The short version
Fifty 410 is a flat-rate telehealth provider. As of the September 12, 2026 build, for tirzepatide its lowest 12-month all-in total is $2,046 (3-month plan, reported), which places it 10 of 34 ranked telehealth providers; for semaglutide its lowest 12-month all-in total is $2,388 (month-to-month plan, verified), which places it 12 of 16 ranked telehealth providers. Verification status: verified.
The numbers, plan by plan
- Semaglutide (standard, injection, month-to-month plan): $199 per month. Status: verified, checked September 4, 2026. Semaglutide $199 monthly.
- Tirzepatide (standard, injection, month-to-month plan): $299 per month (the price at higher doses is not published). Status: verified, checked September 4, 2026. Four-week option about $299 (verified September 4, 2026); the price at higher doses on the four-week option is not published.
- Tirzepatide (standard, injection, 3-month plan): $166 per month after an introductory $133 per month for the first 3 months, rising to $183 per month at the highest published dose; $499 paid up front. Status: reported, checked September 4, 2026. Three-month packages priced by total medication: Starter $399 ($133 per month, first-time patients), Mid Dose 144 mg $499 ($166 per month; covers 10 mg weekly for 12 weeks), High Dose 216 mg $549 ($183 per month; covers 15 mg weekly for 12 weeks). Packages include provider consultation, medical support and free overnight or two-day shipping.
Fees and what the price includes
The published price includes the medication and clinical care and shipping, with no separate membership fee. Shipping is included. The clinician consultation is included. The medication price rises with dose, so our 12-month total uses the titration model described on the methodology page.
How this pricing structure plays out over a year
The first 3 months cost $133 all-in; from month 4 the recurring cost is $183 a month, so the advertised $133 covers 20% of the first year's spend and the recurring price covers the rest. The best rate is a 3-month plan, and our twelve-month total assumes it renews at the same rate, which the row notes. Because the price rises with dose, roughly nine of the first twelve months are billed at the higher tier on the label's schedule, and every month after that.
Compared with the field
On tirzepatide, Fifty 410's lowest twelve-month total of $2,046 is $618 above the lowest (SnagRx, $1,428) and below the median of $2,946 across 34 ranked providers, placing it 10 of 34. On the value score it scores 71 against 91 for NexLife, the best-scoring provider; the gap comes from cost, transparency, care. On semaglutide, Fifty 410's lowest twelve-month total of $2,388 is $1,560 above the lowest (SnagRx, $828) and above the median of $1,922.50 across 16 ranked providers, placing it 12 of 16. On the value score it scores 71 against 91 for NexLife, the best-scoring provider; the gap comes from cost, transparency, care.
Pharmacy, coverage and cancellation
A complete list of states served has not been published; confirm eligibility at checkout before paying. Dispensing: 503A (provider-stated). Named pharmacies: ProRx, BPI / The Pharmacy Hub. Commitment: month-to-month; prepay discounts offered. Cancellation: Cancel anytime.
Questions to ask Fifty 410 before paying
Ask, in writing: Do you ship to my state, and which pharmacy license covers it? What is the all-in price at 7.5, 10, 12.5 and 15 mg? What is the price from month two, and does it change at renewal? Will my dosing instructions state the concentration of the vial you actually ship, and will you reissue them if it changes? A provider that answers all of these promptly is operating in the open; one that will not name its pharmacy has answered the most important question.
What works
Packages include consultation, support and free overnight or two-day shipping. Pricing by total milligrams is unusually transparent about what a package actually covers at each dose.
What to weigh against it
Effective monthly cost rises with dose: $133 (starter) to $166 (10 mg) to $183 (15 mg) per month equivalent. Three-month packages must be matched to the dose; a 144 mg package does not cover 12.5 mg weekly for twelve weeks.
Who should choose Fifty 410
Price-focused patients comparing low-cost compounded plans. A patient with insurance coverage for Zepbound or Wegovy should compare the copay route first; a patient who wants a verified flat all-in price with month-to-month flexibility should compare the best overall provider on our value score; and any patient should ask which pharmacy fills the prescription before paying.
Is Fifty 410 legitimate? What we can verify
Fifty 410 operates as a telehealth prescriber: a licensed clinician reviews an intake and issues a prescription, and a pharmacy fills it. That is the lawful model, and it is the same model every provider on this site uses; the questions that separate a legitimate operation from a risky one are whether the price is published before intake, whether the pharmacy is named, whether the prescription documents a clinical reason for a compounded product, and whether the company answers questions in writing. Its prices were verified against its own pages, which is the first test. It names its dispensing pharmacy (ProRx, BPI / The Pharmacy Hub), which lets a patient verify the license. We have no evidence of a scam, and we do not use the word for any provider that prescribes on a valid prescription and ships from a licensed pharmacy; LegitScript certification, BBB profiles and state-board actions are not yet captured in our data and are listed as checks a patient can make.
Fifty 410 complaints and reputation
We have not yet analyzed public reviews of Fifty 410 for complaint patterns; the reputation index explains the method (shipping, billing and refund, provider access, support, and dosing-instruction complaints as shares of recent reviews). Until it is run, the useful checks are Trustpilot and the Better Business Bureau for volume and recency, and Reddit threads for the specific failure modes patients describe: shipments that arrive warm, charges after cancellation, clinicians who do not answer, and dosing sheets that do not match the vial.
Fees, HSA/FSA and promotions
Introductory pricing recorded: $133 for the first 3 months of tirzepatide. We record introductory prices as data and do not publish promotional codes. HSA/FSA eligibility is not captured; most telehealth GLP-1 programs can issue itemized receipts for FSA/HSA reimbursement, but eligibility of compounded medication depends on the plan administrator. The consultation is included in the price.
Consultation, labs, refills and shipping
Consultation type (video, phone or asynchronous questionnaire) is not captured in our data; most compounded-GLP-1 telehealth intakes are asynchronous with a clinician follow-up, and a patient who needs a video visit should ask. Lab requirements are not captured; many providers accept recent labs and some require none for compounded GLP-1s, while brand-name and insurance-first programs more often require them. Refill process is not captured; ask how a dose increase is requested, how many days before the next dose a refill ships, and whether a new visit is required. Shipping is included; transit is typically one to three days by carrier after the pharmacy fills.
Alternatives to Fifty 410
Alternatives worth comparing: NexLife has the highest value score for tirzepatide (91) at $1,668 for twelve months; SnagRx has the lowest twelve-month total ($1,428, verified); HealthRX is priced closest to Fifty 410 ($2,148 for twelve months); Ozari Health is priced closest to Fifty 410 ($2,166 for twelve months). Side-by-side: Fifty 410 vs NexLife.
Update history
No price changes or corrections have been logged for Fifty 410 since tracking began on August 25, 2026. Any future change appears on the price history page with the date, old figure, new figure and source.
How we verified this
Fifty 410 sells three-month tirzepatide packages by total milligrams: Starter $399, Mid Dose 144 mg $499 ($166/mo, enough for 10 mg weekly over 12 weeks) and High Dose 216 mg $549 ($183/mo, enough for 15 mg weekly), with consultation, support and free overnight or two-day shipping included, per its pricing page as cited on August 25, 2026 (package prices reported; the $399 starter, the ~$299 four-week option and semaglutide $199 were verified directly). Help content names ProRx and BPI/The Pharmacy Hub as 503A partners. State coverage not published in full.