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Head-to-head dispatch

Layla vs Open Water Rx

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #142Desk pick
Layla

Layla is a US telehealth weight-loss program built around semaglutide, offering compounded semaglutide as injections and as oral dropper drops, plus compounded tirzepatide and a brand-inclusive GLP-1…

Marked down on: Brand-inclusive GLP-1 program is expensive, starting around 1,299 dollars

vs
Dispatch #318
Open Water Rx

Open Water Rx is a telehealth platform positioned around GLP-1 weight loss and longevity, per its own site.

Marked down on: Limited public data — most details are gated behind signup or rendered only in JavaScript

Layla takes this head-to-head with the higher Desk Score, 70/100 (C) against 60/100 (C) for Open Water Rx. Open Water Rx still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Layla

70/100

C

Overall

Open Water Rx

60/100

C

Price transparency

94
86

State access

24
24

Molecule range

90
90

Onboarding speed

63
50

Support responsiveness

78
48

Licensing & trust

65
40

The spec sheet

FieldLaylaOpen Water Rx
Semaglutide$237/mo (all doses, compounded)$249/mo (compounded)
Tirzepatide$199/mo (all doses, compounded)$339/mo (compounded)
CoverageCoverage not publishedCoverage not published
Brand-nameYesYes
Oral optionYesYes
Best forPeople wanting oral or injectable semaglutide with a brand-inclusive glp-1 upgrade path.Readers who want transparency listing only — verify against vetted providers first.
Desk Score70/100C60/100C

The verdict

Desk pick — Layla

Layla takes this head-to-head with the higher Desk Score, 70/100 (C) against 60/100 (C) for Open Water Rx. Open Water Rx still holds its ground where its strengths line up with yours.

Choose Layla if…

People wanting oral or injectable semaglutide with a brand-inclusive glp-1 upgrade path.

$237/mo (all doses, compounded) sema · $199/mo (all doses, compounded) tirz · Coverage not published

Choose Open Water Rx if…

Readers who want transparency listing only — verify against vetted providers first.

$249/mo (compounded) sema · $339/mo (compounded) tirz · Coverage not published

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Layla · Open Water Rx.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.