Fifty 410 offers compounded semaglutide and tirzepatide with no subscription or membership requirement, charging only after a licensed provider approves treatment.
Overview
The subscription model dominates compounded GLP-1 care, and it is the source of a lot of patient frustration: automatic renewals, cancellation friction, and charges that continue after someone has stopped treatment. Fifty 410 built its offering around avoiding that, stating plainly that no membership or subscription is required and that you pay only if approved by a licensed provider.
Its pricing structure is unusual in that tirzepatide is cheaper than semaglutide. The published tirzepatide starter tier is $133 a month, or $399 for three months, with a high-dose tier at $183 a month or $549 for three months. Semaglutide is published at $199 a month.
Medications are compounded by independent FDA-registered 503A compounding pharmacies. Fifty 410 does not name them individually. Provider review happens within 24 to 48 hours and is included in the treatment cost rather than billed separately.
Fifty 410 at a Glance
| Detail | What Fifty 410 Publishes |
|---|---|
| Type of company | Compounded GLP-1 telehealth provider |
| Medications | Compounded semaglutide and compounded tirzepatide |
| Formulation | Compounded by independent FDA-registered 503A pharmacies |
| Subscription | None required; no membership fee |
| Provider review turnaround | 24 to 48 hours |
| Shipping | Free, 1 to 2 days |
| Payment | FSA and HSA accepted, plus Afterpay and Affirm |
Medications Offered
- Compounded tirzepatide, starter tier at $133 per month
- Compounded tirzepatide, high dose tier at $183 per month
- Compounded semaglutide at $199 per month
- Hair products and longevity treatments listed as coming soon
- No brand-name GLP-1 medications
Brand-Name or Compounded?
Compounded only. Fifty 410 states medications are compounded by independent FDA-registered 503A compounding pharmacies. A 503A facility compounds against individual prescriptions and is regulated primarily by state boards of pharmacy, which is a lighter oversight regime than the federal manufacturing standards applied to 503B outsourcing facilities.
Consultation Process
Online intake
Complete the online health assessment covering your history and goals.
Provider review
A licensed clinician reviews your submission within 24 to 48 hours.
Pay only if approved
You are charged only if a licensed provider approves treatment, with provider review included in the cost.
Free delivery
Medication ships free and arrives within 1 to 2 days.
Eligibility
- Determined by licensed providers based on individual health assessment
- Specific BMI criteria are not published on the site
- Available in Fifty 410's supported states, which are referenced but not enumerated
- You are only charged if approved
- Standard GLP-1 contraindications apply as assessed by the prescriber
Provider Involvement and Lab Requirements
Provider Involvement
Licensed clinicians conduct reviews within 24 to 48 hours, and Fifty 410 states that provider review is included in the treatment cost. Specific credentials and ongoing follow-up cadence are not detailed on the site.
Lab Requirements
Fifty 410 does not publish a lab requirement. Ask directly whether baseline bloodwork is required or recommended before starting, particularly if you have not had a recent metabolic panel or A1C.
Pharmacy Fulfillment and Shipping
Pharmacy Fulfillment
Independent FDA-registered 503A compounding pharmacies, which Fifty 410 does not name individually. Patients who want to verify a specific facility will need to ask directly.
Shipping Frequency
Free shipping with a published delivery window of 1 to 2 days. Cadence follows the plan purchased, with both monthly and three-month programs available.
Support Services
- Provider review included in the treatment cost
- 24 to 48 hour review turnaround
- Free 1 to 2 day shipping
- Payment plans through Afterpay and Affirm
- No coaching or dietitian program published as included
Pricing
Fifty 410 publishes clear tier pricing with no subscription attached. Note the unusual structure where tirzepatide is priced below semaglutide.
| Plan or Medication | Published Price | What It Covers |
|---|---|---|
| Compounded tirzepatide, starter | $133 per month, $399 for 3 months | Medication plus included provider review and free shipping |
| Compounded tirzepatide, high dose | $183 per month, $549 for 3 months | Higher dose tier with the same inclusions |
| Compounded semaglutide | $199 per month | Medication plus included provider review and free shipping |
Pricing reflects what Fifty 410 published at the time of review and can change without notice. Confirm current pricing directly with the provider before enrolling.
Membership Fees
None. Fifty 410 states that no membership or subscription is required, and that provider review is included in the treatment cost rather than charged separately.
Medication Fees
Medication is the cost, with provider review folded in. Tirzepatide runs $133 per month on the starter tier and $183 on the high-dose tier, and semaglutide is published at $199 per month.
Cancellation and Refund Policy
Cancellation
Because there is no subscription, there is nothing to cancel in the usual sense. You simply do not place another order. Confirm that no auto-renewal applies to any multi-month plan you buy.
Refunds
Fifty 410 links to a refund policy but the terms are not reproduced on the homepage. Because you are charged only if approved, the most common refund scenario, being declined, is handled by not charging you. Request the written policy for other scenarios.
Insurance, HSA and FSA
Insurance
Fifty 410 states that it does not bill insurance directly. Compounded GLP-1 medications are generally not covered by insurance regardless of provider.
HSA / FSA
Fifty 410 states that it accepts FSA and HSA cards, alongside major payment methods including Afterpay and Affirm.
For a fuller explanation of how these accounts work with GLP-1 care, see our GLP-1 insurance, HSA and FSA guide.
Who Fifty 410 May Be Best For
- You want to avoid subscriptions and recurring charges entirely
- Tirzepatide is your medication of choice and price matters
- You want to pay only if a provider actually approves you
- You want to use FSA or HSA funds or spread payment via Afterpay or Affirm
- You are comfortable managing your own care without bundled coaching
- 503A rather than 503B pharmacy sourcing
- Pharmacies are not named individually
- No published lab requirements
- Supported states are not listed
- No coaching, dietitian or behavioural support included
Alternatives to Consider
CoreAge Rx
Our top-rated pick, with 503B pharmacy sourcing and comparable pricing.
Gimme Care
Similar no-membership structure with all 50 states published.
NexLife
Names its pharmacy partners and holds price flat across doses.
Precision Telemed
Names its pharmacy and offers a flat rate across every dose.
You can also compare the whole field in our GLP-1 provider comparison and best online GLP-1 providers roundups.
Frequently Asked Questions
Does Fifty 410 require a subscription?
No. Fifty 410 states that no membership or subscription is required, and that provider review is included in the treatment cost.
Why is tirzepatide cheaper than semaglutide at Fifty 410?
Fifty 410 publishes tirzepatide from $133 per month and semaglutide at $199. That inversion is unusual in this market and reflects the provider's own pricing choices rather than any clinical difference.
Am I charged if I am not approved?
Fifty 410 states you pay only if approved by a licensed provider, so being declined should not result in a medication charge. Confirm the written terms before submitting payment details.
What kind of pharmacy does Fifty 410 use?
Independent FDA-registered 503A compounding pharmacies. These compound against individual prescriptions and are regulated primarily by state boards of pharmacy, a lighter regime than 503B outsourcing facilities operate under.
Does Fifty 410 require lab work?
No lab requirement is published. Ask directly, particularly if you have not had recent metabolic bloodwork.
Can I use HSA or FSA funds?
Yes. Fifty 410 states it accepts FSA and HSA cards, along with Afterpay and Affirm for payment plans.
Medical Disclaimer
This review is for general information only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who knows your history can decide whether any medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you have a medical emergency, call 911.
Details on this page describe what Fifty 410 published at the time of review. Programs, pricing, pharmacy partners, and policies change; verify everything directly with the provider before enrolling. See our full medical disclaimer.
Date reviewed: August 24, 2026