Head-to-head · WeighScore
Open Water Rx vs TRT Kingdom
The verdict
Open Water Rx takes it — 58.8/100 to 57.5/100, 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. TRT Kingdom 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 | Open Water Rx | TRT Kingdom |
|---|---|---|
| WeighScore | 58.8/100 | 57.5/100 |
| Grade | C | C |
| Scorecard rank | #360 | #397 |
| Semaglutide | $249/mo (compounded) | Not disclosed |
| Tirzepatide | $339/mo (compounded) | Not disclosed |
| Coverage | Coverage not published | Coverage not published |
| 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 #397 · C
Strengths
- Compounded GLP-1 and dual GLP-1/GIP options offered
- Microdosing protocols available for men and women
- Prescribed by licensed physician, dispensed from US pharmacy
- CMO (Daniel Olivero) plus nurse practitioners on staff
- Clear disclosure that compounded meds are not FDA-approved
Where it loses points
- Weight loss is secondary to core TRT/hormone focus
- No pricing published online
- Specific compounding pharmacy not named
- State licensing list not published
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.