Alternatives
Alternatives to Fifty 410
Fifty 410 scores 59/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Fifty 410 at a glance
- Semaglutide
- $199/moAll doses, compounded
- Tirzepatide
- $133/moStarting dose, 3-month plan, compounded
- Coverage
- Coverage not published
- Brand-name GLP-1s
- No, compounded only
- Oral option
- No
- Pricing verified
- August 2026
6 of the 8 programs below list semaglutide for less than Fifty 410's $199 a month. 0 of the 8 list tirzepatide for less than its $133 a month.
Fifty 410 is a direct-to-consumer compounded-GLP-1 telehealth service.
Best for: Shoppers who want a one-time-payment compounded tirzepatide bundle and understand the 'per month' figure is really a 3-month lump sum.
What Fifty 410 does well
- No recurring subscription — you pay once per order and are not auto-billed
- Transparent per-tier tirzepatide totals ($399/$499/$549) shown alongside the per-month math, so the real charge is visible if you read past the headline
- Free overnight/2-day shipping and refrigerated packaging included in every tier
- Afterpay/Affirm and FSA/HSA payment flexibility offered
Why readers look for an alternative
- Tirzepatide's advertised '$133/month' is a 3-month prepay of $399 charged in one transaction, not a monthly recurring price — the cheapest advertised number is not what most shoppers will assume
- Semaglutide has no discounted multi-month tier and, at $199 flat, actually costs more per month than tirzepatide's cheapest bundle
- Compounding pharmacy is never named — only a generic '503A & 503B' claim
- No served-states list, no named medical director, and no LegitScript certification
- FDA issued Aspen Aesthetics dba Fifty 410 a warning letter in February 2026; the letter is public in FDA's warning-letter database
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Fifty 410: $100/mo less for semaglutide · $16/mo more for tirzepatide
- 02C60/ 100Index
Carocare Wellness
Carocare Wellness is a Houston-based medical weight-loss clinic offering compounded semaglutide and tirzepatide on a dose-escalating monthly ladder, with 3-month bundle discounts.
- Sema
- $180/mo0.25 mg starting dose, compounded; higher tiers $210–$330
- Tirz
- $200/mo2.5 mg dose, compounded
- Coverage
- 1 state
- Brand
- Compounded
Compared with Fifty 410: $19/mo less for semaglutide · $67/mo more for tirzepatide
- 03C60/ 100Index
GoodRx
GoodRx is a NASDAQ-listed prescription discount platform, not a prescriber.
- Sema
- Not disclosed
- Tirz
- $299/moBrand Zepbound KwikPen, self-pay starting price for eligible patients
- Coverage
- All 50 states
- Brand
- Yes
Compared with Fifty 410: $166/mo more for tirzepatide · also lists brand-name GLP-1s
- 04C60/ 100Index
MANÜ Telehealth
MANÜ Telehealth offers compounded semaglutide and tirzepatide plans with provider review, while the public starting prices do not establish the medication supply duration.
- Sema
- From $199Per plan (compounded; supply duration requires confirmation)
- Tirz
- From $297Per plan (compounded; supply duration requires confirmation)
- Coverage
- Multi-state
- Brand
- Compounded
- 05C60/ 100Index
T2D.com
T2D.com is a type-2-diabetes and prediabetes telehealth service that also sells compounded semaglutide or tirzepatide with its own prescriber for $170 a month all-in.
- Sema
- $170/moPrescriber and medication included, month-to-month, compounded
- Tirz
- Not disclosed
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Fifty 410: $29/mo less for semaglutide
- 06C59/ 100Index
Harper Meds
Harper Meds (operated by Nexus Health Solutions LLC) is a compounded GLP-1 telehealth program starting at $149 a month with the doctor consultation, medication and shipping included; it sells tirzepatide too but doesn't publish that price.
- Sema
- From $149/moAll-in (program starting price covering the doctor consultation, medication and shipping)
- Tirz
- Not disclosed
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Fifty 410: $50/mo less for semaglutide
Regulatory note: the FDA issued a warning letter to Nexus Health Solutions LLC dba Harper Meds in June 2026. We still list and link to Harper Meds; you should know the letter is on the public record before you decide.
- 07C59/ 100Index
Rejuve Meds
Rejuve Meds lists compounded injections at $165 semaglutide and $265 tirzepatide monthly on twelve-month plans paid upfront or financed. Its FAQ gives different promotional and later prices, so confirm the full schedule.
- Sema
- $165/moAdvertised injection average (12-month plan paid upfront or financed; promotional terms)
- Tirz
- $265/moAdvertised injection average (12-month plan paid upfront or financed; promotional terms)
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Fifty 410: $34/mo less for semaglutide · $132/mo more for tirzepatide · offers an oral option
- 08C59/ 100Index
Livea
Livea is a Minnesota clinic-and-telehealth weight-loss brand (legal entity Livea Medical, PLLC) offering compounded semaglutide from $99/mo, compounded tirzepatide from $199/mo when available, and a microdosing protocol.
- Sema
- $99/moStarting dose, compounded
- Tirz
- $199/moStarting dose, compounded
- Coverage
- 4 states
- Brand
- Compounded
Compared with Fifty 410: $100/mo less for semaglutide · $66/mo more for tirzepatide
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.