Compounded tirzepatide
Ascend Medical vs Fifty 410
Quick answer
Ascend Medical costs $130 a real month and Fifty 410 costs $199 — a difference of $69 a month, or $823 a year. Both figures are computed from what each seller actually charges and how often, not from the price on its landing page.
Checked in . Both sellers are re-checked on the same schedule; a price either side changes after that date will not be reflected here until the next check.
Ascend Medical or Fifty 410?
Ascend Medical is the cheaper way to start, at $130 a month against $199 for Fifty 410; Ascend Medical does not publish what its top dose costs, so ask before you commit past the first month. Judged by the headline prices you would pick Fifty 410, advertised at $133 against Ascend Medical's $240, and that is the wrong way round once each bill is restated as a calendar month. Ascend Medical names 2 states; Fifty 410 does not say where it ships. Fifty 410 received an FDA warning letter in February 2026; Ascend Medical has none on record.
What each one bills
| Ascend Medical | Fifty 410 | |
|---|---|---|
| True monthly cost | $130 | $199 |
| Advertised as | $240 | $133 |
| Charged | every 8 weeks | every calendar month |
| Each charge | $240 | $199 |
| Price basis | a starting-dose price that climbs | the same at every dose |
| Mandatory recurring fee | none found | none found |
| States it names | 2 states | not published |
| FDA warning letter | none on record | yes |
Where they actually differ
- They bill on different clocks. Ascend Medical charges every 8 weeks and Fifty 410 charges every calendar month. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- One price holds and the other climbs. Ascend Medical’s price is a starting-dose price that climbs; Fifty 410’s is the same at every dose. See what titration does to an advertised figure.
- What they advertise is not what they bill. Fifty 410 advertises $133 and bills $199.
How we know
Both figures were read on the seller’s own site and recomputed over a 30.4375-day calendar month from the charge and the billing period it covers. Neither is a seller’s own “/mo”. The full working for each — the charge, the period, the arithmetic and the date it was read — is on its own page: Ascend Medical and Fifty 410. The method is set out in how we verify.
To compare any two sellers in the index rather than these two, use the comparison tool.