Compound Therapy in Washington, Clinically-Prescribed Telehealth

How telehealth compound therapy works for Washington residents

Tides is a cash-pay telehealth practice. Every protocol is reviewed and prescribed by a licensed clinician before any compound is dispensed. Washington residents complete the entire process from home: intake online, labs at a local Quest or LabCorp, medication shipped to your address.

1. Intake. Structured medical intake covering goals, current medications, allergies, conditions, and recent labs.
2. Clinician review. Dr. Rachel Deutsch, DNP personally reviews every intake.
3. Required labs. Baseline panel drawn at any Quest Diagnostics or LabCorp in Washington.
4. Prescription + compounding. A 503A pharmacy compounds your protocol; it ships to your Washington address.
5. Refills with clinical touch. Routine refills auto-approve; every fourth refill routes back to the clinician for review.

Compounds available in Washington

The full Tides catalog is available to Washington patients. Every compound is prescription-only, compounded by a licensed 503A pharmacy, and dispensed under a clinical relationship, never sold as a "research chemical."

• SemaglutideGLP-1 receptor agonist for metabolic health.
• NAD+Cellular energy and longevity.
• GlutathioneSupports the body’s own antioxidant systems.
• CoQ10 (oral)Mitochondrial energy support, taken daily.
• MethylcobalaminEnergy and neurological support.
• TirzepatideDual-pathway weight management.
• Tirzepatide (oral)Needle-free metabolic support.
• TadalafilLong-acting ED support, dosed to fit your protocol.
• EnclomipheneNative testosterone support.

What Dr. Rachel reviews for Washington patients

Dr. Rachel Deutsch, DNP, personally reviews every Washington intake before a prescription is written. Her review covers:

• Goals and indications appropriate to the compound being requested
• Current medications and known interactions
• Allergies and prior reactions to compounded medications
• Pre-existing conditions that warrant additional labs or specialist consult
• Baseline lab results (or whether labs need to be drawn before prescribing)
• Dose selection and titration appropriate to clinical context

Washington-specific considerations

Where Tides serves patients in Washington

Tides ships to every Washington ZIP code, with patients in Seattle, Spokane, Tacoma, Vancouver, and Bellevue relying on the same intake-to-shipment process. Patients in smaller Washington towns access the same Quest and LabCorp draw stations, the same compounding pharmacy, and the same clinician.