Steady State Health vs Elara Health and Wellness
An in-depth comparison of two leading GLP-1 Providers
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Steady State Health
Best for: Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care
Visit Steady State Health →
Elara Health and Wellness
Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies
Visit Elara Health and Wellness →Steady State Health and Elara Health and Wellness are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Elara Health and Wellness starts at $117/mo, and Elara Health and Wellness edges ahead overall (8.2 vs 6.9 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
Steady State Health
Pricing not publicly listed.
Elara Health and Wellness
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What’s included
Steady State Health
What the monthly price covers
Medication
Billed separately
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
Elara Health and Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Included
Coaching
Included
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Steady State Health
6.9/10
Elara Health and Wellness
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Steady State Health | Elara Health and Wellness |
|---|---|---|
| Starting Price | — | $117/mo |
| Features | 6 features | 6 features |
| States Available | 2 | ✓51 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Steady State Health
Steady State Health is a women's-health telehealth practice run by nurse practitioner Josie Cowburn, DNP, FNP-C, serving Oregon and Washington. Its GLP-1 Metabolic Support program prescribes semaglutide or tirzepatide inside a perimenopause and menopause hormone-and-metabolic framework rather than as a standalone weight-loss drug. Clinical support starts at $139/month (or $99/month standalone); the GLP-1 medication is cash-pay and billed separately by the dispensing pharmacy.
Read our full Steady State Health review →About Elara Health and Wellness
Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.
Read our full Elara Health and Wellness review →Pros & Cons
Steady State Health
What we like
- 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
Watch-outs
- 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
Elara Health and Wellness
What we like
- Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
- Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
- Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
- Publishes the FDA compounded-medication disclaimer
- All 50 states plus DC, with explicit coverage language
- Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
- Self-service cancellation on monthly and quarterly plans
Watch-outs
- LegitScript certification status not disclosed
- No named medical director or physician leadership
- Annual plan requires a 12-month commitment; early-cancellation terms not detailed
- Governing law / arbitration venue not disclosed
- 503A patient-specific compounding only — no 503B option
Our Verdict
Elara Health and Wellness edges out Steady State Health with a higher overall score of 8.2/10 and is particularly strong for bundled-care GLP-1 with labs and coaching from four named pharmacies. Steady State Health remains a solid alternative, especially if you're looking for Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care.
Choose Steady State Health if…
You want Women in Oregon or Washington wanting GLP-1 within perimenopause and menopause care.
Choose Elara Health and Wellness if…
You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.
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Brightmeds
Compounded or brand GLP-1 bundled with TRT and peptides for men
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Listed for transparent disclosure — see FDA warning and BBB complaint pattern before considering
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Men seeking compounded GLP-1 alongside testosterone optimization
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Get started →Steady State Health vs Elara Health and Wellness: FAQ
Key terms, explained
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- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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