Steady State Health Review
GLP-1 weight-loss telehealth · Independently scored 6.9/10
Best for: GLP-1 within perimenopause and menopause care
Steady State Health scores highest on the strength of its clinical program — drug options and dosing support.
What the plan covers
Medication
Billed separately
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
No insurance needed · Vetted by our editors
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.
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Vetted alternatives to Steady State Health
Direct Meds
Best for: listed for disclosure only — see its FDA warning and BBB complaints first
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Maximus
Best for: men seeking compounded GLP-1 alongside testosterone optimization
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Steady State Health at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- What's included
- Consult
- Availability
- 2 states
- FDA status
- No FDA warning letter on record
How we scored Steady State Health
Each dimension is scored algorithmically from Steady State Health’s real pricing, drugs offered, verification status, and disclosed inclusions — using the same six-dimension framework we apply to every provider.
Value25%
6.1/10Steady State Health does not post a standard monthly cash price up front, so cost transparency is limited — confirm the ongoing rate before you commit.
Effectiveness25%
7.9/10Steady State Health offers both semaglutide and tirzepatide — the two GLP-1 molecules with the strongest published weight-loss trial outcomes.
User Experience15%
7.2/10Online intake and platform experience — consult included in the price; 6 platform features disclosed.
Trust & Safety15%
7.9/10Key details fully confirmed by our editors; no FDA warning letters on file (last checked 2026-08-16).
Accessibility10%
5.4/10Steady State Health operates in a limited 2-state footprint — check availability first.
Support10%
5.7/10Steady State Health provides standard clinician follow-up; no extended coaching or community program is disclosed.
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 Steady State Health review
Last checked August 2026- Confirmed availability in 2 states
- 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.
GLP-1 medications Steady State Health offers
Tap any medication to read our plain-English guide — how it works, dosing, side effects, and what the trials found.
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
Is Steady State Health worth it? Our verdict
Steady State Health positions itself around one thing: GLP-1 within perimenopause and menopause care.
Beyond the core GLP-1 program, Steady State Health leans on Menopause-focused, Cash-pay, and OR & WA only.
How much Steady State Health actually costs
Steady State Health doesn't post a standard monthly cash price publicly. Start a consultation to get an exact quote, and confirm the ongoing rate — not just any first-month offer — before you commit.
Medications: what Steady State Health prescribes
Steady State Health prescribes semaglutide (the active drug in Wegovy and Ozempic) and tirzepatide (the active drug in Zepbound and Mounjaro) — the two molecules with the strongest published weight-loss trial outcomes.
Who Steady State Health is best for — and who should skip it
A good fit if you…
- want a straightforward telehealth GLP-1 program.
Look elsewhere if you…
- specifically want an FDA-approved brand-name pen.
- need to bill insurance — like most of this market, it's cash-pay.
Trust, safety, and medical oversight
Steady State Health is available in 2 states. We found no FDA warning letters on file for the provider. We explain how we weigh medical oversight and compliance in our scoring methodology.
Bottom line
Steady State Health could be worth a look, but it doesn't publish a standard price up front — get a quote and confirm the ongoing rate before deciding, and compare it against the alternatives below. If you're comparison-shopping, Sunlight is one of the closest alternatives we track — worth a look before deciding.
The Bottom Line
Steady State Health scores highest on the strength of its clinical program — drug options and dosing support.
Ready to start with Steady State Health?
See current pricing and start your free consultation.
Steady State Health 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 GobyMeds.
- If you want built-in coaching and behavior-change support, consider Found.
- If you live outside its coverage area and need nationwide access, consider Direct Meds.
Frequently Asked Questions
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- 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
Sources
The primary regulatory filings and peer-reviewed studies cited throughout this Steady State Health review:
Sources & methodology — as of August 2026
- 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
See Steady State Health's current pricing
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