WA · Telehealth

Compound therapy in Washington, clinically prescribed.

Tides offers prescription compound therapy to Washington residents via telehealth. Dr. Rachel Deutsch, DNP reviews every Washington intake before any compound ships. Compounds dispense from a 503A pharmacy; required labs draw at any Quest or LabCorp in Washington.

Available in Washington.

Dr. Rachel Deutsch, DNP is licensed to prescribe in Washington. Every Washington intake is personally reviewed before any protocol is authorized.

Start your intake

How telehealth compound therapy works for Washington residents

Complete a structured clinical intake online. Dr. Rachel personally reviews your responses, medical history, and current medications within 24 hours. If a protocol is appropriate, the compound is prepared by a licensed 503A pharmacy and shipped to your Washington address in 7-10 business days. Temperature-controlled shipping when required.

Required baseline labs can be drawn at any Quest Diagnostics or LabCorp location in Washington. Tides sends the requisition to your portal.

Compounds available in Washington

Semaglutide · Metabolism
NAD+ · Longevity
Glutathione · Longevity
CoQ10 (oral) · Foundational
Methylcobalamin · Foundational
Tirzepatide · Metabolism
Tirzepatide (oral) · Metabolism
Tadalafil · Sexual health
Enclomiphene · Hormonal
GHK-Cu Facial Serum · Skin
Tretinoin · Skin
Hair-Restore Topical Solution · Hair

What Dr. Rachel reviews for Washington patients

Full intake history, current medications, and protocol context
Indication and protocol fit for the compounds requested
Required baseline labs (drawn at any Washington Quest or LabCorp)
Every fourth refill for continued clinical alignment

Washington-specific considerations

Washington-specific considerations for Tides patients:

Washington patients receive the same clinical workflow Tides uses nationwide: personally reviewed by Dr. Rachel Deutsch, DNP, compounded by a 503A pharmacy, and shipped with the right handling for the compound.

Top metros served in Washington

Seattle
Spokane
Tacoma
Vancouver
Bellevue

Tides ships to any Washington residential address. The above are the largest Washington metros; every other Washington town is equally covered.

Washington FAQ

Is compound therapy legal in Washington?

Yes. Tides operates under a licensed clinician and a 503A compounding pharmacy. All medications shipped to Washington comply with the Washington Medical Commission and the Washington State Board of Pharmacy regulations on compounded medications.

Where do I get labs drawn in Washington?

Any Quest Diagnostics or LabCorp location in Washington accepts the Tides requisition. Major draw stations are in Seattle, Spokane, Tacoma, Vancouver, and Bellevue, plus every other Quest or LabCorp footprint statewide.

How does the Pacific Northwest climate affect compound shipping?

The 503A compounding pharmacy ships with temperature-controlled packaging when required. Once compounds arrive at your Washington address, refrigerate vials per the directions on your label.

Reviewed by Dr. Rachel Deutsch, DNP · LegitScript certified · No charge until Dr. Rachel approves.

Start your intake

Compounded medications are not FDA-approved. FDA does not verify compounded medications for safety, effectiveness, or quality before marketing. Treatment requires clinician review and is prescribed only when medically appropriate. All Washington orders subject to Dr. Rachel Deutsch, DNP's review before dispensing.