Compounded tirzepatide
Fifty 410 vs NextMeds
Quick answer
NextMeds costs $129 a real month and Fifty 410 costs $199 — a difference of $70 a month, or $840 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.
Fifty 410 or NextMeds?
NextMeds is the cheaper way to start, at $129 a month against $199 for Fifty 410, and since both charge one price whatever the dose, that gap of $70 holds all the way up. NextMeds names 50 states; Fifty 410 does not say where it ships. Fifty 410 received an FDA warning letter in February 2026; NextMeds has none on record.
What each one bills
| Fifty 410 | NextMeds | |
|---|---|---|
| True monthly cost | $199 | $129 |
| Advertised as | $133 | $129 |
| Charged | every calendar month | every calendar month |
| Each charge | $199 | $129 |
| Price basis | the same at every dose | the same at every dose |
| Mandatory recurring fee | none found | none found |
| States it names | not published | 50 states |
| FDA warning letter | yes | none on record |
Where they actually differ
- 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: Fifty 410 and NextMeds. 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.