Provider review
Steady State Health review
Its own FAQ literally contains the unedited note '(not true, only in OR and WA)'
A single-provider women's-health practice charging $139 a month, prescribing GLP-1s inside a perimenopause model rather than as standalone weight loss. Its live FAQ still carries the drafting note "(not true, only in OR and WA)" in the patient-facing copy.
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On this page
The verdict
Steady State Health's founder is a real, active, dual-state-licensed nurse practitioner whose credentials precisely match the practice's own service-area claims, but its live FAQ literally contains an unedited note reading '(not true, only in OR and WA)' left in the published patient-facing copy, and two of its own FAQ answers directly conflict on whether medication is bundled into the program fee.
Steady State Health is not ranked on any of our rankings. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You're in Oregon or Washington and want GLP-1 care framed within a broader menopause and hormone-health model
- You want a real, NPI-verified nurse practitioner founder whose credentials match the stated service area exactly
- You want the flexibility to send your prescription to a pharmacy of your own choosing
Look elsewhere if
- You want internally consistent pricing language — two of its own FAQ answers directly conflict on whether medication is bundled
- You're on Medicare, Oregon Health Authority, or PacificSource Community Plan — all explicitly not accepted
- You want a named dispensing pharmacy disclosed before choosing one yourself
What it actually costs
What they advertise
$139/month program fee — though its own FAQ contains two conflicting answers about whether GLP-1 medication is included in that fee or billed separately by the pharmacy; a standalone $99/month GLP-1 support add-on also exists.
What you actually pay, month to month
$139/month program fee is confirmed; whether medication cost is bundled or separate is genuinely unclear from the site's own conflicting FAQ answers — confirm directly before assuming either.
The commitment trap
The site's own FAQ gives two different answers about whether the $139/month fee includes medication — read both carefully and confirm directly rather than assuming either is current.
Money you will meet later
- A separate $99/month GLP-1 support option exists as an add-on to an existing program
- Initial visit $200, follow-up visits $100, per a separate payment page
Checked live on Steady State Health's own site at https://steadystatehealth.org in August 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Steady State Health bundles in, and what it does not.
Clinician consult
Care from founder Josie Cowburn, DNP, FNP-C
confirmed active in both Washington and Oregon via the federal NPI registry.
Bloodwork / labs
Not published.
Follow-ups and dose changes
Ongoing monitoring included in the program fee.
Human support
Nothing published beyond named founder.
Injection supplies
Not published.
Shipping
Medication sent to a pharmacy of the patient's choosing.
Pharmacy, labs and oversight
The pharmacy
Not named anywhere — medication is described only as 'sent to your chosen pharmacy,' giving patients choice rather than a locked compounding arrangement.
Oversight
Ongoing monitoring included in the program fee.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
Oregon and Washington only for prescribing/medical services and repeatedly stated; cash-pay coaching is available more broadly.
The honest cons
The part they would rather you skipped
Steady State Health's own live FAQ page contains an unedited AI-drafting artifact: 'Cash-pay programs are available to women anywhere (not true, only in OR and WA)' — a literal self-correcting note never removed before publishing to a live medical FAQ.
- Live FAQ contains an unedited AI-drafting note reading '(not true, only in OR and WA)'
- Two FAQ answers directly conflict about whether medication is bundled into the program fee
- Medicare, Oregon Health Authority, and PacificSource Community Plan are all explicitly not accepted
- No dispensing pharmacy named anywhere
None of this is unique to Steady State Health — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are cataloged in our vendor red-flags guide.
How it compares
The providers we rank on our semaglutide provider ranking, in the order that ranking ranks them. Steady State Health is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- COCollectiveThe cheapest medication price here, on a membership the headline omits
- CoreAge RxOne price that does not move when your dose does
- BHBodybuilding Health+The deep peptide catalog is gone; the GLP-1 pricing got better
- RxSpan MDOral tablet only, at a real $179 monthly rate
- Enhance MDWrites a flat-price-at-every-dose policy down — and charges near the top for it
- Found HealthInsurance-integrated, unlike every cash-only compounder here — but $99 needs a prepay
- Direct MedsThe plainest price mechanics on either ranking, from a company with an FDA warning letter
- Synergy RxPublishes a starting number, and nothing about what it commits you to
13 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Steady State Health's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Steady State Health's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.