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Fifty 410 vs Elara Health and Wellness

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Fifty 410 logo

Fifty 410

7.0
★★★3.5/5

Best for: Budget-focused buyers wanting transparent no-membership compounded GLP-1 pricing

Visit Fifty 410
VS
Elara Health and Wellness logo

Elara Health and Wellness

8.2
★★★★4.1/5

Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies

Visit Elara Health and Wellness

Fifty 410 and Elara Health and Wellness are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Fifty 410 starts lower at $99/mo versus $117/mo, and Elara Health and Wellness edges ahead overall (8.2 vs 7.0 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

Fifty 410

Flat-rate (all doses)Compounded
$99/mo
semaglutide
StarterCompounded
$133/mo
tirzepatide

Elara Health and Wellness

Standard monthlyCompounded
$183/mo
semaglutide
Annual plan (save $792/yr)Compounded
$117/mo
semaglutide
Standard monthlyCompounded
$267/mo
tirzepatide
Annual plan (save $858/yr)Compounded
$196/mo
tirzepatide

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What’s included

Fifty 410

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Elara Health and Wellness

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Included

Coaching

Included

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Fifty 410

7.0/10

Overall

Elara Health and Wellness

8.2/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
8.5

Trust & Safety15%

6.8A
vs
B
7.8

Accessibility10%

7.0A
vs
B
8.0

Support10%

7.5A
vs
B
8.4

Features & Coverage

FeatureFifty 410Elara Health and Wellness
Starting Price$99/mo$117/mo
Features8 features6 features
States AvailableNot disclosed51
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA WarningsNoneNone

About Fifty 410

Fifty 410 is a direct-to-consumer weight-loss telehealth service offering personalized compounded semaglutide and tirzepatide prescribed by licensed providers and prepared by FDA-registered 503A and 503B pharmacies. It uses a no-membership, pay-as-you-go model with transparent public pricing: semaglutide from 99 dollars per month and tirzepatide starter from 133 dollars per month, plus a high-dose tier. Provider reviews finish in 24 to 48 hours and free shipping arrives in one to two days. Cash-pay only; no direct insurance billing, but accepts FSA/HSA, Afterpay, and Affirm.

Read our full Fifty 410 review →

About Elara Health and Wellness

Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.

Read our full Elara Health and Wellness review →

Pros & Cons

Fifty 410

What we like

  • Transparent public pricing from 99 dollars per month for semaglutide
  • No membership or subscription; pay only for what you need
  • Compounded by FDA-registered 503A and 503B pharmacies
  • Fast 24 to 48 hour provider review
  • Free one to two day shipping
  • Accepts FSA/HSA plus Afterpay and Affirm

Watch-outs

  • Does not bill insurance directly
  • Compounded GLP-1 is not an FDA-approved finished drug
  • Specific clinician credentials are not publicly disclosed
  • Served-states list is not published on the site
  • No branded GLP-1 options

Elara Health and Wellness

What we like

  • Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
  • Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
  • Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
  • Publishes the FDA compounded-medication disclaimer
  • All 50 states plus DC, with explicit coverage language
  • Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
  • Self-service cancellation on monthly and quarterly plans

Watch-outs

  • LegitScript certification status not disclosed
  • No named medical director or physician leadership
  • Annual plan requires a 12-month commitment; early-cancellation terms not detailed
  • Governing law / arbitration venue not disclosed
  • 503A patient-specific compounding only — no 503B option

Our Verdict

Winner: Elara Health and Wellness

Elara Health and Wellness edges out Fifty 410 with a higher overall score of 8.2/10 and is particularly strong for bundled-care GLP-1 with labs and coaching from four named pharmacies. Fifty 410 remains a solid alternative, especially if you're looking for Budget-focused buyers wanting transparent no-membership compounded GLP-1 pricing.

Choose Fifty 410 if…

You want Budget-focused buyers wanting transparent no-membership compounded GLP-1 pricing and a starting price around $99/mo.

Choose Elara Health and Wellness if…

You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.

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Fifty 410 vs Elara Health and Wellness: FAQ

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