirmed
- All-50-states claim is the provider's own, not independently verified
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.