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New Tides Review

7.5
★★★★☆3.8/5

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.5/10

Best for: flat per-prescription compounded GLP-1 pricing with no subscription and no charge until a physician prescribes

New Tides scores highest on trust and safety in our breakdown.

Semaglutide

$200/mo

Tirzepatide

$250/mo
Same price at every dose

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

New Tides is a physician-led telehealth practice offering compounded semaglutide and tirzepatide in 45 states and DC. Semaglutide is $200 and tirzepatide is $250 per prescription, the same price at every dose, with the physician consult, medication and FedEx 2-day shipping included. There is no subscription: your card is charged only when a prescription is sent. It also offers peptide therapies such as BPC-157, sermorelin and NAD+.

By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CompoundedSemaglutideTirzepatideLegitScript VerifiedSame Price Every DoseNo subscriptionFree ShippingPeptide therapy

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New Tides logo
3.8 / 5
Our editorial rating
Visit New Tides →

from $200/mo · no insurance needed

New Tides at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$200/mo
Pricing model
Flat: dose increases don't raise the monthly price
What's included
Medication · Consult · Shipping
Availability
45 states + DC
FDA status
No FDA warning letter on record

How we scored New Tides

Each dimension is scored algorithmically from New Tides’s published pricing, drugs offered, verification status, and disclosed inclusions, using the same six-dimension framework we apply to every provider.

Value25%

7.0/10

At $200/mo, New Tides runs about 12% above the $179 median for GLP-1 providers (each program's lowest listed ongoing monthly price for compounded semaglutide). Pricing is flat across doses, so there is no escalation markup as you titrate up.

Effectiveness25%

7.9/10

New Tides offers both semaglutide and tirzepatide, the two GLP-1 molecules with the strongest published weight-loss trial outcomes.

User Experience15%

7.2/10

Online intake and platform experience (consult included in the price); 8 platform features disclosed.

Trust & Safety15%

8.6/10

Key details fully confirmed by our editors; no FDA warning letters on file; dispenses through an accredited compounding pharmacy.

Accessibility10%

8.1/10

New Tides is available in 45 states plus DC: all but Illinois, Massachusetts, New Mexico, Oregon, Virginia.

Support10%

5.7/10

New Tides provides standard clinician follow-up; no extended coaching or community program is disclosed.

6scored dimensions
651providers compared

Each checked against the provider’s own site.

Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

How we verified this New Tides review

Last checked November 2026
  • Confirmed current pricing across 2 dose/plan tiers
  • Confirmed availability in 45 states plus DC
  • Confirmed what the monthly price does and doesn't include
  • Checked the FDA warning-letter database for enforcement actions
  • Walked the public intake/checkout flow on the provider's site

Pricing, availability, and compliance facts come from the provider's own site and primary regulatory records. See the sources below. Editorial confidence in this data: high.

What we checked

Provider's own pricing page
$200–$250/mo across 2 dose/plan tiers (checked November 2026)
State pharmacy licensing & LegitScript status
LegitScript Verified
FDA warning-letter register
No letter on file for this provider

What to expect when you sign up with New Tides

We walked New Tides’s public signup flow in November 2026 to document the process (the steps, pricing transparency, and what’s required) before you commit. (We don’t create accounts, enter medical information, or check out; this is the observable funnel, not a prescribing outcome.)

  1. 1'Get started' or a plan's button opens a six-step intake whose first screen asks for your first name, email, state and date of birth
  2. 2New Tides says the health questions take under 3 minutes and screen out anyone a treatment isn't safe for before they pay anything
  3. 3You save a card during sign-up; New Tides says it is charged only when the physician sends a prescription
  4. 4A physician reviews your answers, with a live video visit first in states that require one, and the pharmacy ships FedEx 2-day
Price shown before you start
  • Both prices are on the homepage, the weight-loss page and the how-it-works page before you start, labeled the same at every dose
  • There is no subscription: each prescription is charged when it is sent, and stopping means no further prescription is sent
  • The site doesn't name its physician or its pharmacy
  • A page lists which states need a video visit for every encounter, for the first one only, or not at all
  • Peptides are described without prices; New Tides says pricing is confirmed before anything is dispensed

New Tides customer support

Hours
Monday to Friday, 8am to 8pm CT

GLP-1 medications New Tides offers

Tap any medication to read our plain-English guide: how it works, dosing, side effects, and what the trials found.

Pricing

Prices re-verified

Per prescription, month to month, no subscription, same price at every doseCompounded
$200/mo
semaglutide

$200 per prescription (listed as $200/mo); includes the physician consult, medication and FedEx 2-day shipping. Charged only when the physician sends a prescription.

Per prescription, month to month, no subscription, same price at every doseCompounded
$250/mo
tirzepatide

$250 per prescription (listed as $250/mo); includes the physician consult, medication and FedEx 2-day shipping. Charged only when the physician sends a prescription.

Ready to get started?

Plans and promotions change often, so check New Tides's current pricing and active discounts before you decide.

See New Tides pricing →

What we like

  • One price at every dose: semaglutide $200 and tirzepatide $250, with the consult, medication and 2-day shipping included
  • No subscription or membership: your card is charged only when the physician sends a prescription
  • You aren't charged if the physician decides treatment isn't right for you
  • LegitScript seal served from LegitScript's own site
  • A video visit with the physician is included if you want one, in any state
  • Phone and email support with posted hours, Monday to Friday, 8am to 8pm CT
  • Publishes the states it serves and which ones require a video visit

Watch-outs

  • It doesn't name the pharmacy that fills its prescriptions, only that it is a LegitScript-certified 503A pharmacy
  • The physician who leads care isn't named anywhere on the site
  • Serves 45 states and DC, so five states aren't covered yet
  • No refund once a prescription has gone to the pharmacy, even if it hasn't arrived
  • Its pages disagree on whether Missouri and Oklahoma patients need a live video visit
  • Peptide prices aren't published; the price is confirmed with you before anything is dispensed

Is New Tides worth it?

The short version of what New Tides offers is flat per-prescription compounded GLP-1 pricing with no subscription and no charge until a physician prescribes. It runs $200/month at every dose, squarely in the middle of what this category charges, so what you get for it matters more here than the number itself. Its flat, all-dose pricing helps anyone worried about cost climbing as they titrate up.

Beyond the medication itself, New Tides is LegitScript-certified. It also charges the same price at every dose and doesn't lock you into a subscription.

How much New Tides costs

Compounded semaglutide runs $200/month and compounded tirzepatide runs $250/month.

That's roughly in line with the ~$179/month median across the GLP-1 providers we track (each program's lowest listed ongoing monthly price for compounded semaglutide).

For a direct comparison, Belle Health runs semaglutide and tirzepatide from $199/month, so compare it with New Tides before you commit.

Medications: what New Tides prescribes

New Tides prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro), the pair backed by the largest published weight-loss trials. These are dispensed as compounded formulations from a licensed pharmacy, which is how the price stays below brand-name pens. Compounded drugs aren't FDA-approved as finished products, which is the standard trade-off across the compounded-GLP-1 market.

Who New Tides is best for, and who should skip it

A good fit if you…

  • want a straightforward telehealth GLP-1 program and are comfortable comparing it against the alternatives below.

Look elsewhere if you…

  • specifically want an FDA-approved brand-name pen instead of a compounded formulation, which this provider doesn't fill.
  • need to bill insurance, since like most of this market it's cash-pay with no claims filed on your behalf.

Trust, safety, and medical oversight

New Tides is available in 45 states, and we found no FDA warning letter on file for it. As with any compounded program, the most important step you can take is confirming which licensed pharmacy fills your prescription and what's in the formulation, and we explain how in our scoring methodology.

Bottom line

New Tides is a reasonable telehealth GLP-1 option; weigh its pricing and coverage against the alternatives below before deciding.

The Bottom Line

New Tides scores highest on trust and safety in our breakdown.

Score: 7.5/10Best for: flat per-prescription compounded GLP-1 pricing with no subscription and no charge until a physician prescribesFrom: $200/mo

Ready to start with New Tides?

From $200/mo. See current pricing and start your free consultation.

New Tides might not be your best fit if…

We rank editorially, so here’s where a different provider we track may serve you better.

  • If you want brand-name Ozempic, Wegovy, Mounjaro or Zepbound, consider altRX.
  • If the lowest possible monthly price is your top priority, consider YourEra (from $89/mo).
  • If you want built-in coaching and behavior-change support, consider Ro.

Head-to-head

Compare New Tides vs…

New Tides scores7.5/10

Side-by-side pricing, medications and scores. Pick a matchup.

Scores are our independent editorial ratings out of 10.

Frequently Asked Questions

New Tides is a physician-led telehealth practice offering compounded semaglutide and tirzepatide in 45 states and DC. Semaglutide is $200 and tirzepatide is $250 per prescription, the same price at every dose, with the physician consult, medication and FedEx 2-day shipping included. There is no subscription: your card is charged only when a prescription is sent. It also offers peptide therapies such as BPC-157, sermorelin and NAD+. We scored it 7.5/10 across our six-dimension editorial framework.
Yes. New Tides is a legitimate telehealth provider. Our editors independently verified its pricing and offering and scored it 7.5/10 across our six-dimension framework, and it discloses accredited (503A/503B/PCAB) compounding. As with any medication, consult a licensed clinician before starting.
New Tides starts at $200/month. The price is flat across doses, so it doesn't increase as you titrate up. See the pricing table above for every tier.
New Tides doesn't use public promo or coupon codes: its $200/month includes the medication and the clinician visits, with no insurance or coupons needed. Third-party sites advertising "New Tides discount codes" are typically fake; any current offer applies automatically through the link on this page.
New Tides is available in 45 states. Confirm your state is covered when you start your consultation.
New Tides offers semaglutide (the active drug in Wegovy/Ozempic) and tirzepatide (the active drug in Zepbound/Mounjaro). These are dispensed as compounded formulations.
New Tides dispenses compounded GLP-1s made by a licensed compounding pharmacy, with the same active ingredient as the brand drugs at a lower cash price. Compounded drugs are not FDA-approved as finished products; we cover what that means in the review.
New Tides is a cash-pay program. No insurance is required, which is why the monthly price is transparent up front.
New Tides's price includes medication, the clinician consult and shipping. See the "what's included" strip near the top of this review.
You complete an online intake, a licensed clinician looks at whether a GLP-1 fits your situation, and, if you're approved, your medication ships to your door. You can begin the consultation directly on New Tides's site.
We don't find any safety warnings on file (no FDA action). The concerns our review flags are mostly transparency-related: It doesn't name the pharmacy that fills its prescriptions, only that it is a LegitScript-certified 503A pharmacy; The physician who leads care isn't named anywhere on the site; Serves 45 states and DC, so five states aren't covered yet; No refund once a prescription has gone to the pharmacy, even if it hasn't arrived. None are safety issues, but they're worth weighing before you sign up.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Sources

The primary regulatory filings and peer-reviewed studies cited throughout this New Tides review:

Sources & methodology (as of November 2026)
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See New Tides's current pricing

Plans from $200/mo. Start your free consultation to check eligibility and today's price.