Question 1

Will my order definitely be approved?

Accepted Answer

No, and that is intentional. Every intake is reviewed and signed off by Dr. Rachel before any protocol is authorized. Payment authorization does not guarantee dispensing. If your intake reveals a clinical concern, she will reach out directly. Orders that cannot be approved are refunded in full.

Question 2

What happens if my order is not approved?

Accepted Answer

If Dr. Rachel determines that a protocol is not appropriate for you based on your intake, your order will not be dispensed and you will receive a full refund. She may also reach out to discuss alternatives or request additional information before making a final decision.

Question 3

How does payment work?

Accepted Answer

Your payment method is authorized at checkout but the charge is not captured until your protocol is signed off. If your order is not approved, the authorization is released and you are never charged.

Question 4

Which states do you ship to?

Accepted Answer

Tides is currently licensed to prescribe and ship to Arizona and Illinois.

Question 5

Is this a subscription?

Accepted Answer

Every first Tides order defaults to a one-time purchase. At checkout you can optionally enroll in Ongoing Care, where Tides prepares your reorder on your cycle (40, 90, or 120 days depending on your protocol) and Dr. Rachel signs off on each refill before it ships. Entirely opt-in, never default, pause or cancel anytime in your patient portal.

Question 6

Is this covered by insurance?

Accepted Answer

Tides is a cash-pay telehealth service. We do not bill insurance, Medicare, or Medicaid, and we do not submit claims on your behalf. All orders are paid out of pocket at checkout. Some HSA and FSA plans may reimburse you for compounded protocols prescribed by a licensed clinician — whether your specific plan does is up to your plan administrator, and they may require a receipt or a Letter of Medical Necessity from your clinician. We can provide a paid receipt on request.

Question 7

How long does delivery take?

Accepted Answer

If your protocol is approved, compounds are prepared at a licensed compounding pharmacy and shipped directly to your door. Allow 7–14 business days from approval to delivery.

Question 8

Can I do this without visiting a clinic?

Accepted Answer

Yes. The entire process is remote. The assessment, intake form, clinical review, and delivery are all handled without a clinic visit.

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