Head-to-head · WeighScore
Open Water Rx vs Trava Health
The verdict
Trava Health takes it — 68.6/100 to 58.8/100.
Trava Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Houston-based DTC telehealth offering compounded semaglutide+B12 and tirzepatide+B12 through SIX named 503A compounding pharmacy partners disclosed on Trava's own Terms + Telehealth Consent pages…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Open Water Rx | Trava Health |
|---|---|---|
| WeighScore | 58.8/100 | 68.6/100 |
| Grade | C | C |
| Scorecard rank | #360 | #144 |
| Semaglutide | $249/mo (compounded) | $119/mo (starting dose, compounded) |
| Tirzepatide | $339/mo (compounded) | $198/mo (starting dose, compounded) |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #144 · C
Strengths
- Six named compounding pharmacy partners disclosed in 3rd-party reviews
- Independent batch testing by Eagle Analytical (FDA-registered lab)
- Free overnight shipping included
- No membership fee — pay only for medication
- HSA/FSA eligible
Where it loses points
- No LegitScript accreditation badge surfaced
- BBB F rating with 2 unanswered complaints (BBB file opened 2025-07-07)
- Clinician roster page returns 404 — no public team listing
- Founder/CEO not publicly named on site
- Higher dose pricing gated behind questionnaire (not transparent on public page)
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.