Fifty 410 review
Fifty 410 is a direct-to-consumer compounded-GLP-1 telehealth service.
- Semaglutide
- $199/mo (all doses, compounded)
- Tirzepatide
- $133/mo (starting dose, 3-month plan, compounded)
- Coverage
- Coverage not published
- Brand-name
- Compounded only
Semaglutide · modeled / year
$2,388
Tirzepatide · modeled / year
$1,596
Pricing verified August 2026
The Index scorecard
Fifty 410 scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- 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
The tradeoffs
- 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 found anywhere on the site
- FDA issued Aspen Aesthetics dba Fifty 410 a warning letter in February 2026; the letter is public in FDA's warning-letter database
The bottom line
Best for: Cost-first shoppers who want a one-time-payment compounded tirzepatide bundle, understanding the 'per month' figure is really a 3-month lump sum. Fifty 410 is a direct-to-consumer compounded-GLP-1 telehealth service.
Ranked #263 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Fifty 410.
- #259VitaFusions IV— VitaFusions IV is a Dallas, TX-based IV-therapy and medical-weight-loss provider that does genuinely sell compounded semaglutide ($149/mo) and tirzepatide ($189/mo) at a flat, dose-independent monthly rate with no memberships or contracts.60/100
- #260YourHealthRx— YourHealthRx is a scientist-founded peptide and GLP-1 telehealth platform available in all 50 states and DC via a multi-state (IMLC) clinician network.60/100
- #261VevaRX— VevaRX sells compounded semaglutide at $189 a month and tirzepatide only as a $467 quarterly plan with a three-month minimum, on a site that prints at least eight mutually contradictory prices for its own products.60/100
- #262Collective— Collective sells compounded semaglutide at $59 and tirzepatide at $69 a month, both genuinely medication prices, on top of a $199 annual membership that is required, auto-renewing and not refundable.57/100
- #264Bliv— Bliv is a telehealth provider selling personalized compounded GLP-1 programs.59/100
- #265FitRx— FitRx is a broader telehealth platform (also offering birth control, mental health, hair loss, ED, skincare) whose weight-loss angle is insurance coordination for brand-name GLP-1s.59/100
The 22 programs nearest this one
- #266 AskRx59
- #267 AVArx59
- #268 Belle Health59
- #269 Boston Medical Group59
- #270 Carocare Wellness59
- #271 CLYR Health59
- #272 Invyncible59
- #273 June Health59
- #274 Layla59
- #275 Nirwana Health59
- #276 Potere Health MD59
- #277 TeleCareSpot59
- #278 Telos Rx56
- #279 Hers58
- #280 MaxLife58
- #281 Alloy58
- #282 BloomWell Rx58
- #283 Coby Health58
- #284 Coivas58
- #285 Elara MD58
- #286 EOS Health58
- #287 Human+58
Pricing, states and verification reflect Fifty 410's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Fifty 410's site. Not medical advice; see our disclosure.