Fifty 410 Review

Fifty 410: a no-membership way to buy compounded GLP-1

Fifty 410 is a stripped-down, cash-pay weight-loss service built around one idea: you pay for the medication you need and nothing else. There is no membership, no subscription to remember to cancel, and no separate consultation charge at checkout. Compounded semaglutide and tirzepatide both cost $199 a month on a month-to-month basis. That sits a little above the category median of $179, so its appeal now is simplicity and an open price list rather than rock-bottom cost.

How we get the category median: $179 is the middle value of the cheapest ongoing monthly price (not a first-month promo) at each of the 515 GLP-1 providers we track.

How the pricing really works

The monthly rate is $199 for either drug, and it doesn't rise as you titrate. Semaglutide comes only as a one-month supply, and Fifty 410 lists no longer-plan discount for it. Tirzepatide adds three-month programs paid upfront, split into starter, mid-dose and high-dose tiers. The starter tier works out to $133 a month, the lowest rate on the price list. The provider review and free shipping are built into every quoted number, so the price you see is the price you pay.

Semaglutide's price roughly doubled this year, and the old three-month semaglutide bundle is gone. If you priced Fifty 410 a few months ago, re-check before you plan around the old number. The homepage 'starting at' banner now matches the pricing table.

What's included in the number

• The compounded medication itself
• A licensed provider's review of your intake, with no separate consult fee
• Free refrigerated shipping that's quoted as one to two days
• No membership, no recurring platform charge

The medications and who fills them

Fifty 410 offers compounded semaglutide and compounded tirzepatide only. There are no branded GLP-1 pens, no oral options and no other drug classes on the menu. Its terms describe the compounding under Section 503A, the pharmacy route used for patient-specific prescriptions. A licensed provider reviews your intake, and medication ships directly to you if you're cleared. You also aren't asked for a card to start; payment is requested only if a provider prescribes.

Be clear-eyed about what compounded means. These are not FDA-approved finished drugs the way Wegovy or Zepbound are. A pharmacy custom-prepares them, and the FDA doesn't review them as packaged products. That's true of every compounding-based service, not a Fifty 410 flaw, but it's the most important thing to understand before you buy.

What sets it apart

The real differentiator is transparent public pricing paired with a true pay-as-you-go structure. Plenty of competitors hide their rate behind a quiz or lock you into a membership. Fifty 410 posts its full price list openly and runs no first-month teaser that resets later. It also accepts FSA/HSA cards and offers Afterpay and Affirm, which softens the upfront cost even though it won't bill your insurance. The site carries a LegitScript certification seal as well.

Where it falls short

A few gaps keep this from being a top pick. The company doesn't publish the states it serves, so you can't confirm availability without starting intake. Clinician names and credentials aren't disclosed either. Refunds are narrow: you get your money back only before the pharmacy starts compounding, and there's no routine refund after that. Support is email only, with no phone line listed. And the cheapest tirzepatide rate requires paying for three months at once.

Who should choose it, who should skip it

• Choose it if: you want a clear compounded price with no subscription, and you're comfortable paying cash, by FSA/HSA card or with a buy-now-pay-later plan
• Choose it if: you're on tirzepatide and willing to prepay three months for the lower tiered rate
• Skip it if: you want brand-name Wegovy or Zepbound, need insurance billing, or want named clinicians and a published state list first
• Skip it if: you're shopping purely on semaglutide price, since cheaper month-to-month options exist

Trust and safety

Fifty 410 received an FDA warning letter in February 2026 over its compounded GLP-1 marketing. The regulatory notice below covers it. On the positive side, the site carries a LegitScript seal and its refund policy is written in plain terms. Its prices also match across the homepage and the pricing table. The remaining drawbacks are about disclosure, with no published state list and no named clinicians, so confirm availability and ask about the prescribing provider before you pay. You can see how we weigh these factors in our scoring methodology.

The bottom line

Fifty 410 sells compounded semaglutide and tirzepatide at an open, membership-free price with shipping and the provider review baked in. At $199 a month it's no longer among the cheapest options, though tirzepatide buyers willing to prepay three months still get a strong rate. It fits a buyer who wants compounded GLP-1 without a subscription and doesn't need branded drugs or insurance billing. Go in knowing the limits: compounded isn't FDA-approved, refunds stop once compounding starts, and the served-states list isn't public.

Shopping around? Eden ($198/month) and Belle Health ($199/month) are the nearest alternatives to Fifty 410 in our rankings.