Physician-led careLicensed US pharmacyOne all-in priceFree shippingCancel anytime

How New Tides works

Real medical care, built around your goal.

New Tides connects you with licensed providers who design a plan for you. If a compounded medication is right for you, your provider prescribes it and a licensed pharmacy prepares and ships it. You're never buying off a shelf — every prescription begins with a clinical decision.

Start your evaluation →
  1. Evaluate

    Share your goals and health history through a guided intake, then submit your assessment. What happens next depends on the state you live in. In some states a licensed physician reviews your health history and prescribes without a visit; in others, you meet your physician by video first. Either way, if treatment is appropriate they send a prescription to our partner pharmacy, which prepares and ships it to your door — and if it is not appropriate, they will tell you and explain why. If you would like a video visit even when your state does not require one, you can request it — it is included in your plan. Check what my state requires →

  2. Prescribe

    If a therapy is right for you, your provider writes a prescription tailored to your needs. You're treated as an individual patient with a real provider relationship — not a catalog order.

  3. Prepare & deliver

    A licensed compounding pharmacy prepares your medication and ships it directly to you, with clear instructions and a care team you can reach with questions.

What it looks like

Your care and your portal, in one place.

From the moment you sign in, everything lives in one private portal — your next steps, prescription status, visits, messages, labs, and your progress over time. No app to download.

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The New Tides patient portal dashboard, showing next steps, prescription status, and a health summary.
Your dashboard. Next steps, prescription tracking, and your health summary — the first thing you see every time.
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The trackboard — charts of weight, resting heart rate, energy, and appetite that fill in as you log check-ins.
Track your progress. Every track you follow gets its own board — weight, energy, heart rate, and more — that fills in with charts as you log quick check-ins between visits.
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A scheduled video visit with a licensed physician in the patient portal.
Video visits. Meet your physician live, right from the portal.
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Two secure message threads — one with the physician, one with the care team.
Messages. Reach your physician and care team between visits.
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Lab orders and reviewed results in the patient portal.
Labs & results.See what's ordered and your physician's notes.
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Connect a wearable — Apple Watch, Oura, Garmin, or Whoop — to add a live board.
Connect your devices. Link an Apple Watch, Oura, Garmin, or Whoop to add a live wearable board.

Actual New Tides portal screens, shown with a sample patient.

What New Tides does — and doesn't — do

We provide the care. A pharmacy prepares the medication.

New Tides is a telehealth platform. We provide the evaluation, the provider relationship, the prescription, and your ongoing care. We do not manufacture, compound, sell, or ship medication. Your medication is prepared and dispensed by a licensed pharmacy that operates under federal and state pharmacy law.

What you pay for

One price, all in.

Plans start at $200/month, all cash — no insurance, no surprise bills. Every plan includes:

  • Consultation with a licensed physician
  • Your personalized dosing plan
  • Your medication, shipped to your door
  • Ongoing check-ins and messaging with your care team
  • No insurance required — one monthly membership
  • semaglutide — injection$200/mo
  • tirzepatide — injection$250/mo

Your medication is included in that price. If your dose changes, your price does not.

Many medications offered through New Tides are compounded — prepared for you individually by a licensed pharmacy rather than mass-manufactured. Compounded medications are not FDA-approved.

See how compounding works and the FDA status of each medication →

Common questions

Who prescribes my medication?

A licensed provider, after reviewing your health information — only if it's appropriate for you.

Are these medications FDA-approved?

Compounded medications are not FDA-approved, and they are not reviewed by the FDA for safety or effectiveness. They are prepared by a state-licensed compounding pharmacy for an individual patient against a valid prescription. Your physician will go through the risks and benefits with you before you start.

How do I know if I’m eligible?

Eligibility is decided during the intake — before you pay. The intake asks a series of yes/no health questions, and if your answers mean a treatment isn't safe or appropriate for you, you're screened out before you pay anything. Once you complete the intake and start your plan, you're eligible for care — and which specific compounded medication is right for you is then decided together by you and your provider.