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Fifty 410 review

By Gut Metabolic EditorialUpdated

57/100

Price transparency

What is disclosed before intake, not a clinical rating.

Fifty 410 offers online access to compounded semaglutide and tirzepatide without a required membership. Its semaglutide page lists a $199 pay-as-you-go monthly purchase, while the $133 tirzepatide headline represents a $399 three-month starter supply. Paying only after prescribing is a useful feature, but committing to a larger supply matters: ordinary cancellation ends when the pharmacy begins compounding, not when the package arrives.

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Fifty 410 does not pay us. We review it so you can compare it with the programs that do. Disclosure

Fifty 410 publishes its price before the medical intake — you can see what it costs without handing over your health history first.

On this page

Fifty 410 at a glance

Price visibility
Published before intake
Pharmacy information
Not publicly named
Where it operates
Company advertises limited or treatment-dependent access: No exhaustive state/product matrix established on reviewed pricing pages; confirm actual location, formulation and dispensing availability.

The verdict

Fifty 410 shows a price before the medical intake, but the advertised figure comes with conditions the headline leaves out, or its own terms don't fully back it up. It ranks 244 of 293 on price transparency.

The score beside Fifty 410's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.

Considering Fifty 410?

Confirm the plan, billing terms and availability before you begin.

What do you get with Fifty 410?

  • An online intake followed by an independent licensed provider’s review through the patient portal
  • Compounded semaglutide or compounded tirzepatide when the provider determines a listed treatment is appropriate
  • Provider consultation and portal follow-up included in the advertised program
  • Medication and free refrigerated shipping included in the published purchase price
  • Direct program purchases without a required subscription or separate membership fee

How does Fifty 410 work?

  1. Start without entering payment details

    Fifty 410 says no credit card is required to start. Complete the medical intake accurately and include current medications, previous GLP-1 use and questions for the clinician. You are requesting a medical assessment, not placing a guaranteed prescription order. The provider may request more information, decline a listed treatment or suggest in-person care.

  2. Review the actual treatment and supply

    If the clinician prescribes, check the medication, form, dose and length of supply before opening the payment link. The semaglutide monthly purchase and tirzepatide three-month programs are not interchangeable billing options. Ask how the prescribed plan will be reassessed and what happens if the dose changes before the purchased supply is finished.

  3. Choose a purchase rather than a monthly equivalent

    The pricing page says a prescribed program’s medication ships together after payment. A three-month purchase therefore involves a larger upfront commitment than one monthly purchase. Financing installments do not change the fact that you purchased the full program. Review total price, pharmacy instructions and any separately itemized services before accepting a payment arrangement.

  4. Arrange delivery and future follow-up

    Use the portal to discuss medication questions and retain the pharmacy label and instructions. Confirm whether you need to submit new refill paperwork and when to do so. The absence of a required subscription does not mean a refill is automatically clinically approved. For a compromised shipment, preserve packaging and report promptly so the pharmacy can assess it.

How much does Fifty 410 cost?

Semaglutide

Compounded semaglutide $199 for one-month pay-as-you-go supply, consultation and shipping included.

Tirzepatide

Compounded tirzepatide $399/3 months starter; $499/$549 higher tiers; ongoing month-to-month total not established.

Where it operates

Company advertises limited or treatment-dependent access: No exhaustive state/product matrix established on reviewed pricing pages; confirm actual location, formulation and dispensing availability.

The published semaglutide monthly option costs $199 for a one-month supply, including consultation, portal follow-up and shipping. Tirzepatide’s displayed three-month tiers are $399 for the starter program, $499 for the mid-dose program and $549 for the high-dose program. Their advertised $133, $166 and $183 monthly figures are equivalents of prepaid totals. A comparable ongoing month-to-month tirzepatide total is not established by those package figures.

  • There is no required membership, and the pricing page says payment is requested only after a licensed provider issues a prescription. Obtain the final quote after the actual drug, pharmacy and supply period are selected.
  • The refund policy was updated September 8, 2026 and identifies itself as controlling. Before payment there is no charge. After payment, a full cancellation refund is available only if received and confirmed before the dispensing pharmacy begins compounding.
  • Once compounding begins, ordinary cancellations and refunds are excluded. The pharmacy’s order status determines that point. A message requesting cancellation is not sufficient if it has not been confirmed in time.
  • The policy preserves specific remedies for inability to fulfill, confirmed duplicate or incorrect charges, partial nonfulfillment and incorrect, damaged, lost or compromised shipments. Depending on the issue, the remedy may be replacement, credit or refund rather than an automatic full refund.
  • Report damaged, incorrect or temperature-concerning deliveries within 48 hours, with order details and photographs. Do not use the medication until the dispensing pharmacy advises you. Storage requirements depend on the specific formulation, so use its instructions rather than generic claims about refrigerated shipping.
  • Terms cap certain platform liabilities at the greater of $100 or amounts paid during the preceding six months, while expressly preserving nonwaivable rights and listed exceptions such as professional malpractice and bodily injury. An independent pharmacy and provider remain responsible for their own professional services.

Considering Fifty 410?

Confirm the plan, billing terms and availability before you begin.

Who is Fifty 410 best for?

A good fit if

  • People seeking a one-month semaglutide purchase without a care membership
  • Patients who prefer clinical approval before a payment request
  • Shoppers comfortable paying for a defined supply and checking refund milestones before ordering

Look elsewhere if

  • Anyone reading $133 as a cancellable one-month tirzepatide price
  • Patients who need to recover an unused package’s cost merely because treatment preferences change
  • People assuming a prepaid program includes automatic clinical approval of every future refill

Considering Fifty 410?

Confirm the plan, billing terms and availability before you begin.

What are Fifty 410's pros and cons?

Pros

  • The semaglutide monthly option identifies both price and supply period
  • Tirzepatide package totals appear alongside the monthly equivalents
  • The updated refund policy distinguishes ordinary cancellation from genuine fulfillment problems

Cons

  • Tirzepatide headlines require a larger payment and supply commitment
  • Routine refund rights end at compounding, which can precede shipment
  • A full state-by-state product list and a universal named pharmacy are not established on the main pricing page

The pharmacy behind the medicine

It does not name its pharmacy. Fifty 410 does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.

A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.

What is on the public record

FDA warning letter

FDA issued a warning letter to Aspen Aesthetics dba Fifty 410 in February 2026. It is on the public record in FDA's warning-letter database.

The scoring method includes a deduction for a letter on record. This notice records the agency's letter and its date; funding is disclosed separately.

Search FDA's warning-letter database →

What else do people ask about Fifty 410?

Is $133 tirzepatide billed each month?

The displayed starter program is a three-month supply costing $399 total. The $133 number is its monthly equivalent. The same page lists higher three-month tiers at $499 and $549. Ask which supply and total apply to your prescription before paying.

What is the monthly semaglutide rate?

The pricing page lists a pay-as-you-go option at $199 for one month, including medication, provider consultation, portal follow-up and shipping. Clinical eligibility is separate. Check the final prescription and order summary for your actual formulation and supply.

Will I pay if the provider declines treatment?

Fifty 410 says no credit card is needed to start and payment is ordinarily requested after prescribing. The refund policy also addresses an order that cannot proceed before compounding begins. Do not interpret completing an intake as a guarantee of either approval or a particular medication.

Can I cancel before the package ships?

Shipment is not the controlling cutoff. Routine full cancellation requires receipt and confirmation before the pharmacy starts compounding. After that point, ordinary refunds are excluded even if delivery has not occurred. Contact support immediately if you need to stop an order.

What if medication arrives warm or damaged?

The policy asks you to report within 48 hours, provide order details and photographs, and wait for pharmacy guidance before use. confirmed problems may receive a replacement, refund or credit. The dispensing pharmacy evaluates the actual formulation and circumstances.

Does no subscription mean every state is supported?

No. Availability and formulation depend on the provider’s review and applicable requirements. Confirm your location and pharmacy service before payment. A platform’s ability to accept an intake is not sufficient proof that your selected treatment can be prescribed and shipped to you.

Sources for this review

Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.

How it compares

Fifty 410 ranks 244 of 293 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.

Because Fifty 410 shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking and our compounded semaglutide ranking.

  • Semaglutide injection advertised from $149/month; actual preparation, supply and continuing agreement needed; ongoing month-to-month total not established.Show the full pricing note
  • Advertised $158/mo equivalent, two months paid upfront; personalized compounded injection. ongoing month-to-month total not established.Show the full pricing note
  • Semaglutide program from $189/mo or $549/quarter; annual-upfront qualification also appears; ongoing month-to-month total not established.Show the full pricing note
  • GLP-1 program from $299/mo; exact semaglutide formulation, term and ongoing month-to-month total not established.

  • $399/mo semaglutide product listing; embedded shared renewal FAQ needs molecule-specific clarification; ongoing month-to-month total not established.Show the full pricing note

Read this before you start

Prices change — confirm on Fifty 410's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.