Fifty 410 review
A page with three starting-at figures on it, only one of which is a GLP-1.
The verdict
Fifty 410 prints three starting-at prices within a screen of each other. The GLP-1 card is $199 a month, the $99 beneath it is a minoxidil hair formula for women, and $75 belongs to sermorelin and its neighbors. Both GLP-1s are $199 month to month; tirzepatide also comes in three-month programs from $133 a month.
Disclosure: This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.
- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- Dose pricing
- Rises with dose
- From
- From $199/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
Fifty 410 is a telehealth platform selling compounded semaglutide and tirzepatide alongside hair-care, NAD+, sermorelin, glutathione and methylene blue. It states that it does not compound, manufacture or distribute anything itself. Independent pharmacies prepare what a provider prescribes.
Who writes the prescription, and what do they see?
Every intake is reviewed by a licensed provider, and the platform is explicit that it makes no prescribing decision of its own. No card is charged until that provider issues a prescription, which puts the clinical decision genuinely before the payment. What the provider reviews, and whether a patient ever speaks to one, is not described.
An online intake goes to a provider, and medication ships in one to two days if it is prescribed. There is no membership, and an order can be canceled up to the point compounding begins. Payments can be split through Afterpay or Affirm, or paid from an FSA or HSA.
What happens when the dose goes up?
The month-to-month tirzepatide plan is stated to include all dosages at $199. The three-month programs are banded by dose instead, with the starting tier at $133 a month and higher tiers above it. No milligram figure appears beside either molecule.
What the price includes
The pricing pages answer the homepage card. Semaglutide is $199 a month, pay as you go. Tirzepatide is $199 a month with no commitment, or $133 a month on a three-month starter program billed $399 up front. Reading the $99 card as a GLP-1 price understates it by half.
What it claims, and what it cites
Both GLP-1 lines are compounded by independent pharmacies rather than manufactured, prepared only once a provider prescribes. The FDA does not review a compounded preparation before it is dispensed. No pharmacy is named, and the platform states it is not the compounder.
Where it holds up, and where it does not
- Strength: Nothing is charged until a provider prescribes
- Strength: An order can be canceled before compounding starts
- Strength: No membership fee
- Strength: Dose tiers are published with their totals
- Strength: Free shipping in one to two days
- Limitation: Three unrelated starting-at figures share one page
- Limitation: The homepage GLP-1 card names two molecules at once
- Limitation: The lowest tirzepatide rate needs three months paid up front
- Limitation: No compounding pharmacy is named
What the evidence says about this kind of treatment
The assessment above is about Fifty 410. These are about the drugs it sells, and they are traced to the primary literature.
- Right for
- A buyer who wants no charge before a prescription exists and will check which card a figure belongs to.
- Wrong for
- A buyer who read $99 as the price of a GLP-1.
The evidence behind what Fifty 410 prescribes
These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation.
- Cochrane Review of Semaglutide for Obesity: 18 Trials Graded
A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower.
- Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?
In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points.
How Fifty 410 compares
| Seller | Who it suits | Go |
|---|---|---|
 TRYM Health | Buyers who will go looking for the plan table rather than price a program by the day | See TRYM Health → |
 CoraDoc | Buyers who would rather pay a program once than carry a subscription they have to remember to cancel | See CoraDoc → |
 Nu Image Medical | Buyers comparing the injectable and the dissolving tablet who will read which card a figure sits on | See Nu Image Medical → |
More GLP-1 telehealth sellers reviews: Onyx Weight LossOpen Water RxOptimized HealthOptions Medical Weight LossOrderlyMedsOria Meds
Sponsored alternative
SkinnyRx
Readers choosing tirzepatide, the one line with a published standing rate
Check SkinnyRx availability →Frequently asked
- What does $99 buy here?
- A minoxidil hair formula for women. The GLP-1 card on the same page starts at $199 a month.
- What does tirzepatide cost?
- $199 a month with no commitment and all dosages included. The three-month starter program is $133 a month, billed as $399 up front.
- When am I charged?
- Only after a licensed provider issues a prescription. No credit card is required to start the intake.
- Is Fifty 410 expensive compared with other GLP-1 telehealth sellers?
- Fifty 410 publishes a starting figure of $199/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts Fifty 410 above the median. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.