Head-to-head · WeighScore
Royal Medical Center vs Steady State Health
The verdict
Steady State Health takes it — 54.9/100 to 49.4/100.
Steady State Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington.
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 | Royal Medical Center | Steady State Health |
|---|---|---|
| WeighScore | 49.4/100 | 54.9/100 |
| Grade | C | C |
| Scorecard rank | #492 | #451 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | $450/mo (2.5 mg dose, compounded) | Not disclosed |
| Coverage | Coverage not published | 2 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #492 · C
Strengths
- Physician founder Dr. Dagoberto Rodriguez, MD — Emory residency, former Coral Springs Medical Center chairman, U Miami faculty
- Tirzepatide pricing fully itemized by dose tier ($450 / $650 / $800 / $1,100) — more transparent than 'starting at' floors
- All-inclusive pricing bundles medication, supplies, injections, lab monitoring, and physician follow-ups
- Broad catalog (HRT, TRT, peptides, ED, hair, vitamins) reflects an established multi-program clinic
- Florida physician with 30+ years of practice — a strong physician-led care signal
Where it loses points
- Operating legal entity not disclosed — only the 'Royal Medical Center' brand surfaced
- Pharmacy partner not named — buyers can't verify licensure or 503A/503B status
- No LegitScript badge displayed
- States served not enumerated — site says 'nationwide' with no state list
- Headline 'starting at $116/mo' conflicts with the actual $450/mo tirzepatide floor
Graded #451 · C
Strengths
- Prescribes semaglutide or tirzepatide within a perimenopause and menopause hormone-and-metabolic care plan
- Care delivered by a named women's-health nurse practitioner (Josie Cowburn, DNP, FNP-C)
- Transparent flat program fee from $139/mo, with a $99/mo standalone GLP-1 support option
Where it loses points
- Available only to Oregon and Washington residents
- GLP-1 medication is billed separately by the pharmacy and not included in the program fee
- Dispensing pharmacy is not publicly named
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.