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The GLP-1 Verdict
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Ranked #377 · Grade C

Fifty 410 review

Compounded GLP-1 telehealth with no subscription; medication ships upfront. Its headline price is a three-month prepaid starter-dose bundle, and it drew an FDA warning letter.

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Semaglutide
$199/mo
Tirzepatide
$299/mo
Coverage
Multi-state
Brand-name
Compounded only

The scorecard

Fifty 410 scored on our six published factors. See the methodology.

Real-world results62/100
Price honesty40/100
Prescriber access66/100
Formulary choice48/100
Cancellation fairness58/100
Member support58/100

What we like

  • No membership or subscription: you pay once per programme and there are no recurring charges
  • No card is required to start and you are only billed if a licensed provider approves you
  • Semaglutide is genuinely month-to-month at $199 with all dosages included
  • Free overnight or two-day refrigerated shipping is included in every programme price
  • Now carries explicit disclaimers that it is not the compounder and that compounded medicines are not FDA-approved finished drug products

The caveats

  • FDA issued a warning letter to Aspen Aesthetics dba Fifty 410 on 20 February 2026, finding the website's advertising of its compounded semaglutide and tirzepatide misbranded under FDCA sections 502(a) and 502(bb)
  • Compounded only, and compounded GLP-1s are not FDA-approved; no brand-name Wegovy, Zepbound, Ozempic or Mounjaro
  • The advertised '$133/month' is a three-month prepaid starter-dose tirzepatide bundle ($399 up front); the pricing page loads on that tab by default and the FAQ repeats it as 'start at $133/month'
  • Month-to-month tirzepatide at $299 appears only on the homepage toggle and has no corresponding option on the pricing page
  • No list of served states is published anywhere on the site, and no support phone number is given

The verdict

Best for: Someone who wants a single upfront payment with no recurring billing and is content to buy a fixed three-month tirzepatide course rather than titrate month by month. Compounded GLP-1 telehealth with no subscription; medication ships upfront. Its headline price is a three-month prepaid starter-dose bundle, and it drew an FDA warning letter.

Ranked #377 of 499 providers we have reviewed — for comparison, read what CoreAge Rx scores, and why, our #1 pick. On the board it sits between Strive Pharmacy, 56/100 above and Garcia Weight Loss at 55/100 below, with the Midi Health ruling the next one down.

Fifty 410 is one of 499 rulings on this board, which makes the fair next question who sits above it — our shortlist of Fifty 410 alternatives answers it in order, with every score shown. We have also ruled on it directly: CoreAge Rx vs Fifty 410 goes to CoreAge Rx, 94/100 to 55/100.

Visit Fifty 410

Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect Fifty 410's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Fifty 410's site. Not medical advice; see our disclosure.

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