Head-to-head comparison
Steady State Health vs Tyde Wellness
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.
Desk Score
Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington.
Marked down on: Available only to Oregon and Washington residents
Desk Score
Compounded semaglutide from $149 a month and tirzepatide from $249, sold as a membership with nutrition coaching, a free consultation, and five named pharmacies — but no published dose ladder.
From $149/mo sema · From $249/mo tirz · Verified August 2026
Marked down on: No brand-name access
Tyde Wellness takes this head-to-head with the higher Desk Score, 90/100 (A−) against 53/100 (C) for Steady State Health. Steady State Health 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.
Steady State Health
53/100
C
Tyde Wellness
90/100
A−
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Steady State Health | Tyde Wellness |
|---|---|---|
| Semaglutide | Not listed on Steady State Health's site (checked July 2026) | From $149/moFrom $149/mo, billed as a recurring membership (monthly or every 4 weeks); no dose ladder published; compounded injectable |
| Tirzepatide | Not listed on Steady State Health's site (checked July 2026) | From $249/moFrom $249/mo, billed as a recurring membership (monthly or every 4 weeks); no dose ladder published; compounded injectable |
| Coverage | 2 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care. | Someone who wants coaching and a clinician visit bundled with the prescription, and who will confirm the real monthly figure on the consult before enrolling. |
| Desk Score | 53/100C | 90/100A− |
The verdict
Desk pick — Tyde WellnessTyde Wellness takes this head-to-head with the higher Desk Score, 90/100 (A−) against 53/100 (C) for Steady State Health. Steady State Health still holds its ground where its strengths line up with yours.
Choose Steady State Health if…
Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care.
2 states
Choose Tyde Wellness if…
Someone who wants coaching and a clinician visit bundled with the prescription, and who will confirm the real monthly figure on the consult before enrolling.
From $149/mo sema · From $249/mo tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Steady State Health · Tyde Wellness.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
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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.