Steady State Health review
If you live in Oregon or Washington, Steady State Health is about as personal as GLP-1 care gets: one nurse practitioner, Josie Cowburn, DNP, FNP-C, who pairs compounded semaglutide or tirzepatide with attention to midlife hormones, muscle, sleep and nutrition. The program costs a $149 monthly membership plus medication ordered through her pharmacy at about $110 to $150 a month, so most members pay $259 to $300 a month all-in, and a one-time $190 lab panel is available if you don't bring recent labs. The membership includes visits at least monthly, weekly live Zoom sessions and support from her medical assistant. It is cash pay only, and outside those two states you cannot get a prescription here. The practice does not publish its cancellation terms, so ask before you join.
- Six-factor Editors' Rating
- Source-based review
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
Steady State Health at a glance
- Semaglutide
- From $259/mo, all-in
- Tirzepatide
- From $259/mo, all-in
- Coverage
- Oregon and Washington only
- Brand-name
- Compounded only
How we scored Steady State Health
Each score comes out of Steady State Health's published pricing, disclosures and oversight, and the six combine into the 67/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.
Cost is unpredictable, premium, or hides behind a plan commitment.
Reasonable oversight, though some program details aren't fully public.
The headline rate obscures a plan requirement or a hidden step-up.
Little here is shaped around a mother's week or her life stage.
Standard support — enough to stay on track, not high-touch.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Primary source
- The company's own site
A one-clinician women's practice for Oregon and Washington that pairs compounded semaglutide or tirzepatide with monthly visits and weekly group Zooms. Expect about $259 to $300 a month all-in: a $149 membership plus medication billed separately.
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $259 | Membership plus medication, floorThe $149 monthly membership plus medication "starting @ $110 / month", ordered through the practice's pharmacy and billed separately. The practice says most members land around $259 to $300 a month all-in. The floor is not split by medication. |
| Compounded tirzepatide | $259 | Membership plus medication, floorThe same "starting at $259/month" floor is given for tirzepatide; the practice's own range for medication is about $110 to $150 a month on top of the $149 membership. |
Swipe the table to see plan details →
GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Steady State Health's public disclosures at last review and change often; confirm the current number on Steady State Health's own site.
What we like
- One named nurse practitioner who manages your care from start to finish
- Hormones, sleep, muscle and nutrition treated alongside the medication
- Weekly live Zoom sessions and a medical assistant between visits
- Clear published prices for the membership and the medication range
- Labs required before prescribing, with the option to bring your own
The caveats
- Oregon and Washington only; no GLP-1 prescriptions anywhere else
- The $149 membership does not include medication, which is billed separately
- Cash pay only for the GLP-1 program, with no insurance billing
- Visit cadence is described as both monthly and quarterly on the same page
- No cancellation terms are published for the membership
- A single-clinician practice, so availability depends on one schedule
Steady State Health for mothers: our verdict
Steady State Health costs about $259/month, more than most providers charge. Its strongest marks from us are for support as your dose changes; its weakest are for flexibility to pause or cancel.
Coaching comes with the program rather than as an add-on.
What you'll pay at Steady State Health
- Compounded semaglutide — Membership plus medication, floor: $259/mo
- Compounded tirzepatide — Membership plus medication, floor: $259/mo
For comparison, the typical price we see is about $196/month — Steady State Health sits above it. Over a year at that rate, you'd spend about $3,108.
What's included: the clinician consult and coaching. The medication and lab work are not included, so add those to the total.
What Steady State Health prescribes
Steady State Health prescribes semaglutide and tirzepatide. Semaglutide is the drug in Wegovy and Ozempic; tirzepatide, the drug in Zepbound and Mounjaro, also acts on GIP and is often preferred where insulin resistance drives weight. The medication is compounded by a licensed pharmacy rather than an FDA-approved brand pen — cheaper, but not reviewed by the FDA as a finished product.
Getting started
It doesn't treat patients everywhere (Oregon and Washington only), so check your state first.
How Steady State Health compares
Close in price to Steady State Health, and worth comparing:
- ElitePhysiq MD — $268.1/mo, semaglutide and tirzepatide
- Zappy Health — $249/mo, semaglutide and tirzepatide, same price at every dose, brand-name pens available
- SkinnyRx — $249/mo, semaglutide and tirzepatide, same price at every dose
Where Steady State Health fits — and where it doesn't — for mothers
Worth a look if…
- You may want to switch between semaglutide and tirzepatide later on.
- You want coaching alongside the prescription.
Probably not for you if…
- You specifically want an FDA-approved brand pen with its own pregnancy and breastfeeding labeling.
- You need a no-strings plan; the cancellation fine print here is worth reading before you sign up.
- Budget is tight — it costs more than most of the providers we've reviewed.
- You live outside its service area (Oregon and Washington only).
Safety and oversight
Before you start, ask which licensed pharmacy compounds your medication and what the formulation contains. Our methodology shows how oversight feeds the score.
Tell your own clinician if you are pregnant, breastfeeding or trying to conceive before starting treatment. Using medication for weight loss is not recommended while pregnant. Breastfeeding decisions require the specific product’s labeling and an individual assessment, rather than a blanket rule across every GLP-1 formulation.
Before you pay, ask
- How do I cancel, and is there a minimum term?
- Will I need lab work, and who pays for it?
- What happens to my plan if I become pregnant?
Our take
Steady State Health costs more than most, so it has to earn the difference — its strongest card is support as your dose changes. If you're still choosing, compare it with CoreAge Rx, a featured partner.
The bottom line for mothers
Best for: A perimenopausal or menopausal mom in Oregon or Washington who wants one clinician who looks at hormones and weight together, and who values a weekly group call.
Alternatives to Steady State Health
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
- Visit Willow
A women's-health company by contract, not just by campaign — it names its pharmacies, names its physicians, and prints both prices before the quiz. Then the dose ladder disappears behind the intake and the refund policy changes depending which of its own pages you read.
- Visit Sprout Health
Flat pricing across dose escalations is a genuine virtue, and it sits under a landing page advertising a first-month rate as if it were the price, two brand-name drugs you cannot buy, and no mention of pregnancy anywhere. The FDA letter is about exactly that habit.
Providers like Steady State Health
Keep comparing Steady State Health
Head-to-head & alternatives
Ranked boards
- The 2026 guide to the best GLP-1 for moms
- Best GLP-1 for women — PCOS & menopause
- Best GLP-1 for first-timers & beginners
- Cheapest GLP-1 without insurance
- Best GLP-1 after baby — postpartum providers ranked
- Best GLP-1 with insurance & coverage help
- Best GLP-1 providers for PCOS
- Best GLP-1 for perimenopause & menopause
- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
Steady State Health, answered
- What does Steady State Health cost each month?
- A $149 monthly membership plus medication ordered through the practice's pharmacy, which it puts at about $110 to $150 a month. That makes most members' all-in cost $259 to $300 a month. If you don't have recent labs, a metabolic lab panel is a one-time $190.
- Can I join if I don't live in Oregon or Washington?
- Not for a GLP-1 prescription. The practice is licensed only in those two states. Women elsewhere can join its cash-pay coaching, but that does not include prescriptions.
- Does insurance cover it?
- No. The GLP-1 program is cash pay only. The practice does bill insurance for separate visits for menopause, adhd and metabolic care in Oregon and Washington.
- How often will I see the clinician?
- The program page says at least monthly, plus weekly live Zoom sessions and help from her medical assistant between visits, though one card on the same page says at least quarterly. Ask which applies to you.
Pricing, states and verification reflect Steady State Health's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.