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Head-to-head · WeighScore

Steady State Health vs TideMedix

Steady State Health
Graded #452

Higher grade

vs+0.6000000000000014
TideMedix
Graded #458

Lower grade

The verdict

Steady State Health takes it — 54.9/100 to 54.3/100, but only just.

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. TideMedix 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.

Cost valueEven
45
45
Dose & formulationEven
40
40
Clinical oversightSteady State Health +4
78
74
Labs & monitoringEven
52
52
FulfillmentSteady State Health +2
65
63
Contract termsTideMedix +6
55
61
Steady State Health · left barTideMedix · right bar

The numbers

MetricSteady State HealthTideMedix
WeighScore54.9/10054.3/100
GradeCC
Scorecard rank#452#458
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
Coverage2 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only
Steady State Health

Graded #452 · 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
TideMedix

Graded #458 · C

Strengths

  • Offers both semaglutide and tirzepatide GLP-1 weight care
  • Treatment only after licensed-provider review when clinically appropriate
  • Fully online assessment — no in-person visit required
  • Published patient-care phone line: (833) 365-5589

Where it loses points

  • Pricing not published on the site — shown only during intake
  • Prescribing medical group and pharmacy partner not named publicly
  • LegitScript certification claimed via a self-hosted badge; not independently verifiable
  • Medication form (compounded vs brand) not stated on the site
  • Once shipped, all sales are final — no refunds on prescriptions

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.

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