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Steady State Health review

By Gut Metabolic EditorialUpdated

60/100

Price transparency

What is disclosed before intake, not a clinical rating.

Steady State Health offers a telehealth GLP-1 program for patients in Oregon and Washington, with a focus on metabolic care during perimenopause and menopause. Its current page is clearest when separating a $149 monthly membership from pharmacy medication starting around $110 monthly. Other sections give different package amounts and visit frequencies, so an individualized written agreement matters. The service may suit someone seeking continuing clinical and lifestyle support, provided the actual medication, visits, laboratory costs and cancellation terms are settled before enrollment.

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Steady State Health does not pay us. We review it so you can compare it with the programs that do. Disclosure

Public prices describe specific visits, offers or commitments. They do not establish one unconditional ongoing monthly medication total.

On this page

Steady State Health at a glance

Price visibility
Qualified public offers
Pharmacy information
Not publicly named
Where it operates
Available only in Oregon and Washington for online GLP-1 care

The verdict

Public prices describe specific visits, offers or commitments. They do not establish one unconditional ongoing monthly medication total.

The score beside Steady State Health's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.

Considering Steady State Health?

Confirm the plan, billing terms and availability before you begin.

What do you get with Steady State Health?

  • A standalone GLP-1 program rather than a requirement to buy a broader hormone-care package. The current page limits access to Oregon and Washington and offers a free introductory call for prospective patients.
  • Clinical evaluation and medication management with Josie Cowburn, whose professional title is displayed on the official page, supported by a medical assistant. Confirm the actual treating professional and follow-up format during the introductory conversation.
  • Nutrition, movement and midlife metabolic guidance, plus weekly live video discussions and supplement-list discounts described within the membership. Supplement purchases are not automatically included, and no specific health or weight outcome is established by those resources.
  • Medication ordered through a separate pharmacy, with recent metabolic laboratory results required or an optional $190 panel offered. The reviewed page does not identify one named dispensing pharmacy or establish the exact preparation for every patient.

How does Steady State Health work?

  1. Resolve the competing price descriptions

    The main pricing section gives a $149 membership and medication starting at $110, with an approximate combined starting cost of $259. The FAQ also mentions $249 standalone support and calls a $259 amount inclusive in one answer. Ask which current offer applies and request separate clinical, medication and laboratory amounts. Do not treat conflicting package descriptions as an agreed complete price.

  2. Confirm the visit schedule

    Different sections describe at least quarterly visits, monthly visits and weekly group video sessions. Those are different kinds of access, not interchangeable appointment counts. Ask how often you will have an individual clinical review, whether additional appointments cost more and how to contact the provider between visits. A group question session should not be assumed to replace private medical assessment.

  3. Review the proposed prescription and testing

    The page discusses semaglutide and tirzepatide but does not establish a complete molecule-specific pharmacy quote or universal formulation. Ask whether the proposed medicine is compounded or branded, its added ingredients, supplied quantity and actual dispenser. Bring recent laboratory results for review and ask whether the $190 optional panel meets all requirements or whether additional tests may be needed.

  4. Obtain the enrollment and exit agreement

    The linked Terms of Service page covers text messaging rather than a complete treatment subscription. A full billing, cancellation and refund schedule was not established there. Ask about automatic renewal, notice deadlines, appointment cancellations and the effect of medication processing. Retain a written agreement before paying instead of assuming a free introductory call creates a refundable treatment trial.

How much does Steady State Health cost?

Semaglutide

Membership $149/month plus medication starting around $110/month; page also gives conflicting $249/$259 program descriptions; ongoing month-to-month total not established.

Tirzepatide

Tirzepatide discussed without a complete molecule-specific medication quote; membership and pharmacy charges separate; ongoing month-to-month total not established.

Where it operates

Available only in Oregon and Washington for online GLP-1 care

The current program page mainly separates $149 monthly membership from medication starting around $110 monthly, with an optional one-time $190 laboratory panel. However, other answers describe different standalone prices and inclusions. A complete current semaglutide or tirzepatide order therefore needs confirmation, so the ongoing cost depends on the selected dose and package. Compare the actual combined clinical and pharmacy expense, including required tests, rather than the membership alone.

  • The membership excludes medication in the clearest pricing and FAQ statements. A separate answer describes a bundled amount, so obtain the selected written quote.
  • The page says recent metabolic laboratory information is needed. Existing results may be reviewed, while the optional panel costs $190; additional requirements remain an individual clinical question.
  • The linked terms cover messaging opt-in and opt-out. Replying to stop text messages is not established as the method for ending a treatment membership or pharmacy order.
  • The page includes insurance-based care descriptions alongside statements that the GLP-1 program is cash pay. Ask which visits, if any, can be billed to insurance and which payments remain your responsibility.

Considering Steady State Health?

Confirm the plan, billing terms and availability before you begin.

Who is Steady State Health best for?

A good fit if

  • Eligible Oregon and Washington patients seeking midlife metabolic care
  • People who value nutrition and activity support alongside prescribing
  • Patients comfortable confirming an individualized combined quote

Look elsewhere if

  • Anyone outside the stated two-state service area
  • Shoppers needing one consistent public package price
  • People expecting messaging opt-out to cancel treatment payments

Considering Steady State Health?

Confirm the plan, billing terms and availability before you begin.

What are Steady State Health's pros and cons?

Pros

  • The page explicitly identifies the two-state service area
  • Membership and pharmacy costs are described separately
  • An introductory call is offered before choosing care

Cons

  • Public price and inclusion descriptions conflict
  • Visit-frequency descriptions differ across sections
  • A complete treatment cancellation policy was not established

The pharmacy behind the medicine

It does not name its pharmacy. Steady State Health does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.

A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.

What else do people ask about Steady State Health?

Where is the program available?

The current GLP-1 page states Oregon and Washington. Confirm that you can receive the selected treatment while physically located in the relevant state. This limited-state online program should be assessed on its actual access rather than assumed to offer nationwide treatment.

Does $149 include medication?

The main pricing section and a direct FAQ answer say no: medication is ordered separately through a pharmacy. Other answers use different bundled amounts. Request a written quote separating membership, medication, tests and any visit fees so that the selected agreement resolves the conflicting page descriptions.

What would my medication cost?

The page gives a general starting figure around $110 monthly and elsewhere a range around $110–$150, without a complete quote for each molecule and preparation. Ask the prescriber and pharmacy for your actual supply and price. A general medication estimate should not be assigned to every tirzepatide prescription.

How often are individual visits included?

The page refers to both quarterly and monthly provider visits, while separately describing weekly live group sessions. Ask for the exact individual appointment schedule and how additional reviews are handled. Private clinical follow-up and group education have different purposes and should be compared separately.

Do I need new laboratory testing?

Recent metabolic results are required for review, and the page offers a $190 panel if needed. Ask whether existing results are sufficient and whether any further testing is expected. The clinician determines the necessary information; purchasing a panel does not guarantee a prescription or a particular treatment.

How do I cancel membership?

A complete current treatment cancellation and refund schedule was not established in the reviewed pages. The linked terms concern text messaging. Obtain the actual subscription agreement, notice deadline and refund cutoffs before enrollment, and request confirmation of future billing cancellation independently of any clinical treatment change.

Sources for this review

Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.

How it compares

Steady State Health ranks 235 of 293 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.

Because Steady State Health shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking.

  • Compounded semaglutide displayed at $299 paid quarterly, advertised near $100/month equivalent; separate-fee language needs clarification; ongoing month-to-month total not established.Show the full pricing note
  • Compounded semaglutide advertised from $59/month on a twelve-month plan; complete upfront payment and ordinary renewal quote require confirmation; ongoing month-to-month total not established.Show the full pricing note
  • Semaglutide/B12/glycine injections advertised from $100/mo; pharmacy collects the actual order payment; ongoing month-to-month total not established.Show the full pricing note
  • Semaglutide displayed $190/one month or $399/three months; lower longer-plan equivalents require selected total and formulation confirmation; ongoing month-to-month total not established.Show the full pricing note
  • Compounded semaglutide $139 monthly or $267 upfront for three months ($89/month equivalent); full continuing supply agreement needed; ongoing month-to-month total not established.Show the full pricing note

Read this before you start

Prices change — confirm on Steady State Health's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.